دانلود رایگان مقاله لاتین اثر بازاریابی مستقیم برای امبولیسم شریان رحمی بر میزان لیومیوم از سایت الزویر
عنوان فارسی مقاله:
اثر بازاریابی مستقیم برای امبولیسم شریان رحمی بر میزان لیومیوم، نتایج حادثه ای و مدیریت پس از عمل جراحی مغز استخوان
عنوان انگلیسی مقاله:
Effect of Direct Marketing for Uterine Artery Embolization on Rates of Leiomyomas, Incidental Findings, and Management After Pelvic MRI
سال انتشار : 2016
بخشی از مقاله انگلیسی:
METHODS
Our institutional review board approved this HIPAAcompliant retrospective study. A waiver of the requirement to obtain informed consent was obtained. Patient Population The IR clinic database was searched for all patients evaluated for possible UAE from January 1, 2009 to July 17, 2012. Using clinic notes and intake questionnaires, subjects seen for UAE were divided into two groups: a self-referred population (group A, n ¼ 203; mean age, 41.8 years; range, 22-58 years) and a physician-referred population (group B, n ¼ 98; mean age, 42.9 years; range, 30-65 years). During the time frame of our study, our hospital-based IR department engaged in direct marketing of UAE for treatment of symptomatic leiomyomas, including television interviews and radio advertisements, seminars, and fliers. As a result of direct marketing, patients directly contacted the IR clinic without physician referrals. During these telephone calls, patients were screened by nurses for potential contraindications to UAE, including known gynecologic malignancy, current pregnancy or desire to maintain fertility, active pelvic inflammatory disease, severe iodinated contrast allergy, and stages 4 and 5 chronic kidney disease [11]. After this initial screening, patients were scheduled for appointments with interventional radiologists to discuss different treatment strategies for symptomatic uterine leiomyomas and to help patients determine if they should proceed with UAE. During the same time period, our IR department accepted referrals from gynecologists and primary care physicians who, on the basis of clinical assessment and/or prior imaging, believed that their patients would benefit from UAE. Chart Review The clinic charts and hospital electronic medical records were reviewed for presenting symptoms and to see whether patients underwent UAE. In addition, the MRI reports were reviewed for incidental MRI findings and recommendations. The majority of subjects in both groups presented with multiple symptoms: 77.8% (158 of 203) of group A and 75.5% (74 of 98) of group B, with at least one symptom being bleeding, bulk related, or pain. A single presenting symptom of bleeding (group A, 13.8% [28 of 203]; group B, 14.3% [14 of 98]), pain (group A, 3.4% [7 of 203]; group B, 5.1% [5 of 98]), or bulk-related symptoms (group A, 3.9% [8 of 203]; group B, 2.0% [2 of 98]) was also similar between groups. One subject in group A and two subjects in group B were asymptomatic, and one subject in each group presented with a symptom other than the three major symptoms discussed above. MRI Technique Imaging was performed on either a 1.5-T or a 3-T MRI system (GE Healthcare, Milwaukee, Wisconsin; Siemens Medical Solutions, Erlangen, Germany). Imaging was performed with the patient supine, using a phased-array body coil centered over the pelvis. A single-shot turbo/ fast spin-echo sequence was obtained in the coronal plane, followed by axial dual gradient-echo T1-weighted (in-phase and opposed-phase) imaging. High-resolution T2-weighted images were obtained in the sagittal and axial planes. Fat-suppressed T2-weighted images were obtained in the axial plane. After the intravenous administration of a gadolinium-based contrast agent, dynamic contrast-enhanced T1-weighted imaging was performed in the coronal plane, and delayed axial and sagittal T1-weighted images were obtained.
کلمات کلیدی:
Building a UFE Practice - Radiology Today Magazine www.radiologytoday.net/archive/rt0710p22.shtml Building a UFE Practice — IRs Establish Successful Collaboration With Gynecologists By Beth W. Orenstein Radiology Today Vol. 12 No. 7 P. 22. Many gynecologists .... But he notes that direct marketing has not always worked, especially with UFE. “If you just announce that you have a new procedure, the gynecologist is ... [PDF]Uterine Artery Embolization: https://www.rand.org/content/dam/rand/pubs/monograph_reports/.../MR1158.pdf by MS Broder - Related articles Susan Ascher, Radiology, Washington, D.C.. Alan DeCherney, Obstetrics and Gynecology, Los Angeles, CA. Carla Dionne, Patient Advocate, Los Angeles, CA. Carole Flamm, Technology Evaluation, Chicago, IL. Peter Juhn, Internal Medicine, Oakland, CA. Scott Goodwin, Interventional Radiology, Los Angeles, CA. Uterine Artery Embolization - HERS Foundation www.hersfoundation.com/uterinearteryembolization/journal.html "With the advent of direct marketing to patients by hospitals and radiologists regarding this procedure, it is important that all serious complications of uterine artery embolization be reported so that appropriate protocols can be established to minimize such complications in the future. These complications also should be ...
