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Croatian urologists' clinical practice and compliance with guidelines in the management of non-neurogenic male lower urinary tract symptoms

Igor Tomašković ; Department of Urology, Sestre milosrdnice University Hospital Center, Zagreb, Croatia; Faculty of Medicine, Josip Juraj Strssmayer University, Osijek, Croatia
Miroslav Tomić ; Department of Urology, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Sven Nikles ; Department of Urology, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Ivan Neretljak ; Department of Urology, Merkur University Hospital, Zagreb, Croatia
Valerija Miličić ; Department of Clinical Cytology, Osijek University Hospital Center, Osijek, Croatia; Faculty of Medicine, Josip Juraj Strssmayer University, Osijek, Croatia

Puni tekst: engleski, pdf (224 KB) str. 453-457 preuzimanja: 201* citiraj
APA 6th Edition
Tomašković, I., Tomić, M., Nikles, S., Neretljak, I. i Miličić, V. (2015). Croatian urologists' clinical practice and compliance with guidelines in the management of non-neurogenic male lower urinary tract symptoms. Acta clinica Croatica, 54. (4.), 453-457. Preuzeto s https://hrcak.srce.hr/155014
MLA 8th Edition
Tomašković, Igor, et al. "Croatian urologists' clinical practice and compliance with guidelines in the management of non-neurogenic male lower urinary tract symptoms." Acta clinica Croatica, vol. 54., br. 4., 2015, str. 453-457. https://hrcak.srce.hr/155014. Citirano 20.08.2019.
Chicago 17th Edition
Tomašković, Igor, Miroslav Tomić, Sven Nikles, Ivan Neretljak i Valerija Miličić. "Croatian urologists' clinical practice and compliance with guidelines in the management of non-neurogenic male lower urinary tract symptoms." Acta clinica Croatica 54., br. 4. (2015): 453-457. https://hrcak.srce.hr/155014
Harvard
Tomašković, I., et al. (2015). 'Croatian urologists' clinical practice and compliance with guidelines in the management of non-neurogenic male lower urinary tract symptoms', Acta clinica Croatica, 54.(4.), str. 453-457. Preuzeto s: https://hrcak.srce.hr/155014 (Datum pristupa: 20.08.2019.)
Vancouver
Tomašković I, Tomić M, Nikles S, Neretljak I, Miličić V. Croatian urologists' clinical practice and compliance with guidelines in the management of non-neurogenic male lower urinary tract symptoms. Acta clinica Croatica [Internet]. 2015 [pristupljeno 20.08.2019.];54.(4.):453-457. Dostupno na: https://hrcak.srce.hr/155014
IEEE
I. Tomašković, M. Tomić, S. Nikles, I. Neretljak i V. Miličić, "Croatian urologists' clinical practice and compliance with guidelines in the management of non-neurogenic male lower urinary tract symptoms", Acta clinica Croatica, vol.54., br. 4., str. 453-457, 2015. [Online]. Dostupno na: https://hrcak.srce.hr/155014. [Citirano: 20.08.2019.]

Sažetak
The aim of this study was to assess the Croatian urologists’ management of non-neurogenic male lower urinary tract symptoms (LUTS) and their compliance with the European Association of Urology (EAU) guidelines. A cross-sectional survey included 51/179 Croatian
urologists. We developed a questionnaire with questions addressing compliance with EAU guidelines. The rate of performing recommended evaluations on the initial assessment of patients with benign prostate hyperplasia (BPH)/LUTS varied from 8.0% (serum creatinine and voiding diary) to 100.0% (physical examination, prostate specific antigen and ultrasound). The international prostate symptom score was performed by 31%, analysis of urine sediment by 83%, urine culture by 53%, and serum creatinine by 8% of surveyed urologists. Only 8% of urologists regularly used bladder diary in patients with symptoms of nocturia. Our results indicated that 97% of urologists preferred alpha blockers as the first choice of treatment; 5-alpha reductase inhibitors (5ARI) were mostly prescribed (84%) in combination with an alpha-blocker, preferably as a continuous treatment, whilst 29% of urologists used to discontinue 5ARI after 1-2 years. Half of the Croatian urologists used antimuscarinics in the treatment of BPH/LUTS and recommended phytotherapeutic drugs in their practice. In conclusion, Croatian urologists do not completely comply with the guidelines available.

Ključne riječi
Prostatic hyperplasia; Lower urinary tract symptoms; Guideline adherence

Hrčak ID: 155014

URI
https://hrcak.srce.hr/155014

[hrvatski]

Posjeta: 518 *