Adherence to the European Association of Urology Guidelines Regarding the Therapeutic Indications for the Treatment of Urinary Lithiasis: A Spanish Multicenter Study
Por:
Fadrique G, Budia A, Climent L, Palmero J, Morera J, Galan J, Gil J, Montoya D, Garcia P, Montoliu A, Pastor F, Gallego D
Publicada:
1 ene 2019
Resumen:
Introduction: Urinary lithiasis involves a major source of morbidity and economic costs. The aim of this study was to evaluate the adherence to the European Association of Urology Guidelines on Urolithiasis with regard to treatment among Spanish urologists. Methods: A total of 723 patients were included in a prospective study between May 1, 2014, and July 31, 2014. The study involved 8 hospitals responsible of urolithiasis in a geographical area of Spain (Comunidad Valenciana) with approximately 4,500,000 inhabitants. Data were collected about the demographic characteristics of the patients, the characteristics of the stones, and the indicated treatment, in order to analyze the adherence to the clinical guidelines. A 90% threshold was used in concordance with the indications in the guidelines. Results: Adherence to guidelines was poor in chemolysis, distal and ureteral calculi, and >2 cm renal calculi. Adherence was high in <2 cm renal calculi. Conclusions: In our study, the overall adherence to the clinical guidelines regarding the therapeutic indication for urinary lithiasis has been low. In the case of both renal and ureteral stones, the adherence in small lithiasis has been greater, compared with larger ones. In our survey, a trend has been observed in favor of endoscopic procedures even in large lithiasis. (C) 2019 S. Karger AG, Basel
Filiaciones:
Fadrique G:
Univ Catolica Valencia San Vicente Martir, Escuela Doctorado, Guillem de Castro St 65, ES-46008 Valencia, Spain
Budia A:
Hosp La Fe, Dept Urol, Valencia, Spain
Climent L:
Hosp Clin Valencia, Dept Pathol, Valencia, Spain
Palmero J:
Hosp la Ribera, Dept Urol, Alzira, Spain
Morera J:
Hosp Peset, Dept Urol, Valencia, Spain
Galan J:
Hosp Vinalopo, Dept Urol, Elche, Spain
Gil J:
Hosp Gen Elche, Dept Urol, Elche, Spain
Montoya D:
Hosp Gen Alicante, Dept Urol, Alicante, Spain
Garcia P:
Hosp Gen Alicante, Dept Urol, Alicante, Spain
Montoliu A:
Hosp Gen Valencia, Dept Urol, Valencia, Spain
Pastor F:
Hosp Clin Valencia, Dept Urol, Valencia, Spain
Gallego D:
Hosp Prov Castellon, Dept Urol, Castellon De La Plana, Spain
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