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首页> 外文期刊>Journal of Reproductive Medicine: The Official Periodical of the American Academy of Reproductive Medicine, Association of Professors of Gynecology and Obstetrics, International Family Planning Research Association ... [et al.] >Treatment of external genital warts at Planned Parenthood Federation of America centers.
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Treatment of external genital warts at Planned Parenthood Federation of America centers.

机译：美国计划生育联合会中心的外生殖器疣治疗。

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OBJECTIVE: To compare patterns and cost of treating external genital warts (EGW) at 5 major Planned Parenthood Federation of America (PPFA) affiliates. STUDY DESIGN: Charts of 422 women and 78 men treated for EGW were reviewed. Treatment must have been successful and occurred at a single clinic. Data included anatomic site, number and dates of office visits, treatment modality and cost. RESULTS: Women required average of 3.01 visits and average cost of Dollars 291.36 to reach clearance and males 2.35 visits and Dollars 301.81. Monotherapy TCA required 3.2 visits and Dollars 263.65 while cryotherapy alone required 3.3 visits and Dollars 481.97. Initial imiquimod monotherapy required 2.3 visits and Dollars 217.62. Combination therapy of imiquimod and trichloroacetic acid averaged 1.5 visits and Dollars 236.53. The largest reduction in visits and cost occurred in patients with multiple or recurrent EGW and those requiring >3 visits. From these data an EGW treatment algorithm was developed allowing more effective management and better utilization of health care resources. CONCLUSION: In the PPFA clinic setting, imiquimod alone or in combination should be initial treatment for patients with multiple or recurrent EGW or for those who do not experience complete clearance by the third clinic visit when nonimiquimod therapy is first employed.
机译：目的：比较5个主要的美国计划生育联合会（PPFA）附属机构治疗外生殖器疣的模式和费用。研究设计：回顾了接受EGW治疗的422名女性和78名男性的图表。治疗必须成功并且在单个诊所进行。数据包括解剖部位，就诊次数和日期，治疗方式和费用。结果：女性需要平均3.01访问和平均成本291.36美元才能通关，而男性需要2.35访问和301.81美元。单药治疗TCA需要3.2次就诊和263.65美元，而仅冷冻疗法需要3.3次就诊和481.97美元。最初的咪喹莫特单药治疗需要2.3次就诊，美元217.62。咪喹莫特和三氯乙酸的联合治疗平均1.5次就诊，美元236.53。多次或复发性EGW的患者以及需要> 3次就诊的患者，就诊次数和费用的减少幅度最大。根据这些数据，开发了EGW治疗算法，可以更有效地管理和更好地利用卫生保健资源。结论：在PPFA诊所中，对于患有多发性或复发性EGW的患者，或首次使用非咪喹莫特治疗后第三次就诊时未完全清除的患者，应单独或联合使用咪喹莫特作为初始治疗。

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