Trends and attitudes in surgical management of benign prostatic hyperplasia.
Identifieur interne : 000566 ( Ncbi/Merge ); précédent : 000565; suivant : 000567Trends and attitudes in surgical management of benign prostatic hyperplasia.
Auteurs : Nora G. Lee [États-Unis] ; Hui Xue ; Lori B. LernerSource :
- The Canadian journal of urology [ 1195-9479 ] ; 2012.
Descripteurs français
- KwdFr :
- Attitude du personnel soignant, Enquêtes et questionnaires, Humains, Hyperplasie de la prostate (), Laparoscopie (utilisation), Lasers à semiconducteur (usage thérapeutique), Lasers à solide (usage thérapeutique), Modèles logistiques, Mâle, Prostatectomie (tendances), Prostatectomie (utilisation), Robotique (utilisation), Résection transuréthrale de prostate (tendances), Résection transuréthrale de prostate (utilisation), Thérapie laser (utilisation), Types de pratiques des médecins (), États-Unis d'Amérique.
- MESH :
- tendances : Prostatectomie, Résection transuréthrale de prostate.
- usage thérapeutique : Lasers à semiconducteur, Lasers à solide.
- utilisation : Laparoscopie, Prostatectomie, Robotique, Résection transuréthrale de prostate, Thérapie laser.
- Attitude du personnel soignant, Enquêtes et questionnaires, Humains, Hyperplasie de la prostate, Modèles logistiques, Mâle, Types de pratiques des médecins, États-Unis d'Amérique.
- Wicri :
- geographic : États-Unis.
English descriptors
- KwdEn :
- Attitude of Health Personnel, Humans, Laparoscopy (utilization), Laser Therapy (utilization), Lasers, Semiconductor (therapeutic use), Lasers, Solid-State (therapeutic use), Logistic Models, Male, Practice Patterns, Physicians' (statistics & numerical data), Prostatectomy (trends), Prostatectomy (utilization), Prostatic Hyperplasia (surgery), Robotics (utilization), Surveys and Questionnaires, Transurethral Resection of Prostate (trends), Transurethral Resection of Prostate (utilization), United States.
- MESH :
- geographic : United States.
- statistics & numerical data : Practice Patterns, Physicians'.
- surgery : Prostatic Hyperplasia.
- therapeutic use : Lasers, Semiconductor, Lasers, Solid-State.
- trends : Prostatectomy, Transurethral Resection of Prostate.
- utilization : Laparoscopy, Laser Therapy, Prostatectomy, Robotics, Transurethral Resection of Prostate.
- Attitude of Health Personnel, Humans, Logistic Models, Male, Surveys and Questionnaires.
Abstract
Surgical management of benign prostatic hyperplasia (BPH) has changed over the past 15 years with newer techniques emerging such as laser therapy that can be used with anticoagulation, an increasing issue with modern patients. We sought to evaluate current trends in procedure utilization based on age, location, type of practice, and experience. We also hoped to determine what factors influence surgeons' decisions to choose or reject particular surgical techniques.
