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

  • Ashot Gevorkyan Western Administrative District of Moscow, Russian Federation
  • Maxim Ishmuratov Western Administrative District of Moscow, Russian Federation
  • Ilya Lumpov Clinic of Urology of I. M. Sechenov First MSMU Russia (Sechenov University), Russian Federation
  • Samvel Petrosyan Western Administrative District of Moscow, Russian Federation
  • Daniel Sharshunov Western Administrative District of Moscow, Russian Federation
Keywords: inpatient technologies, prostate biopsy, day hospital, prostate cancer

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.

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Author Biographies

Ashot Gevorkyan, Western Administrative District of Moscow

Department of Urology

Maxim Ishmuratov, Western Administrative District of Moscow

Department of Urology

branch No. 2 - Polyclinic No. 195

Samvel Petrosyan, Western Administrative District of Moscow

Department of Urology

branch No. 2 - Polyclinic No. 195

Daniel Sharshunov, Western Administrative District of Moscow

Department of Urology

branch No. 2 - Polyclinic No. 195

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Published
2019-02-04
How to Cite
Gevorkyan, A., Ishmuratov, M., Lumpov, I., Petrosyan, S., & Sharshunov, D. (2019). MINIMALLY INVASIVE UROLOGICAL INTERVENTIONS IN OUTPATIENT CLINIC ON THE EXAMPLE OF PROSTATE BIOPSY. EUREKA: Health Sciences, (1), 10-15. https://doi.org/10.21303/2504-5679.2019.00848
Section
Medicine and Dentistry