PDF(Pubmed)
Abstract：
UNASSIGNED: There are three common treatment options for kidney stones: extracorporeal shockwave lithotripsy (ESWL), ureterorenoscopy (URS) and percutaneous nephrolithotomy (PNL). The choice of treatment is based on stone- and patient-related characteristics. However, some stones are eligible for several approaches and the decision is made based on patient and urologist\'s preferences. This study evaluates which approach has the highest workload.
UNASSIGNED: Between March and August 2022, five members of the Amsterdam Endourology Research Group collected data from 22 ESWL, 31 URS and 22 PNL procedures. After each procedure, the SURG-TLX questionnaire was completed by the surgeon to evaluate workload. Six dimensions were scored for each procedure, including: mental demands, physical demands, temporal demands, task complexity, situational stress, and distractions. The total workload, and the median for each dimension, was calculated and compared for the three treatments.
UNASSIGNED: ESWL scored significantly lower than URS for mental demands, physical demands, temporal demands, situational stress, distraction and total workload. However, task complexity did not differ significantly between the two techniques. Compared with PNL, ESWL scored significantly lower for all dimensions. Finally, PNL received significantly higher scores for mental demands, physical demands, temporal demands, situational stress, distractions and total workload than URS. Only task complexity showed no significant difference between both groups.
UNASSIGNED: Urologists perceive the highest workload during PNL, followed by URS and finally ESWL. A follow-up study is needed to identify stressors that increase perceived workload with the purpose to address these variables and as final objective to improve urologists\' workload, patient safety and treatment outcomes.
UNASSIGNED: Between March and August 2022, five members of the Amsterdam Endourology Research Group collected data from 22 ESWL, 31 URS and 22 PNL procedures. After each procedure, the SURG-TLX questionnaire was completed by the surgeon to evaluate workload. Six dimensions were scored for each procedure, including: mental demands, physical demands, temporal demands, task complexity, situational stress, and distractions. The total workload, and the median for each dimension, was calculated and compared for the three treatments.
UNASSIGNED: ESWL scored significantly lower than URS for mental demands, physical demands, temporal demands, situational stress, distraction and total workload. However, task complexity did not differ significantly between the two techniques. Compared with PNL, ESWL scored significantly lower for all dimensions. Finally, PNL received significantly higher scores for mental demands, physical demands, temporal demands, situational stress, distractions and total workload than URS. Only task complexity showed no significant difference between both groups.
UNASSIGNED: Urologists perceive the highest workload during PNL, followed by URS and finally ESWL. A follow-up study is needed to identify stressors that increase perceived workload with the purpose to address these variables and as final objective to improve urologists\' workload, patient safety and treatment outcomes.
摘要：
■肾结石有三种常见的治疗选择：体外冲击波碎石术（ESWL），输尿管肾镜（URS）和经皮肾镜取石术（PNL）。治疗的选择是基于结石和患者相关的特征。然而,一些结石符合几种方法的条件，并根据患者和泌尿科医生的偏好做出决定。这项研究评估了哪种方法的工作量最大。
■在2022年3月至8月之间，阿姆斯特丹Endourology研究小组的五名成员从22个ESWL收集了数据，31个URS和22个PNL程序。每次手术后,外科医生完成了SURG-TLX问卷以评估工作量.每个程序都有六个维度的评分，包括:精神需求，身体需求，时间需求，任务复杂性，情境压力，和分心。总工作量,以及每个维度的中位数，对三种治疗方法进行了计算和比较。
■ESWL的心理需求得分明显低于URS，身体需求，时间需求，情境压力，分心和总工作量。然而,两种技术之间的任务复杂性没有显着差异。与PNL相比，所有维度的ESWL得分均明显较低。最后,PNL在心理需求方面获得了明显更高的分数，身体需求，时间需求，情境压力，分心和总工作量比URS。只有任务复杂性在两组之间没有显着差异。
■泌尿科医师认为PNL期间的工作量最大，其次是URS，最后是ESWL。需要进行后续研究，以确定增加感知工作量的压力源，目的是解决这些变量，并作为改善泌尿科医师工作量的最终目标，患者安全和治疗结果。
■在2022年3月至8月之间，阿姆斯特丹Endourology研究小组的五名成员从22个ESWL收集了数据，31个URS和22个PNL程序。每次手术后,外科医生完成了SURG-TLX问卷以评估工作量.每个程序都有六个维度的评分，包括:精神需求，身体需求，时间需求，任务复杂性，情境压力，和分心。总工作量,以及每个维度的中位数，对三种治疗方法进行了计算和比较。
■ESWL的心理需求得分明显低于URS，身体需求，时间需求，情境压力，分心和总工作量。然而,两种技术之间的任务复杂性没有显着差异。与PNL相比，所有维度的ESWL得分均明显较低。最后,PNL在心理需求方面获得了明显更高的分数，身体需求，时间需求，情境压力，分心和总工作量比URS。只有任务复杂性在两组之间没有显着差异。
■泌尿科医师认为PNL期间的工作量最大，其次是URS，最后是ESWL。需要进行后续研究，以确定增加感知工作量的压力源，目的是解决这些变量，并作为改善泌尿科医师工作量的最终目标，患者安全和治疗结果。
