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会计学一.临床治疗依据的演变医药费用直线攀升!!therateofradicalprostatectomyper100,000maleMedicarebeneficiaries,adjustedforageandrace“Keepthebalancebetweenbenefitsandharms”临床关于BPH的治疗问题很多WhatistheEvidence-basedPractice(EBP)Modelofevidencebasedclinicaldecisions1.临床经验(clinicalexpertise)尿道40-79岁每年增长0.6ml,20年后体积增加12ml 如果原来体积是20ml,20年后体积会达到32mlDefinitionofTermsAdaptedfromNordlingJetal.InBenignProstaticHyperplasia.Plymouth,UnitedKingdom:HealthPublication,2001:107-166.PathophysiologyofClinicalBPH:PredictiveRiskFactorsBPH的临床表现特点膀胱憩室前列腺容积和LUTS国际前列腺症状评分表(IPSS)2.最佳临床研究证据(Thebestevidence)证据的级别的“金字塔”寻求POEMs,避免DOEs源于对90种杂志持续6个月的调查显示:如何寻找高质量证据?循证教科书要求推荐教科书EBCPDATAResources评价证据EvaluatingtheValidityofTheStudy评价方式DiagnosisofClinicalBPH:InternationalRecommendationsBPH的治疗目标Evidence-BasedMedicine:ProventreatmentforClinicalBPHPROSCAR®:DurableEfficacyinLong-TermTrials治疗组EffectsofPROSCAR®ontheNaturalHistoryofClinicalBPH:ReducedRiskofAURPSAandPROSCAR®Long-TermExperiencewithPROSCAR®RapidandSustainedReductionintheRiskofLong-TermOutcomeswithPROSCAR®SlideVI.4联合治疗的理论基础前列腺大小与疗效的相关性Fromevidencestoaction证据→综合→决定ThePatient-PhysicianConnectionPatientSatisfactionIsImportantintheTreatmentofClinicalBPHThePhysician’sRoleinPatientEducation总结谢谢! Thankyou verymuch!