Findings from an international survey of urology trainee experience with prostate biopsy

被引:5
|
作者
Brant, Aaron [1 ]
Campi, Riccardo [2 ]
Carrion, Diego M. [3 ,4 ]
Esperto, Francesco [5 ]
Sze, Christina [1 ]
Johnson, Jeffrey P. [1 ]
Hu, Jim C. [1 ]
Borregales, Leonardo D. [1 ,6 ]
机构
[1] New York Presbyterian Hosp, Weill Cornell Med, Dept Urol, New York, NY USA
[2] Univ Florence, Careggi Hosp, Unit Urol Robot Surg & Renal Transplantat, Florence, Italy
[3] Torrejon Univ Hosp, Dept Urol, Madrid, Spain
[4] Univ Francisco Vitoria, Dept Urol, Madrid, Spain
[5] Univ Rome, Dept Urol, Campus Biomed, Rome, Italy
[6] New York Presbyterian Hosp, Weill Cornell Med Coll, 525 E 68th St, New York, NY 10032 USA
关键词
prostatic neoplasms; biopsy; education; surveys and questionnaires; residency; PREVENTION;
D O I
10.1111/bju.15935
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
ObjectiveTo assess urology trainees' exposure to transperineal prostate biopsy (TP-Bx) and intent to use TP-Bx in practice. Subjects and MethodsA 34-question survey about prostate biopsy was distributed to urology trainees in the United States and Europe. Primary outcomes were exposure to TP-Bx in training and intent to use TP-Bx post training. Exposure to transrectal prostate biopsy (TR-Bx) and magnetic resonance imaging-targeted biopsy (MRI-Bx) was also assessed. Survey answers were compared between groups as categorical variables using Fisher's exact test. Multivariable logistic regression was used to identify factors associated with intent of performing TP-Bx post training. ResultsA total of 658 trainees from 19 countries completed the survey. Of these, 313 trainees (48%) reported exposure to TP-Bx, 370 (56%) reported exposure to MRI-Bx, and 572 (87%) reported exposure to TR-Bx. There was significant heterogeneity in TP-Bx exposure among countries (P < 0.001), with the highest prevalence in Italy (72%) and the lowest prevalence in Greece (4%). Intent to perform TP-Bx post training was higher in those exposed to TP-Bx during training (89% vs 58%; P < 0.001) and did not differ between trainees in postgraduate year (PGY) 1-3 vs those in PGY >= 4 (73% vs 72%; P = 0.7). On multivariable regression, exposure to TP-Bx in training was independently associated with increased intent to perform TP-Bx post training (odds ratio 5.09, 95% confidence interval 3.29-8.03; P < 0.001). ConclusionsFewer than half of 658 surveyed urology trainees reported exposure to TP-Bx, with significant heterogeneity among countries. Greater experience with TP-Bx in training was associated with greater intent to perform TP-Bx post training. A minimum requirement of TP-Bx cases during urological training may increase resident familiarity and adoption of this guideline-endorsed prostate biopsy approach.
引用
收藏
页码:705 / 711
页数:7
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