PubMed: 22512959
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Lee</name><affiliation wicri:level="2"><nlm:affiliation>Department of Urology, Boston University Medical Center, Boston, Massachusetts, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Urology, Boston University Medical Center, Boston, Massachusetts</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation></author><author><name sortKey="Xue, Hui" sort="Xue, Hui" uniqKey="Xue H" first="Hui" last="Xue">Hui Xue</name></author><author><name sortKey="Lerner, Lori B" sort="Lerner, Lori B" uniqKey="Lerner L" first="Lori B" last="Lerner">Lori B. Lerner</name></author></analytic><series><title level="j">The Canadian journal of urology</title><idno type="ISSN">1195-9479</idno><imprint><date when="2012" type="published">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Attitude of Health Personnel</term><term>Humans</term><term>Laparoscopy (utilization)</term><term>Laser Therapy (utilization)</term><term>Lasers, Semiconductor (therapeutic use)</term><term>Lasers, Solid-State (therapeutic use)</term><term>Logistic Models</term><term>Male</term><term>Practice Patterns, Physicians' (statistics & numerical data)</term><term>Prostatectomy (trends)</term><term>Prostatectomy (utilization)</term><term>Prostatic Hyperplasia (surgery)</term><term>Robotics (utilization)</term><term>Surveys and Questionnaires</term><term>Transurethral Resection of Prostate (trends)</term><term>Transurethral Resection of Prostate (utilization)</term><term>United States</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Attitude du personnel soignant</term><term>Enquêtes et questionnaires</term><term>Humains</term><term>Hyperplasie de la prostate ()</term><term>Laparoscopie (utilisation)</term><term>Lasers à semiconducteur (usage thérapeutique)</term><term>Lasers à solide (usage thérapeutique)</term><term>Modèles logistiques</term><term>Mâle</term><term>Prostatectomie (tendances)</term><term>Prostatectomie (utilisation)</term><term>Robotique (utilisation)</term><term>Résection transuréthrale de prostate (tendances)</term><term>Résection transuréthrale de prostate (utilisation)</term><term>Thérapie laser (utilisation)</term><term>Types de pratiques des médecins ()</term><term>États-Unis d'Amérique</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>United States</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Practice Patterns, Physicians'</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Prostatic Hyperplasia</term></keywords><keywords scheme="MESH" qualifier="tendances" xml:lang="fr"><term>Prostatectomie</term><term>Résection transuréthrale de prostate</term></keywords><keywords scheme="MESH" qualifier="therapeutic use" xml:lang="en"><term>Lasers, Semiconductor</term><term>Lasers, Solid-State</term></keywords><keywords scheme="MESH" qualifier="trends" xml:lang="en"><term>Prostatectomy</term><term>Transurethral Resection of Prostate</term></keywords><keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Lasers à semiconducteur</term><term>Lasers à solide</term></keywords><keywords scheme="MESH" qualifier="utilisation" xml:lang="fr"><term>Laparoscopie</term><term>Prostatectomie</term><term>Robotique</term><term>Résection transuréthrale de prostate</term><term>Thérapie laser</term></keywords><keywords scheme="MESH" qualifier="utilization" xml:lang="en"><term>Laparoscopy</term><term>Laser Therapy</term><term>Prostatectomy</term><term>Robotics</term><term>Transurethral Resection of Prostate</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Attitude of Health Personnel</term><term>Humans</term><term>Logistic Models</term><term>Male</term><term>Surveys and Questionnaires</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Attitude du personnel soignant</term><term>Enquêtes et questionnaires</term><term>Humains</term><term>Hyperplasie de la prostate</term><term>Modèles logistiques</term><term>Mâle</term><term>Types de pratiques des médecins</term><term>États-Unis d'Amérique</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>États-Unis</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Surgical management of benign prostatic hyperplasia (BPH) has changed over the past 15 years with newer techniques emerging such as laser therapy that can be used with anticoagulation, an increasing issue with modern patients. We sought to evaluate current trends in procedure utilization based on age, location, type of practice, and experience. We also hoped to determine what factors influence surgeons' decisions to choose or reject particular surgical techniques.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">22512959</PMID><DateCreated><Year>2012</Year><Month>04</Month><Day>19</Day></DateCreated><DateCompleted><Year>2012</Year><Month>09</Month><Day>07</Day></DateCompleted><DateRevised><Year>2015</Year><Month>11</Month><Day>19</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">1195-9479</ISSN><JournalIssue CitedMedium="Internet"><Volume>19</Volume><Issue>2</Issue><PubDate><Year>2012</Year><Month>Apr</Month></PubDate></JournalIssue><Title>The Canadian journal of urology</Title><ISOAbbreviation>Can J Urol</ISOAbbreviation></Journal><ArticleTitle>Trends and attitudes in surgical management of benign prostatic hyperplasia.</ArticleTitle><Pagination><MedlinePgn>6170-5</MedlinePgn></Pagination><Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Surgical management of benign prostatic hyperplasia (BPH) has changed over the past 15 years with newer techniques emerging such as laser therapy that can be used with anticoagulation, an increasing issue with modern patients. We sought to evaluate current trends in procedure utilization based on age, location, type of practice, and experience. We also hoped to determine what factors influence surgeons' decisions to choose or reject particular surgical techniques.