Journal of Multidisciplinary Healthcare最新文献

{"title":"SimMan 3G Simulation-Based Instruction for the Extracorporeal Cardiopulmonary Resuscitation Transfer Procedure.","authors":"Li Wang, Yu-Qin Ren, Yufei Qian, Rong-Qian Sun, Dan-Feng Li","doi":"10.2147/JMDH.S510505","DOIUrl":"10.2147/JMDH.S510505","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this study is to determine if patient transfers involving extracorporeal cardiopulmonary resuscitation (ECPR) can be effectively taught using SimMan 3G training.</p><p><strong>Methods: </strong>To evaluate the efficacy of the training, 48 medical professionals were randomly assigned to either a conventional teaching group or a SimMan 3G simulation teaching group, and they each underwent training in the ECPR transfer process and were then assessed on their theoretical knowledge, practical skills, and patient transfer time.</p><p><strong>Results: </strong>The study recruited a total of 48 healthcare professionals, including 10 males and 38 females. The age distribution was as follows: 10 individuals aged 18-29 years, 24 individuals aged 30-44 years, and 39 individuals aged ≥45 years. All participants had an educational level of at least a bachelor's degree. There was a statistically significant difference in theoretical knowledge scores, operational skill scores, and patient transfer time between the pre- and post-training periods (<i>P</i> < 0.05). Following training, the conventional teaching group had a theoretical knowledge average score of 82.46±10.91, the highest score was 92, and the lowest score was 64, operational skill average score of 88.35±17.71, the highest score was 93, and the lowest score was 76, and patient transfer time of 97±10.68 seconds, while the SimMan 3G simulation teaching group had a theoretical knowledge average score of 88.78±13.55, the highest score was 96, and the lowest score was 78, operational skill average score of 95.32±20.15, the highest score was 98, and the lowest score was 85, and patient transfer time of 68.25±4.03 seconds.</p><p><strong>Conclusion: </strong>The training effect of the ECPR transfer process can be greatly improved by using the SimMan3G simulation-based teaching, and this method can also play a role in clinical continuing education with significantly less time and effort invested.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"4013-4021"},"PeriodicalIF":2.7,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12275920/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144674981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Growing CAPITOL (Critical Age Periods Impacting the Trajectory of Obesogenic Lifestyles) 4 Life.","authors":"Andrew P Hills, Kylie Burgess, Kylie Mulcahy, Sisitha Jayasinghe, Kira Coghlan, Nuala M Byrne, Lisa M Dalton, Kiran D K Ahuja, Roger Hughes","doi":"10.2147/JMDH.S532058","DOIUrl":"10.2147/JMDH.S532058","url":null,"abstract":"<p><strong>Introduction: </strong>Emerging evidence highlights the value of place-based approaches in improving community health, including preventing childhood obesity. These approaches leverage local knowledge, build trust, and support co-designed initiatives. This case study presents a project in North-West Tasmania that combined capacity building and collective impact strategies to promote optimal early childhood development during the first 1000 days (F1D), with academic researchers playing a supportive role.</p><p><strong>Methods: </strong>The project aimed to raise health literacy among parents and caregivers in Burnie, Circular Head and Devonport. It employed a comprehensive strategy informed by theories on F1D importance, health equity, health literacy, and systems thinking, along with place-based and asset-based frameworks. A broad group of stakeholders were engaged, and a mapping of local assets guided the implementation.</p><p><strong>Results: </strong>Key early activities included stakeholder engagement and community asset mapping, concluding in early 2024, followed by storytelling workshops and academic evaluations. Community campaigns and learning products were co-designed and activated during the balance of 2024.</p><p><strong>Discussion: </strong>The project exemplified the key principles of collective impact: establishing a shared agenda, defining success measures, coordinating aligned activities, maintaining open communication, and creating a backbone structure for support and data coordination. It offered valuable lessons for future policy and program development by emphasizing the importance of context-specific adaptation and community-led design.