Patient centred care for the medical treatment of lower urinary tract symptoms in patients with benign prostatic obstruction: a key point to improve patients' care - a systematic review
| Autor: | Mariangela Bellangino, Andrea Tubaro, Egidio A. Moja, Alberto Trucchi, Fabrizio Presicce, Riccardo Lombardo, Cosimo De Nunzio |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Urethral Obstruction Urology 030232 urology & nephrology Prostatic Hyperplasia BPO Centred care LUTS Prostate Treatment Reproductive Medicine lcsh:RC870-923 03 medical and health sciences Key point 0302 clinical medicine Lower Urinary Tract Symptoms Lower urinary tract symptoms Patient-Centered Care medicine Humans In patient Prospective Studies Intensive care medicine Medical treatment business.industry Patient-centered outcomes General Medicine Evidence-based medicine lcsh:Diseases of the genitourinary system. Urology medicine.disease Observational Studies as Topic Treatment Outcome 030220 oncology & carcinogenesis Prostatic obstruction business Patient centred Research Article |
| Zdroj: | BMC Urology BMC Urology, Vol 18, Iss 1, Pp 1-12 (2018) |
| ISSN: | 1471-2490 |
| Popis: | Background Even though evidence based medicine, guidelines and algorithms still represent the pillars of the management of chronic diseases (i.e: hypertension, diabetes mellitus), a patient centred approach has been recently proposed as a successful strategy, in particular to improve drug adherence. Aim of the present review is to evaluate the unmet needs in LUTS/BPH management and the possible impact of a patient centered approach in this setting. Methods A National Center for Biotechnology Information (NCBI) PubMed search for relevant articles published from January 2000 until December 2016 was performed by combining the following MESH terms: patients centred medicine, patient centered care, person centered care, patient centered outcomes, value based care, shared decision making, male, Lower Urinary Tract Symptoms, Benign Prostatic Hyperplasia, treatment. We followed the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA). All studies reporting on patient centred approach, shared decision making and evidence-based medicine were included in the review. All original article, reviews, letters, congress abstracts, and editorials comments were included in the review. Studies reporting single case reports, experimental studies on animal models and studies not in English were not included in the review. Results Overall 751 abstracts were reviewed, out of them 87 full texts were analysed resulting in 36 papers included. The evidence summarised in this systematic review confirmed how a patient centred visit may improve patient’s adherence to medication. Although a patient centred model has been rarely used in urology, management of Low Urinary Tract Symptoms (LUTS) and Benign Prostatic Obstruction (BPO) may represent the perfect ground to experiment and improve this approach. Notwithstanding all the innovations in LUTS/BPO medical treatment, the real life picture is far from ideal. Conclusions Recent evidence shows a dramatical low drug adherence and satisfaction to medical treatment in LUTS/BPH patients. A patient centred approach may improve drug adherence and some unmet needs in this area, potentially reducing complications and costs. However further well designed studies are needed to confirm this data. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink