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PRACTICE PATTERNS OF CANADIAN UROLOGISTS IN BENIGN PROSTATIC HYPERPLASIA AND PROSTATE CANCER

2000; Lippincott Williams & Wilkins; Volume: 163; Issue: 2 Linguagem: Inglês

10.1016/s0022-5347(05)67911-6

1527-3792

Ernest W. Ramsey, Mostafa Elhilali, S. Larry Goldenberg, Curtis Nickel, Richard Norman, JEAN PAUL PERREAULT, Bruce Piercy, JOHN TRACHTENBERG FOR THE CANADIAN PROSTATE HEALTH COUNCIL,

Hormonal and reproductive studies

No AccessJournal of UrologyCLINICAL UROLOGY: Original Articles1 Feb 2000PRACTICE PATTERNS OF CANADIAN UROLOGISTS IN BENIGN PROSTATIC HYPERPLASIA AND PROSTATE CANCER ERNEST W. RAMSEY, MOSTAFA ELHILALI, S. LARRY GOLDENBERG, CURTIS J. NICKEL, RICHARD NORMAN, JEAN PAUL PERREAULT, BRUCE PIERCY, and JOHN TRACHTENBERG FOR THE CANADIAN PROSTATE HEALTH COUNCIL ERNEST W. RAMSEYERNEST W. RAMSEY More articles by this author , MOSTAFA ELHILALIMOSTAFA ELHILALI More articles by this author , S. LARRY GOLDENBERGS. LARRY GOLDENBERG More articles by this author , CURTIS J. NICKELCURTIS J. NICKEL More articles by this author , RICHARD NORMANRICHARD NORMAN More articles by this author , JEAN PAUL PERREAULTJEAN PAUL PERREAULT More articles by this author , BRUCE PIERCYBRUCE PIERCY More articles by this author , and JOHN TRACHTENBERG FOR THE CANADIAN PROSTATE HEALTH COUNCILJOHN TRACHTENBERG FOR THE CANADIAN PROSTATE HEALTH COUNCIL More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(05)67911-6AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We reviewed the practice patterns of Canadian urologists in benign prostatic hyperplasia (BPH) and prostate cancer, and assessed the changes that occurred between 1995 and 1998. Materials and Methods: In 1995 and 1998 questionnaires were mailed to all active members of the Canadian Urological Association who practiced adult urology in Canada. Many questions were similar, allowing for the assessment of changes in practice patterns. Results: A number of changes were observed between 1995 and 1998. Cystoscopy and imaging of the upper urinary tract were used less often to evaluate uncomplicated cases of BPH. However, 39% of respondents continued to perform cystoscopy routinely. Finasteride was no longer administered in men with a smaller prostate. In 1998 before radical prostatectomy 28% of respondents routinely performed a bone scan, 29% cystoscopy and 57% chest x-ray. The number believing that maximal androgen blockade is the most effective hormonal therapy decreased from 90% to 62%, while 24% reported in the 1998 survey that they frequently administered intermittent hormonal therapy. Comparison with an American study from 1995 indicated that American urologists used the American Urological Association symptom score and performed a prostate specific antigen test more frequently than Canadian urologists. However, Canadian urologists performed cystoscopy more frequently. Conclusions: These surveys provide a useful insight into the variations in clinical practice of Canadian urologists and help to determine whether changes are occurring in regard to the development of practice guidelines. They also indicate the need to develop further guidelines, and ensure that these guidelines are widely promoted and accepted by the urological community. References 1 : A nationwide survey of practicing urologists: Current management of benign prostatic hyperplasia and clinically localized prostate cancer. J Urol1997; 158: 488. Link, Google Scholar 2 : Prostate volume predicts outcome of treatment of benign prostatic hyperplasia with finasteride: meta-analysis of randomized clinical trials. Urology1996; 48: 398. Google Scholar 3 : Clinical Practice Guideline. Benign Prostatic Hyperplasia: Diagnosis and Treatment. Benign Prostatic Hyperplasia Guideline Panel. Rockville, Maryland: Agency for Health Care Policy and Research1994. Google Scholar 4 : Initial diagnostic evaluation of men with lower urinary tract symptoms. Presented at the 4th International Consultation on Benign Prostatic Hyperplasia (BPH), Paris, FranceJuly 2–5, 1997; . Google Scholar 5 : The use of prostate specific antigen in staging patients with newly diagnosed prostate cancer. JAMA1993; 269: 57. Google Scholar 6 : Ability of serum prostate-specific antigen levels to predict normal bone scans in patients with newly diagnosed prostate cancer. Urology1996; 47: 708. Google Scholar 7 : Prospective assessment of a protocol for selective ordering of preoperative chest x-rays. Can J Anaesth1988; 35: 259. Google Scholar 8 : Maximum androgen blockade in advanced prostate cancer: an overview of 22 randomised trials with 3283 deaths in 5710 patients. Lancet1995; 346: 265. Google Scholar 9 : Bilateral orchiectomy with or without flutamide for metastatic prostate cancer. New Engl J Med1998; 339: 1036. Crossref, Medline, Google Scholar 10 : Intermittent androgen suppression in the treatment of prostatic carcinoma: an update. J Urol1997; 157: 333. abstract 1302. Google Scholar From the Departments of Urology, University of Manitoba, Health Sciences Centre, Winnipeg, Manitoba, McGill University, Royal Victoria Hospital and Universite de Montreal, St. Luc’s Hospital, Montreal, Quebec, University of British Columbia, Vancouver Hospital, Vancouver and British Columbia Greater Hospital Society, Victoria, British Columbia, Queen’s University, Kingston General Hospital, Kingston and University of Toronto, Toronto Hospital, Toronto, Ontario, and Dalhousie University, Nova Scotia Prostate Centre, Halifax, Nova Scotia, Canada© 2000 by American Urological Association, Inc.FiguresReferencesRelatedDetails Volume 163Issue 2February 2000Page: 499-502 Advertisement Copyright & Permissions© 2000 by American Urological Association, Inc.Keywordsprostateclinicalpractice patternsprostatic hyperplasiaprostatic neoplasmsMetricsAuthor Information ERNEST W. RAMSEY More articles by this author MOSTAFA ELHILALI More articles by this author S. LARRY GOLDENBERG More articles by this author CURTIS J. NICKEL More articles by this author RICHARD NORMAN More articles by this author JEAN PAUL PERREAULT More articles by this author BRUCE PIERCY More articles by this author JOHN TRACHTENBERG FOR THE CANADIAN PROSTATE HEALTH COUNCIL More articles by this author Expand All Advertisement PDF downloadLoading ...