MP15-08 THE USE OF A VIRTUAL REALITY DEVICE (HYPNOVR®) DURING OUTPATIENT DJ STENT REMOVAL PROCEDURES: INITIAL RESULTS FROM A FEASIBILITY STUDY
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Résumé
You have accessJournal of UrologyStone Disease: Surgical Therapy III (MP15)1 Apr 2020MP15-08 THE USE OF A VIRTUAL REALITY DEVICE (HYPNOVR®) DURING OUTPATIENT DJ STENT REMOVAL PROCEDURES: INITIAL RESULTS FROM A FEASIBILITY STUDY Eugenio Ventimiglia*, Steeve Doizi, Luca Villa, Francesco Montorsi, and Olivier Traxer Eugenio Ventimiglia*Eugenio Ventimiglia* More articles by this author , Steeve DoiziSteeve Doizi More articles by this author , Luca VillaLuca Villa More articles by this author , Francesco MontorsiFrancesco Montorsi More articles by this author , and Olivier TraxerOlivier Traxer More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000000840.08AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Cystoscopic DJ removal is an outpatient procedure generally not requiring anesthesia or sedation. However, patients may experience pain during the procedure, as well as treatment-related anxiety. For these reasons, we aimed to test a virtual reality device (VRD, HypnoVR®, Strasbourg, France) during DJ removal procedure in order to assess its impact in terms of patient-reported pain and anxiety. METHODS: We enrolled 10 patients with indwelling DJ stent scheduled for stent removal. Patients with either epilepsy or migraine where excluded from the study. DJ removal procedures were performed using a single use flexible cystoscope specifically designed for DJ removal (Isiris®; Coloplast, France). The VRD device was installed and started 10 to 5 minutes before the procedure. Tolerability of pain and treatment-related anxiety represented the primary efficacy outcomes and were evaluated using a visual analogue scale (VAS), the short version of the McGill pain questionnaire (MPQ), and the short version of the Surgical Fear Questionnaire (SFQ). Secondary outcomes were represented by VRD ease of use (VAS) and patient satisfaction with the use of the device. RESULTS: Median (IQR) age and BMI were respectively 49 (48-53) years and 26 (24-28) kg/m2. All patients had indwelling DJ stent following ureteroscopy. Most of the patients were DJ naïve (7, 70%). Median extra time for the installation was 3 (2-4) minutes. Median pre-procedure pain (VAS) score and anxiety (VAS) scores were 1 (1-1) and 2 (1-3). Lower post-procedure anxiety levels were recorded, median (IQR) VAS 1 (1-2), although not statistically significant, p>0.05. Procedure related median (IQR) pain was 4 (2-5). Similar results were reported for the MPQ and the SFQ. No procedure was stopped due to side effects from. All the patients who were not DJ naïve reported a better experience using the VRD compared to the recalled previous sessions. All the 10 patients would use again the VRD if further DJ removal session were needed in the future. CONCLUSIONS: Our proof of principle study shows that VRD application during DJ removal is safe and feasible. The initial report from patients are positive both in terms of pain and anxiety tolerance. Further comparative studies are needed. Source of Funding: None © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 203Issue Supplement 4April 2020Page: e207-e207 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.MetricsAuthor Information Eugenio Ventimiglia* More articles by this author Steeve Doizi More articles by this author Luca Villa More articles by this author Francesco Montorsi More articles by this author Olivier Traxer More articles by this author Expand All Advertisement PDF downloadLoading ...
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,002 | 0,005 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,001 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,001 |
| Communication savante | 0,000 | 0,001 |
| Science ouverte | 0,000 | 0,001 |
| Intégrité de la recherche | 0,001 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,005 | 0,002 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».