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"3999-4012"},"PeriodicalIF":2.7,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12274650/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144674979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of Sex Mismatch Between Patients and Speech-Language Therapists with Favorable Outcome in Eating and Swallowing Functions in Dementia Care: A Pilot Study.","authors":"Aya Nakada, Masahisa Arahata, Takaaki Nishimura, Keiko Kaji, Hatsue Fujii","doi":"10.2147/JMDH.S517729","DOIUrl":"10.2147/JMDH.S517729","url":null,"abstract":"<p><strong>Purpose: </strong>This retrospective observational study explored the hypothesis that sex mismatch between patients and their attending speech-language therapists (STs) would contribute to the recovery of patients' eating and swallowing functions.</p><p><strong>Patients and methods: </strong>The pilot study was conducted in a single medical institution. The participants were inpatients with dementia and dysphagia aged ≥70 years who underwent the established clinical pathway to investigate and treat the causes of their decreased oral intake through a multidisciplinary approach. The participants for analysis consisted of 143 patients (male, n = 58; female, n = 85; mean age, 87 ± 7 years).</p><p><strong>Results: </strong>At the time of admission and discharge, the food intake level scale (FILS) and functional oral intake scale (FOIS) were not significantly different between the sex-matched (male patient-male ST; female patient-female ST) and sex-mismatched (male patient-female ST; female patient-male ST) groups. However, in the multivariate analysis using binary logistic regression analysis, FILS and FOIS improvement at the level of ≥2 points were significantly affected by sex matching (the sex-mismatched group's odds ratio toward the sex-matched group were 2.25 [95% confidence intervals (CI), 1.00-5.04] and 2.96 [95% CI, 1.36-6.45], respectively). Similarly, patients' sex (female) was identified as a significant factor associated with favor outcomes.</p><p><strong>Conclusion: </strong>In older patients with dementia and dysphagia, interventions with mismatched sex between a patient and an ST can be more effective in improving eating and swallowing functions than interventions with matched sex.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"3989-3997"},"PeriodicalIF":2.7,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12273729/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144674997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Construction of a Prediction Model for Sleep Quality in Embryo Repeated Implantation Failure Patients Undergoing Assisted Reproductive Technology Based on Machine Learning: A Single-Center Retrospective Study.","authors":"Yanjun Zhao, Chenying Xu, Ningxin Qin, Lina Bai, Xuelu Wang, Ke Wang","doi":"10.2147/JMDH.S521085","DOIUrl":"10.2147/JMDH.S521085","url":null,"abstract":"<p><strong>Objective: </strong>Constructing a predictive model for sleep quality in embryo Repeated Implantation Failure(RIF) patients using multiple machine learning algorithms, verifying its performance, and selecting the optimal model.</p><p><strong>Methods: </strong>Retrospective collection of clinical data from RIF patients who underwent assisted reproductive technology at the Reproductive Medicine Center of Tongji University Affiliated Obstetrics and Gynecology Hospital from January 2022 to June 2022, divided into a training set and a validation set in an 8:2 ratio. Use Lasso regression to screen variables and construct a risk prediction model using six machine learning algorithms. Evaluate the validity of the model using the area under the curve (AUC), and comprehensively evaluate the performance of the model based on F1 score, accuracy, sensitivity, and specificity. Use SHAP method to explain the contribution of each variable in the optimal model to the occurrence of sleep disorders.</p><p><strong>Results: </strong>A total of 404 RIF patients were included in the study. The incidence of sleep disturbances was 48.76%. After LASSO regression analysis, nine variables were selected for inclusion in the model. The RF model has an AUC of 0.941, Accuracy of 0.938, Specification of 0.950, and F1 score of 0.938 in the validation set, making it the optimal model for this study. According to the SHAP feature importance ranking of the RF model, the factors influencing sleep quality in RIF patients were E2, SDS, Fertiqol, FSH, daily exercise time, weekly shift work hours, coffee consumption, sunbathing, and SAS.</p><p><strong>Conclusion: </strong>The RF model is the optimal model for predicting the sleep quality of RIF patients. Its sleep quality is not only affected by physiological factors, but also by psychological and lifestyle factors. Medical personnel should implement intervention strategies as early as possible based on relevant risk factors to improve the sleep quality of this population.