Document Detail


Nurse-led cystoscopy: the next step.
MedLine Citation:
PMID:  12081768     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To determine and compare the accuracy of flexible cystoscopy and subsequent management by a specialist urology registrar (SpR) and a specialist urology nurse (SUN). PATIENTS AND METHODS: Flexible cystoscopy was undertaken on 50 patients by both endoscopists each unaware of the results of the other's examination. The findings and management plans were independently declared and then compared. Any cystoscopic discrepancies were assessed by one consultant with the patients under a general anaesthetic. RESULTS: Tumours were found in 20% of patients; there was a consensus of the endoscopic findings and subsequent management plan between the SpR and the SUN in 94% of the patients. Any missed tumours (all surveillance) were minute and clinically insignificant. The chance-corrected proportional agreement (kappa value) between the SUN and final diagnosis and management was 0.94. CONCLUSION: A properly trained SUN can undertake both diagnostic and surveillance flexible cystoscopy, and decide upon further management to the same degree as can a urology SpR.
Authors:
J M Taylor; I Pearce; K J O'Flynn
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  BJU international     Volume:  90     ISSN:  1464-4096     ISO Abbreviation:  BJU Int.     Publication Date:  2002 Jul 
Date Detail:
Created Date:  2002-06-25     Completed Date:  2002-09-09     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  100886721     Medline TA:  BJU Int     Country:  England    
Other Details:
Languages:  eng     Pagination:  45-6     Citation Subset:  IM    
Affiliation:
Department of Urology, Hope Hospital, Salford, Manchester, UK. floppyoliver@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Cystoscopy / nursing*,  trends
Female
Humans
Male
Middle Aged
Prospective Studies
Urinary Bladder Neoplasms / nursing*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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