</AbstractText><AbstractText Label="METHODS AND MATERIALS" NlmCategory="METHODS">A 90-item on-line survey was sent via electronic mail to the American Urological Association (AUA), Veterans Administration, Society for Government Service Urologists, and Endourological Society. Data concerning utilization of 12 BPH surgical techniques were analyzed and compared to the surgeons' demographics using categorical data analysis and logistic regression.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Of approximately 5500 urologists contacted, 600 urologists replied with 570 currently performing BPH surgery. The two procedures that continue to be utilized by urologists are open prostatectomy (OP) at 78% and monopolar transurethral resection of prostate (TURP) at 73%. When stratified by urologist age and year of residency completion, there were no differences in procedure utilization. There were no differences in types of procedures utilized between AUA sections except in the Northeastern AUA section which utilized less monopolar TURP and the New York section which utilized less photoselective vaporization (PVP). Higher volume surgeons were more likely to perform holmium laser enucleation of the prostate (HoLEP), diode laser vaporization of the prostate, holmium laser ablation of the prostate (HoLAP), and thulium laser ablation. There were no trends for low volume surgeons. There were no differences in types of procedures performed in full time academic versus non-academic settings except for robotic prostatectomy and button TURP which were utilized more often in academic settings. Urologists were more likely to accept a technique that produces good clinical outcomes, is safe in practice, and minimally invasive. Urologists reject procedures most frequently due to preference for another technique or lack of training/equipment. Interestingly, reimbursement/cost issues were never reported as primary reasons for acceptance/rejection of any approach.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Change in technology has led urologists to change their approach to surgical treatment of BPH. OP and monopolar TURP are still the procedures utilized by most urologists, however, laser therapy is emerging as a commonly used technique. As more high-risk patients are treated, laser therapies may become a more popularized technique. Further larger scale studies evaluating surgeon attitudes might clarify how changing technology influences practice patterns.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Lee</LastName><ForeName>Nora G</ForeName><Initials>NG</Initials><AffiliationInfo><Affiliation>Department of Urology, Boston University Medical Center, Boston, Massachusetts, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Xue</LastName><ForeName>Hui</ForeName><Initials>H</Initials></Author><Author ValidYN="Y"><LastName>Lerner</LastName><ForeName>Lori B</ForeName><Initials>LB</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>Canada</Country><MedlineTA>Can J Urol</MedlineTA><NlmUniqueID>9515842</NlmUniqueID><ISSNLinking>1195-9479</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>J Urol. 2012 Dec;188(6):2313-4</RefSource><PMID Version="1">23141263</PMID></CommentsCorrections><CommentsCorrections RefType="CommentIn"><RefSource>Can J Urol. 2012 Apr;19(2):6176-7</RefSource><PMID Version="1">22512960</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D001291">Attitude of Health Personnel</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D010535">Laparoscopy</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000656">utilization</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D053685">Laser Therapy</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000656">utilization</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D054023">Lasers, Semiconductor</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000627">therapeutic use</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D053844">Lasers, Solid-State</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000627">therapeutic use</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D016015">Logistic Models</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008297">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D010818">Practice Patterns, Physicians'</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000706">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D011468">Prostatectomy</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000639">trends</QualifierName><QualifierName MajorTopicYN="Y" UI="Q000656">utilization</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D011470">Prostatic Hyperplasia</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000601">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D012371">Robotics</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000656">utilization</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D011795">Surveys and Questionnaires</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D020728">Transurethral Resection of Prostate</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000639">trends</QualifierName><QualifierName MajorTopicYN="N" UI="Q000656">utilization</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" Type="Geographic" UI="D014481">United States</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2012</Year><Month>4</Month><Day>20</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2012</Year><Month>4</Month><Day>20</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2012</Year><Month>9</Month><Day>8</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">22512959</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Massachusetts</li></region></list><tree><noCountry><name sortKey="Lerner, Lori B" sort="Lerner, Lori B" uniqKey="Lerner L" first="Lori B" last="Lerner">Lori B. Lerner</name><name sortKey="Xue, Hui" sort="Xue, Hui" uniqKey="Xue H" first="Hui" last="Xue">Hui Xue</name></noCountry><country name="États-Unis"><region name="Massachusetts"><name sortKey="Lee, Nora G" sort="Lee, Nora G" uniqKey="Lee N" first="Nora G" last="Lee">Nora G. Lee</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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