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"3977-3988"},"PeriodicalIF":2.7,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12267823/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144659441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Subjective Memory Complaints: A Conceptual Analysis.","authors":"Jie Yu, Junqing Chen, Lili Yang","doi":"10.2147/JMDH.S518951","DOIUrl":"10.2147/JMDH.S518951","url":null,"abstract":"<p><strong>Objective: </strong>To clarify the concept and connotation of subjective memory complaints.</p><p><strong>Methods: </strong>A total of 89 papers were retrieved from CNKI, Wanfang Database, VIP database, MedLine, Web of Science, OVID and Scopus. The search time limit was from January 1, 1982 to December 31, 2024. Walker and Avant's conceptual analysis method was applied.</p><p><strong>Results: </strong>Through in-depth analysis, the defining attributes of the subjective memory complaints were memory dysfunction, cognitive decline risk, low help-seeking intentions, and notable memory-related negative emotions. Antecedents involve demographic, lifestyle, psychological, and health-related factors. Consequences include neurodegenerative diseases, anxiety, depression, and reduced quality of life. Multiple assessment tools such as the Subjective Memory Complaints Questionnaire and Memory Assessment Complaint Questionnaire were presented, providing means for measuring SMC in research and clinical practice.</p><p><strong>Conclusion: </strong>Defining this concept aids early screening and intervention for MCI and AD, helping clinical staff develop strategies to improve cognitive function, quality of life, and mental health.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"3967-3976"},"PeriodicalIF":2.7,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12262136/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144642822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Cross-Sectional Study on the Impact of Nurse-Led Health Coaching on Oncology Patient Outcomes.","authors":"Mohammed Almutairi, Ashwaq A Almutairi, Abdulaziz M Alodhialah","doi":"10.2147/JMDH.S513597","DOIUrl":"10.2147/JMDH.S513597","url":null,"abstract":"<p><strong>Background: </strong>Nurse-led health coaching is a promising intervention in oncology care aimed at improving patient-centered outcomes such as self-efficacy, symptom management, and adherence. This study investigates the association between the frequency of health coaching sessions and key clinical and psychosocial outcomes among cancer patients undergoing active treatment.</p><p><strong>Objective: </strong>To explore the impact of nurse-led health coaching on self-efficacy, symptom severity, adherence, shared decision-making, and emotional well-being in oncology patients, with outcomes assessed immediately after coaching sessions.</p><p><strong>Methods: </strong>A cross-sectional, correlational study was conducted with 326 adult cancer patients receiving outpatient treatment at comprehensive cancer centers. Eligible participants had completed at least two health coaching sessions within the previous three months. Data were collected using validated tools, including the PROMIS Global-10 for symptom severity, the Self-Efficacy for Managing Chronic Disease 6-Item Scale, and the CollaboRATE shared decision-making measure. All outcomes were assessed immediately after a coaching session to ensure accurate reflection of patients' experiences. Logistic regression analysis examined the relationships between coaching frequency and outcomes, adjusting for demographic and clinical factors.</p><p><strong>Results: </strong>Patients who attended five or more health coaching sessions had significantly greater odds of achieving high self-efficacy (OR = 2.68, 95% CI: 1.75-4.11), low symptom severity (OR = 2.14, 95% CI: 1.41-3.23), and high adherence (OR = 2.89, 95% CI: 1.82-4.58). Additionally, frequent coaching was strongly associated with improved shared decision-making (OR = 3.45, 95% CI: 2.21-5.38) and emotional well-being (OR = 3.12, 95% CI: 2.00-4.87). Coaching also significantly reduced fatigue and pain levels.</p><p><strong>Conclusion: </strong>Frequent nurse-led health coaching significantly improves both clinical and psychosocial outcomes in oncology patients. These findings emphasize the importance of integrating structured coaching interventions into routine cancer care.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"3933-3949"},"PeriodicalIF":2.7,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12258200/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144637243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing Clinical Nursing Guidance and Optimizing Care Processes for Improved Hand-Foot-and-Mouth Disease Treatment Outcomes.","authors":"Ying Zhao, Hao Ju","doi":"10.2147/JMDH.S523576","DOIUrl":"10.2147/JMDH.S523576","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the efficacy of modified skin care intervention in pediatric Hand-Foot-and-Mouth Disease (HFMD) patients, focusing on its impact on skin recovery, pain management, and herpes healing.