Current work environments: What problems are being faced by Japanese urologists?

Nemoto, Kaoru; Suzuki, Yasutomo; Kondo, Yukihiro

doi:10.1111/iju.13517

Cited by 3 publications

(2 citation statements)

References 46 publications

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“…Worldwide statistics of urologists' gender is difficult to find, but in most countries, International Journal of Advanced Robotic Systems majority of urologists are male, for example, in Japan 95% and in the United States about 93%. 19 As for surgeons' skill levels, we interviewed 12 seniors, 7 mid-careers and 10 junior surgeons. A detailed information on the surgeon's experience with open, MIS and RAMIS is shown in Table 1.…”

Section: User Requirement Collection and Data Analysismentioning

confidence: 99%

Requirements elicitation for robotic and computer-assisted minimally invasive surgery

Nakawala

Momi

Tzemanaki³

et al. 2019

International Journal of Advanced Robotic Systems

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The robotic surgical systems and computer-assisted technologies market has seen impressive growth over the last decades, but uptake by end-users is still scarce. The purpose of this article is to provide a comprehensive and informed list of the end-user requirements for the development of new generation robot- and computer-assisted surgical systems and the methodology for eliciting them. The requirements were elicited, in the frame of the EU project SMARTsurg, by conducting interviews on use cases of chosen urology, cardiovascular and orthopaedics procedures, tailored to provide clinical foundations for scientific and technical developments. The structured interviews resulted in detailed requirement specifications which are ranked according to their priorities. Paradigmatic surgical scenarios support the use cases.

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Section: User Requirement Collection and Data Analysismentioning

confidence: 99%

Requirements elicitation for robotic and computer-assisted minimally invasive surgery

Nakawala

Momi

Tzemanaki³

et al. 2019

International Journal of Advanced Robotic Systems

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show abstract

“…In Japan, which has a similar medical environment to Korea (doctors per population, share of female doctors), the number of female doctors increased from 8.2% in 1998 to 20.4% of all doctors in 2014. The number of female urologists increased from 2.2% of all urologists in 1998 to 5.3% of all specialists in 2014 [ 3 ]. The proportion of female urologists in Korea is also expected to increase in future, similar to that in Japan.…”

Section: Discussionmentioning

confidence: 99%

Current status of female urologists in Korea

Lee,

Kim

2023

Investig Clin Urol

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Purpose The number of female urologists, including residents, has gradually increased and has recently exceeded 50. This study aimed to investigate the current status of female urologists in South Korea. Materials and Methods Total number of female and male urology specialists and residents, annual new Korean board-certified female and male urologists recent 5 years were obtained from the Korean Urological Association database. Data on working status, region, and subspecialty were collected via a telephone survey. Results Fifty-four female urologists including 40 urology specialists and 14 urology residents participated in the study. Since the first female doctor received a urology board in 1999, zero to five female doctors have obtained urology board annually. Approximately 50% of female specialists and residents worked in metropolitan areas. The proportion of female urology physicians working in university hospitals was 52.5%. Three had only urology-oncology subspecialties, while the rest had non-oncologic or both subspecialties. Conclusions Female urologists are evenly distributed across the country, following the population distribution of Korea. Female urologists are employed in various fields. More female urologists chose non-oncology and double majors as subspecialties than they chose oncology. It is necessary to pay attention to female urologists, who form a minority within the Korean Urological Association, so that they can be continuously produced and actively engaged in various fields.

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Understanding Treatment Strategies and Preferences in Nonmetastatic Castration-Resistant Prostate Cancer From the Japanese Physician Perspective

Suzuki

Grillo²,

Chen³

et al. 2021

JCO Global Oncology

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PURPOSE Sixteen percent (16%) of patients with castration-resistant prostate cancer (CRPC) show no bone metastasis at diagnosis. However, 33% will become metastatic within 2 years. The goal of treatment in patients with nonmetastatic CRPC (nmCRPC), therefore, is to delay symptomatic metastases without undue toxicity. With novel antiandrogen treatments of different strengths and limitations available, physician preferences for nmCRPC treatment in Japan should be understood. METHODS A discrete choice experiment was conducted. Physicians chose between two hypothetical treatments in nmCRPC defined by six attributes: risk of fatigue, falls or fracture, cognitive impairment, hypertension, rashes as side effects of treatment, and extension of time until cancer-related pain occurs. Relative preference weights and relative importance were estimated by hierarchical Bayesian logistic regression. Physicians were also asked to make treatment decisions based on four hypothetical patient profiles to understand the most important factors driving decision making. RESULTS A total of 151 physicians completed the survey. Extension of time until cancer-related pain occurs was the most important attribute (relative importance, 32.3%; CI, 31.3% to 33.3%). Based on summed preference weights across all attributes, preferences for hypothetical treatment profiles I, II, and III were compared. A hypothetical treatment profile with better safety though shorter extension time was preferred (I: mean [standard deviation] = 1.7 [1.6 to 2.1]) over treatment profiles with lower safety but longer extension time (II: −2.7 [−2.8 to −2.6] and III: −0.2 [−0.3 to −0.1]). Treatment characteristics were more important factors for physicians' decision making than patient characteristics in prescribing treatment. CONCLUSION Physicians preferred a treatment with better safety profile, and treatment characteristics were the most important factors for decision making. This might have implications in physicians' decision making for nmCRPC treatment in the future in Japan.

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Current work environments: What problems are being faced by Japanese urologists?

Cited by 3 publications

References 46 publications

Requirements elicitation for robotic and computer-assisted minimally invasive surgery

Requirements elicitation for robotic and computer-assisted minimally invasive surgery

Current status of female urologists in Korea

Understanding Treatment Strategies and Preferences in Nonmetastatic Castration-Resistant Prostate Cancer From the Japanese Physician Perspective

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