PRIORITIZING PATIENTS FOR PROSTATECTOMY: BALANCING CLINICAL AND PSYCHOSOCIAL FACTORS

• DOI: 10.1111/j.1445-2197.2006.03988.x
• Publication Date: 2007-02-15T07:09:03Z
• Authors: Andrea J. Curtis; Rory Wolfe; Colin O. H. Russell; Anthony J. Costello; Douglas G. Travis; Ross Snow; John J. McNeil
• Keywords: Male; 03 medical and health sciences; Waiting Lists; Patient Selection; Surveys and Questionnaires; Prostatic Hyperplasia; Transurethral Resection of Prostate; Humans; 0305 other medical science; Aged; 3. Good health

The aim of this study was to develop a points-based approach prioritize patients for elective transurethral resection the prostate and determine relative contributions that clinical psychosocial characteristics should make measurement urgency surgery. Another objective measure agreement between urologists, other medical practitioners laypersons in assessing major determinants priority.A focus group urologists epidemiologists developed standard questionnaire identifying relevant factors men with benign prostatic hypertrophy. used interview 48 hypertrophy being placed on waiting lists at four Victorian public hospitals. Individual patient case vignettes were produced using answers questions. Members an assessor panel comprising six laypeople, non-urologist practitioners, five individually reviewed assigned ratings rankings each patient. derive weightings then incorporated into prioritization tool framework.The perceived broad spread surgery among patients. Agreement moderate assessors. Linear regression showed effect symptoms disturbance held approximately equal-strength independent associations all groups assessors.Urologists, laypeople considered severity any resulting as equally important establishing priority prostate. New tools take both consideration weight them equally.