</p><p><strong>Methods: </strong>Clinical data from 130 HFMD children (February 2023-June 2024) were retrospectively analyzed. Patients were divided into a control group (n=65, routine care) and an observation group (n=65, modified care). Outcomes included herpes healing rate, symptom duration (fever, eating improvement, hospitalization), pain severity (Visual Analog Scale, VAS), skin condition (HFMD skin assessment tool), nursing compliance (medication adherence, skin protection, hygiene practices), and satisfaction (Newcastle Satisfaction with Nursing Services Scale, NSNS).</p><p><strong>Results: </strong>Clinical Outcomes: The observation group achieved a higher herpes healing rate (95.38% vs 84.62%) and shorter recovery times for herpes relief, fever resolution, eating improvement, and hospitalization (all P<0.05). Pain Management: Group-time interaction effects for VAS scores were significant (F=6.534, P<0.05). Both groups showed reduced pain over time (P<0.05), but the observation group reported lower VAS scores on day 3 and at discharge (P<0.05 vs control). Skin Recovery: Skin scores improved significantly in both groups (time effect F=6.623, P<0.05), with the observation group demonstrating superior skin condition on day 3 and discharge (P<0.05 vs control). Compliance and Satisfaction: The observation group exhibited better adherence to medication, skin protection, and hygiene protocols (P<0.05) and higher satisfaction rates (95.38% vs 81.54%, P<0.05).</p><p><strong>Conclusion: </strong>Modified skin care intervention outperforms routine protocols in accelerating recovery, reducing pain, enhancing skin integrity, improving treatment adherence, and boosting patient/family satisfaction. These findings support its adoption as a superior care model for pediatric HFMD management.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"3921-3931"},"PeriodicalIF":2.7,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12256776/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144637244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Challenges to Accessing and Utilizing Adolescent Sexual and Reproductive Health and Rights Services in Rwanda.","authors":"Michael Habtu, Erigene Rutayisire, Simonie Nisengwe, Solange Nikwigize, Domina Asingizwe, Naa Dodoo, Theoneste Ntakirutimana","doi":"10.2147/JMDH.S531024","DOIUrl":"10.2147/JMDH.S531024","url":null,"abstract":"<p><strong>Background: </strong>Adolescents in Rwanda, like in other developing countries in Africa, continue to face challenges in accessing and using sexual and reproductive health and right (SRHR) services despite recent progress. They lack accurate information about sexual health, which increases the risk of unplanned pregnancies, sexually transmitted infections, premature death, and unsafe abortions. Thus, our study aimed to explore the challenges that adolescents face in accessing and utilizing SRHR services in Rwanda.</p><p><strong>Methods: </strong>This was a qualitative, phenomenological study. Twelve focus group discussions among in-school and out-of-school adolescents and 36 key informant interviews with stakeholders involved in SRHR service delivery were conducted. Data were collected using semi-structured interviews and discussion guides, supported by audio recordings and field notes. The data were analyzed using a deductive thematic analysis approach, structured around the Social Ecological Model. The analysis was conducted using Atlas ti. Version 8 software.</p><p><strong>Results: </strong>The study revealed five themes of challenges aligned with the socio-ecological model framework: intrapersonal level (fear of being judged and stigmatization), interpersonal level (poor parent-adolescent communication and parents' lack of knowledge about SRHR), institutional level (judgmental attitude of the providers, shortages of ARSHR service providers, unsupportive environment, and long distance), community level (socio-cultural taboos and religious norms), and policy level (parental consent requirement for ASRHR access).</p><p><strong>Conclusion: </strong>This study identified several challenges, including individual, interpersonal, institutional, community, and policy related factors. Therefore, comprehensive and multimodal interventions are needed to address the various challenges that limit adolescents' access to and utilization of SRHR information and services.