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- Title
Adherence to guidelines in the management of urolithiasis: are there differences among distinct patient care settings?
- Authors
Eismann, Lennert; Kretschmer, Alexander; Bader, Markus J.; Kess, Sabine; Stief, Christian G.; Strittmatter, Frank
- Abstract
Introduction: Urolithiasis is a common diagnosis in urology. New technologies offer a variety of diagnostic and therapy and consequently display a financial burden on healthcare systems. Hence, clinical practice guidelines (CPG) are essential to implement evidence-based medicine and assure a standard of care considering limited resources. To date, there is no evidence of the use and adherence to CPG on urolithiasis. Material and methods: Therefore, we performed a cross-sectional study to analyze the use of CPG on urolithiasis. Data collection was carried out by a questionnaire given to 400 German urologists. The survey included use and adherence to guidelines, evaluation of the clinical situation, therapy spectrum, and workplace. In total, 150 (37%) questionnaires were received and included in our survey. Statistics were performed by SPSS using Chi-quadrat test/Fisher's exact test. Results: In our study, urologists were office based, hospital affiliated, non-academic, or academic centers in 53%, 32%, 16% and 5%, respectively. In 74% and 70%, urologists adhere to CPG in diagnostic and therapy. Interestingly, workplace and therapy spectrum determines the use of different CPG (p = 0.01; p = 0.022). Academic urologists were more likely to use international CPG of EAU (40%), while outpatient urologists significantly orientated on national CPG (46%). 86% of urologists with high volume of urolithiasis practice interventions in contrast to 53% in low volume (p = 0.001). More than 80% of urologists use short versions and app version of CPG. Conclusion: We firstly describe compliance and the use of CPG on urolithiasis. EAU and DGU present the most commonly used CPG. Short version and app version of CPG find frequent clinical utilization.
- Subjects
UGANDA; URINARY calculi; UROLOGISTS; PATIENT care; EVIDENCE-based medicine; DIAGNOSIS; KIDNEY stones
- Publication
World Journal of Urology, 2021, Vol 39, Issue 8, p3079
- ISSN
0724-4983
- Publication type
Article
- DOI
10.1007/s00345-020-03562-9