NS-AUA 2024 Annual Meeting Abstracts – Best Practices, Benign Disease
Notice bibliographique
Résumé
Introduction: Patients electing benign prostatic hyperplasia (BPH) surgery may wish to cease BPH medical therapy, though some patients may continue or begin medication post-surgery to treat residual symptoms.In this large-scale healthcare claims analysis, we produce rates of continued and de novo BPH medical therapy following transurethral resection of the prostate (TURP), GreenLight photoselective vaporization (PVP), and UroLift prostatic urethral life (PUL) procedures.Methods: Patients with 1 year of followup who underwent outpatient TURP (n=20 319), GreenLight (n=10 517), or PUL (n=5793) were identified within this representative sample of 2015-2021 Medicare and commercial claims.Linking pharmaceutical claims to outpatient surgical claims produced rates of continuous and de novo use of alpha-blockers, 5ARI, or combination therapy; only patients with 2 instances of medical therapy prescriptions following BPH surgery were included.Perioperative medication usage was defined as 2 medication prescriptions within three months only and not beyond; prolonged use was assessed through one and five years postoperative.Results: Rates of perioperative medical therapy were similar between all treatments.The rates of continued medication use following PUL, TURP, and PVP were 2.5%, 4.0% and 4.2%, respectively.De novo use was low after all therapies; lowest for PUL (0.5%) and similar between TURP (0.9%) and PVP (1.0%).The total one-year medical therapy rate was lowest for PUL (3.9%, TURP 6.1%, PVP 6.5%).Rates of continued and de novo use were: PUL (8.4% continued, 1.0% de novo), TURP (7.0% continued, 2.0% de novo), and PVP (7.2% continued, 1.7% de novo).The total combined five-year medical therapy rate was similar between all three therapies: PUL (10.3%),TURP (10.2%), and PVP (10.2%).Alpha-blockers were the leading BPH drug class utilized through one and five years post-PUL, TURP, and PVP.Conclusions: Post-surgery medication use is an important, yet relatively unexplored, element of the BPH patient journey.Rates of medication use through one year were higher following TURP and PVP compared to PUL, and were equivalent at five years.This may indicate that in a real-world setting, TURP and PVP patients could have more advanced disease that doesn't fully respond to the benefits of the selected intervention.The five-year real-world rate of medication usage for PUL in this analysis is similar to the rate demonstrated in the LIFT pivotal trial (10.3% vs. 10.7%LIFT).
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 distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,028 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,002 | 0,001 |
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 tête enseignante, 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 ».