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"3951-3965"},"PeriodicalIF":2.7,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12256056/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144626520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Facilitator and Barrier to Health Information System Use from Health Professionals Perspective: A Scoping Review.","authors":"Nur Yuliasih, Qisty A Khoiry, Sofa D Alfian, Auliya A Suwantika, Rizky Abdulah","doi":"10.2147/JMDH.S515295","DOIUrl":"10.2147/JMDH.S515295","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to present factors that potentially influenced system use by identifying facilitator or barrier to acceptance from the perspective of healthcare professionals.</p><p><strong>Methods: </strong>A scoping review was used in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines. The literature search was conducted on two electronic databases, Scopus and MEDLINE through PubMed, limiting the publication timeframe from January 2013 to December 2023. Moreover, a developed search strategy was used based on keywords and MeSH terms derived from the Population, Concept, and Context (PCC) components. The inclusion criteria were studies that discussed information system in healthcare, incorporated healthcare professionals who directly engaged with health information system (HIS), conducted within healthcare settings, identified facilitator or barrier to the use of information system in healthcare, and were available in full-text English. Barrier and facilitator were considered as factors impeding and promoting HIS use, respectively. The scoping review adopted a thematic analysis.</p><p><strong>Results: </strong>The results showed that a total of 79 studies met the inclusion criteria and were included in this review. A total of 16 distinct facilitators and 16 barriers were identified, which were then grouped into four categories, comprising colleague and social support, organizational, individual, as well as technological and technical contexts. The most frequently mentioned facilitator was usefulness and simplification of daily tasks, while the predominant barrier was lack of technical support.</p><p><strong>Conclusion: </strong>The systematic mapping of facilitator and barrier provided a foundation for policymakers and healthcare professionals in decision-making processes to enhance acceptance HIS.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"3901-3920"},"PeriodicalIF":2.7,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12248237/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144626565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Robot-Assisted Surgery for Endometrial Cancer Using KangDuo versus Da Vinci Systems: A Retrospective Comparative Study.","authors":"Tianbo Liu, Li Ma, Yan Wang, Bo Wang, Yue Xu, Ying Gao, Ge Yu, Jialiang Gao, Jie Chen","doi":"10.2147/JMDH.S525579","DOIUrl":"10.2147/JMDH.S525579","url":null,"abstract":"<p><strong>Background: </strong>With the advancement of medical technology, robotic-assisted surgery has emerged as a promising approach for the management of endometrial cancer (EC). This retrospective comparative study aimed to evaluate the efficacy, safety, and functional outcomes of two robotic systems-Kangduo (KD-RAS) and Da Vinci (DV-RAS)-in the treatment of EC.</p><p><strong>Methods: </strong>This study included patients with stage T1 EC who underwent robotic-assisted surgery using either the Kangduo or Da Vinci system at Harbin Medical University Cancer Hospital. A comprehensive statistical analysis was conducted on their perioperative clinical data, encompassing preoperative, intraoperative, and postoperative parameters.</p><p><strong>Results: </strong>A total of 211 patients were enrolled in this study, including 125 in the KD-RAS group and 86 in the DV-RAS group. The surgical success rate was 100% in both groups, with no significant differences observed in preoperative baseline characteristics (P > 0.05). There were also no significant differences between the two groups in terms of blood loss, transfusion requirements, or Clavien-Dindo grade I/II complications (P > 0.05). However, the KD-RAS group exhibited longer operation time, console time, time to first flatus, and length of hospital stay compared to the DV-RAS group (P < 0.05). Notably, both total hospitalization costs and surgical expenses were significantly lower in the KD-RAS group than in the DV-RAS group (P < 0.05).</p><p><strong>Conclusion: </strong>The Kangduo robotic system demonstrates comparable efficacy and equivalent safety profiles to the Da Vinci system, supporting its non-inferiority in clinical performance for the treatment of early-stage endometrial cancer.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"3891-3900"},"PeriodicalIF":2.7,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12254583/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144626566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}