{"id":4526,"date":"2025-06-18T19:13:56","date_gmt":"2025-06-18T19:13:56","guid":{"rendered":"https:\/\/ijssass.com\/journal\/cout-direct-de-la-prise-en-charge-chirurgicale-de-lhypertrophie-de-la-prostate-a-lhpgr-de-bukavu\/"},"modified":"2025-06-18T19:57:25","modified_gmt":"2025-06-18T19:57:25","slug":"cout-direct-de-la-prise-en-charge-chirurgicale-de-lhypertrophie-de-la-prostate-a-lhpgr-de-bukavu","status":"publish","type":"post","link":"https:\/\/ijssass.com\/journal\/cout-direct-de-la-prise-en-charge-chirurgicale-de-lhypertrophie-de-la-prostate-a-lhpgr-de-bukavu\/","title":{"rendered":"CO\u00dbT DIRECT DE LA PRISE EN CHARGE CHIRURGICALE DE L\u2019HYPERTROPHIE DE LA PROSTATE \u00c0 L\u2019HPGR DE BUKAVU"},"content":{"rendered":"

This article was originally published as: CO\u00dbT DIRECT DE LA PRISE EN CHARGE CHIRURGICALE DE L\u2019HYPERTROPHIE DE LA PROSTATE \u00c0 L\u2019HPGR DE BUKAVU<\/strong><\/p>\n

Original Article Link: Read Original Article<\/a><\/p>\n

Download PDF: Click Here to Download PDF<\/a><\/p>\n

Abstract<\/h2>\n

Introduction: L\u2019hypertrophie b\u00e9nigne de la prostate (HBP) est un probl\u00e8me majeur de sant\u00e9 publique. Elle constitue la troisi\u00e8me maladie en termes de d\u00e9penses de sant\u00e9 dans les pays d\u00e9velopp\u00e9s. En Afrique, elle est la premi\u00e8re pathologie urologique. Cependant peu est connu le co\u00fbt des soins de l\u2019HBP en R\u00e9publique D\u00e9mocratique du Congo (RDC). L\u2019objectif de cette \u00e9tude est d\u2019\u00e9valuer le co\u00fbt direct de soins de la prise en charge de l\u2019HBP, et des facteurs y associ\u00e9s \u00e0 l\u2019h\u00f4pital provincial g\u00e9n\u00e9ral de r\u00e9f\u00e9rence de Bukavu, \u00e0 l\u2019Est de la RDC.<\/p>\n

M\u00e9thodologie: L\u2019\u00e9tude est transversale r\u00e9alis\u00e9e du 01 janvier 2021 au 30 juin 2022 sur 92 patients op\u00e9r\u00e9s pour HBP dans le service d\u2019urologie de l\u2019HPGRB. Il s\u2019agit d\u2019une revue documentaire reprenant les registres des patients, les factures de paie. La variable principale est le co\u00fbt direct. Les variables ind\u00e9pendantes \u00e9taient celles socio d\u00e9mographiques et cliniques des patients. La moyenne et la d\u00e9viation standard (DS) nous ont aid\u00e9 \u00e0 calculer les variables quantitatives et la m\u00e9diane les variables qualitatives. La comparaison des moyennes a \u00e9t\u00e9 faite par le T test et ANOVA et celle des deux m\u00e9dianes par les tests de Kruskal Wallis et de Mann Whitney. Pour \u00e9tudier les facteurs associ\u00e9s au co\u00fbt direct, nous avons recouru aux analyses de r\u00e9gression simple et multiple (IC \u00e0 95%). \u00a0\u00a0\u00a0<\/p>\n

R\u00e9sultat: 47 cas ont \u00e9t\u00e9 retenus dans notre \u00e9tude soit une fr\u00e9quence de 31,5% d\u2019HBP. L\u2019\u00e2ge \u00e9tait de 64,1\u00b110 ans. Le co\u00fbt direct de la prise en charge de l\u2019HBP \u00e9tait de 670$ [150,0 -2646]. Apr\u00e8s ajustement de b\u00eata, la dur\u00e9e de s\u00e9jour en hospitalisation est le facteur associ\u00e9 au co\u00fbt direct des soins de l\u2019HBP \u00e0 l\u2019HPGRB [(\u03b2 (IC \u00e0 95%) 361,964$[212,6\u00a0; 511,3], p\u02c20,001).<\/p>\n

Conclusion: Le co\u00fbt direct de la PEC de l\u2019hypertrophie est \u00e9lev\u00e9 par rapport au contexte socio\u00e9conomique de la r\u00e9gion. L\u2019adh\u00e9sion aux mutuelles et les subventions par les partenaires ou le gouvernement sont des strat\u00e9gies pouvant agir sur les facteurs associ\u00e9s au co\u00fbt direct qui alourdissent la PEC de l\u2019HBP \u00e0 l\u2019HPGRB, \u00e0 l\u2019Est de la RDC<\/p>\n

Authors<\/h2>\n
    \n
  • Rhol YUMBA NKASA (Facult\u00e9 de m\u00e9decine, universit\u00e9 de Kalemie, R\u00e9publique D\u00e9mocratique du Congo)<\/li>\n
  • Evie NDOMBE NSANDUNU (Facult\u00e9 de m\u00e9decine, universit\u00e9 de Kalemie, R\u00e9publique D\u00e9mocratique du Congo)<\/li>\n
  • Gaylord AMANI NAGABOYEKA (Ecole R\u00e9gionale de sant\u00e9 publique, UCB, R\u00e9publique D\u00e9mocratique du Cong)<\/li>\n
  • Enock KABANDILWA SABUNI (Ecole de sant\u00e9 publique, Universit\u00e9 de Kalemie, R\u00e9publique D\u00e9mocratique du Congo)<\/li>\n
  • Leon Emmanuel MUBEMGA (Service d\u2019urologie, H\u00f4pital Provincial G\u00e9n\u00e9ral de R\u00e9f\u00e9rence de Bukavu, R\u00e9publique D\u00e9mocratique du Congo)<\/li>\n<\/ul>\n

    Keywords<\/h2>\n

    Co\u00fbt direct, HBP, HPGRB, RDC<\/p>\n

    References<\/h2>\n
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      This article was originally published as: CO\u00dbT DIRECT DE LA PRISE EN CHARGE CHIRURGICALE DE L\u2019HYPERTROPHIE DE LA PROSTATE \u00c0…<\/p>\n","protected":false},"author":21,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[124],"tags":[909,910,911,277],"class_list":["post-4526","post","type-post","status-publish","format-standard","hentry","category-articles","tag-cout-direct","tag-hbp","tag-hpgrb","tag-rdc","wpcat-124-id"],"yoast_head":"\nCO\u00dbT DIRECT DE LA PRISE EN CHARGE CHIRURGICALE DE L\u2019HYPERTROPHIE DE LA PROSTATE \u00c0 L\u2019HPGR DE BUKAVU - IJSSASS Repository<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ijssass.com\/journal\/cout-direct-de-la-prise-en-charge-chirurgicale-de-lhypertrophie-de-la-prostate-a-lhpgr-de-bukavu\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"CO\u00dbT DIRECT DE LA PRISE EN CHARGE CHIRURGICALE DE L\u2019HYPERTROPHIE DE LA PROSTATE \u00c0 L\u2019HPGR DE BUKAVU - 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