Comparative analysis of benign prostatic hyperplasia management by urologists and nonurologists: A Korean nationwide health insurance database study
Korean Journal of Urology
; : 233-239, 2015.
Article
en En
| WPRIM
| ID: wpr-60929
Biblioteca responsable:
WPRO
ABSTRACT
PURPOSE: To compare the current management of benign prostatic hyperplasia (BPH) by urologists and nonurologists by use of Korean nationwide health insurance data. MATERIALS AND METHODS: We obtained patient data from the national health insurance system. New patients diagnosed with BPH in 2009 were divided into two groups depending on whether they were diagnosed by a urologist (U group) or by a nonurologist (NU group). RESULTS: A total of 390,767 individuals were newly diagnosed with BPH in 2009. Of these, 240,907 patients (61.7%) were in the U group and 149,860 patients (38.3%) were in the NU group. The rate of all initial evaluation tests, except serum creatinine, was significantly lower in the NU group. The initial prescription rate was higher in the U group, whereas the prescription period was longer in the NU group. Regarding the initial drugs prescribed, the use of alpha-blockers was common in both groups. However, the U group was prescribed combination therapy of an alpha-blocker and 5-alpha-reductase inhibitor as the second choice, whereas the NU group received monotherapy with a 5-alpha-reductase inhibitor. During the 1-year follow-up, the incidence of surgery was significantly different between the U group and the NU group. CONCLUSIONS: There are distinct differences in the diagnosis and treatment of BPH by urologists and nonurologists in Korea. These differences may have adverse consequences for BPH patients. Urological societies should take a leadership role in the management of BPH and play an educational role for nonurologists as well as urologists.
Palabras clave
Texto completo:
1
Índice:
WPRIM
Asunto principal:
Médicos
/
Hiperplasia Prostática
/
Urología
/
Modelos Lineales
/
Bases de Datos Factuales
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Distribución por Edad
/
Antagonistas Adrenérgicos alfa
/
Manejo de la Enfermedad
/
República de Corea
/
Inhibidores de 5-alfa-Reductasa
Tipo de estudio:
Prognostic_studies
Límite:
Adult
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Aged
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Aged80
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Humans
/
Male
País/Región como asunto:
Asia
Idioma:
En
Revista:
Korean Journal of Urology
Año:
2015
Tipo del documento:
Article