A critical review of recent clinical practice guidelines on the diagnosis and treatment of non-neurogenic male lower urinary tract symptoms.

Autor: Chua ME; Institute of Urology, St. Luke's Medical Center, Manila, Philippines;, Mendoza J; Department of Preventive and Community Medicine, St. Luke's College of Medicine, Manila, Philippines;, See M 4th; Institute of Urology, St. Luke's Medical Center, Manila, Philippines;, Esmena E; Comprehensive Pelvic Floor Center, St. Luke's Medical Center, Manila, Philippines;, Aguila D; Clinical Information Management Service, St. Luke's Medical Center, Manila, Philippines;, Silangcruz JM; Institute of Urology, St. Luke's Medical Center, Manila, Philippines;, Reyes BJ; Institute of Urology, St. Luke's Medical Center, Manila, Philippines;, Luna S Jr; Institute of Urology, St. Luke's Medical Center, Manila, Philippines;, Morales M Jr; Department of Urology, National Kidney and Transplant Institute, Manila, Philippines.
Jazyk: angličtina
Zdroj: Canadian Urological Association journal = Journal de l'Association des urologues du Canada [Can Urol Assoc J] 2015 Jul-Aug; Vol. 9 (7-8), pp. E463-70.
DOI: 10.5489/cuaj.2424
Abstrakt: Introduction: We provide an overview of the quality of recent clinical clinical practice guidelines (CPGs) for non-neurogenic male lower urinary tract symptoms (LUTS) and summarize the recommendations for their diagnosis, assessment, and treatment.
Methods: We systematically searched recent (2008-2013) CPGs for non-neurogenic male LUTS. Eligible CPGs were assessed and appraised using Appraisal of Guidelines, Research and Evaluation II (AGREE II) tool by a CPG-appraisal group. The appraisal scores for each guideline were summarized according to each domain and in total. A recommendation summary was made across the guidelines for diagnostics, conservative management, medical, minimally invasive therapy, and surgical management.
Results: A total of 8 guidelines were considered. According to AGREE II appraisal of guidelines, the National Institute for Health and Clinical Excellence (NICE), American Urological Association (AUA) and European Association of Urology (EAU) consistently scored high on the guideline domains assessed. Recommendations on diagnostics, conservative management, medical, and surgical management were consistent among the top 3 guidelines. However, we noted a discrepancy in recommending minimally invasive therapy as an alternative management of moderate to severe or bothersome non-neurogenic male LUTS secondary to benign prostatic enlargement (BPE); the NICE guideline, in particular, does not recommend using minimally invasive therapy.
Conclusion: The quality of recent CPGs on non-neurogenic male LUTS was appraised and summarized. The guidelines from NICE, AUA and EAU were considered highly compliant to the AGREE II proposition for guideline formation and development.
Databáze: MEDLINE
Externí odkaz: