Warning: Undefined variable $zfal in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 525
Deprecated: str_replace(): Passing null to parameter #3 ($subject) of type array|string is deprecated in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 525
Warning: Undefined variable $sterm in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 530
Warning: Undefined variable $sterm in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 531
 
English Wikipedia
Nephropedia Template TP (
Twit Text
DeepDyve
Pubget Overpricing |  
lüll
Manejo asistencial del paciente con hiperplasia benigna de prostata en Espana Cozar JM; Solsona E; Brenes F; Fernandez-Pro A; Leon F; Molero JM; Perez JF; Rodriguez MP; Huerta A; Perez-Escolano IActas Urol Esp 2011[Nov]; 35 (10): 580-8OBJECTIVES: To identify clinical management of benign prostatic hyperplasia (BPH) in Spain and its associated health care resources. MATERIAL AND METHODS: A qualitative cross-sectional study was conducted through telephone interviews to general practitioners (GP) and urologists. Information about diagnosis, pharmacologic treatment and follow-up was collected. Results were clustered according to the key variables considered as drivers of clinical practice patterns: BPH diagnosis, severity classification, treatment initiation and follow up of patients. RESULTS: 153 GP and 154 urologists participated in the study. 7 different clinical patterns were identified in primary care (PC). Resource use during diagnosis is relatively homogeneous, reporting a range of 2.0 to 2.6 visits employed and being the most frequent test performed PSA and urine test. Follow-up is heterogeneous; frequency of follow-up visits oscillates from 3.2 to 7.0 visits/patient/year and type of tests performed is different among patterns and within the same pattern. In Urology, 3 clinical patterns were identified. Resource use is homogeneous in the diagnosis and in the follow-up; urologists employed 2 visits in diagnosis and a range of 2.1 to 3.2 visits/patient/year in the follow-up. The most frequent tests both in diagnosis and follow-up are PSA and digital test. CONCLUSIONS: BPH management shows variability in PC, identifying 7 different clinical practice patterns with different resource use during the follow-up among patterns and within the same pattern. The implementation of clinical guidelines could be justified to reduce heterogeneity.|*Disease Management[MESH]|Adult[MESH]|Cross-Sectional Studies[MESH]|Female[MESH]|Health Resources/statistics & numerical data[MESH]|Humans[MESH]|Interviews as Topic[MESH]|Male[MESH]|Middle Aged[MESH]|Palpation[MESH]|Practice Patterns, Physicians'/*statistics & numerical data[MESH]|Primary Health Care/*statistics & numerical data[MESH]|Prostate-Specific Antigen/analysis[MESH]|Prostatic Hyperplasia/diagnosis/epidemiology/*therapy[MESH]|Spain/epidemiology[MESH]|Surveys and Questionnaires[MESH]|Urodynamics[MESH]|Urology/*statistics & numerical data[MESH] |
