MINIMALLY INVASIVE UROLOGICAL INTERVENTIONS IN OUTPATIENT CLINIC ON THE EXAMPLE OF PROSTATE BIOPSY

Ashot Gevorkyan, Maxim Ishmuratov, Ilya Lumpov, Samvel Petrosyan, Daniel Sharshunov

Abstract


One of the main directions of improving medical care was the introduction of inpatient forms of medical care for patients who do not require round-the-clock supervision.

Aim of the research: to prove the effectiveness and economic feasibility of minimally invasive procedures in outpatient conditions.

Materials and methods. The study included 3524 patients in the period from 2010 to 2017, who underwent transrectal prostate biopsy on the basis of the Department of urology of polyclinic No. 195 of the Western district of Moscow. For comparison, the patients were taken, who underwent a biopsy of the prostate gland at the base hospital No. 31, No. 51, No. 17.

Results. The average number of biopsies performed in hospital No. 31, No. 51 and No. 17 for the year amounted to 344 biopsies, and the average detectability of prostate cancer was 142 (41.3 %). The average number of biopsies per year in the urology department of the branch number 2 GP No. 195 amounted to 440.5, and the average detectability of prostate cancer – 152.8 (34.7 %). Thus, with comparable inpatient detection of prostate cancer in one large outpatient urology center, an average of 28 % more biopsies are performed (440.5 versus 344) than in 3 hospitals over a comparable period of time.

Conclusions. Inpatient technologies can reduce the burden on hospitals. The development of hospital-replacing forms is determined by the need of the population and for efficient use of financial and technical resources of health care.


Keywords


inpatient technologies; prostate biopsy; day hospital; prostate cancer

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DOI: http://dx.doi.org/10.21303/2504-5679.2019.00848

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