Avtor/Urednik		Židanik, Suzana
Naslov		Obravnava bolnikov z benigno hiperplazijo prostate pri zdravnikih splošne medicine
Prevedeni naslov		General practitioner's approach to patients with benign prostatic hyperplasia
Tip		članek
Vir		Zdrav Vestn
Vol. in št.		Letnik 72, št. 7-8
Leto izdaje		2003
Obseg		str. 411-5
Jezik		slo
Abstrakt		Background. Due to growing prevalence of benign prostatic hyperplasia (BPH) author of this article wanted to establish how general practitioners (GPs) treat patients with this disease. I was interested in differences in discovering treating and referring to urologists among physicians considering their active years, education (specialist/non-specialist) and type of practice (private practice/physician in a health care centre - non private) physicians. The assumption was that procedures of GPs deviate from recommended professional guidelines. Methods. As a pattern of the survey 140 physicians in general practice, who work in the areas of the two biggest Slovenian cities of Ljubljana and Maribor and their environs, were chosen. An anonymous questionnaire with ten questions was sent to them. Results. In the final analysis data from 76 (54%) correctly completed polls were included. Physicians have estimated that in the population of their patients 61 ± 4.9% (median S%) have BPH. 47.4% of physicians treat the newly diagnosed patients with symptoms of this disease themselves while 42.7% of physicians immediately refer such patients to urologists. As far as the recommended diagnostic procedures for estimating BPHsymptoms are concerned, 51.3% of physicians use a questionnaire, 47.4% of physicians use digital rectal examination and 40.8% determine the serum creatinine level. Among the optional diagnostic procedures PSA is determined by 63.2% of physicians and 50% order postvoid residual urine by ultrasound. Statistics show that non private physicians decide to determine serum creatinine level (p < 0.01) and PSA (p < 0.01) significantly more often than private physicians. 68.5% of physicians are familiar with the international questionnaire AUA symptom index/IPSS used as diagnostic tool. (Abstract truncated at 2000 characters).
Izvleček		Izhodišča. Zaradi naraščajoče prevalence benigne hiperplazije prostate (BHP) sem želela ugotoviti, kakšna je obravnava pacientov s to boleznijo pri zdravnikih splošne medicine. Zanimale so me razlike pri odkrivanju, zdravljenju in napotitvi k urologom glede na delovno dobo, izobrazbo (specialist/nespecialist) in zaposlitev (zasebnik/zdravnik v zdravstvenem domu - nezasebnik) zdravnikov. Predpostavjala sem, da postopki zdravnikov splošne medicine odstopajo od priporočenih strokovnih smernic. Metode. Za presečno raziskavo sem izbrala vzorec 140 zdravnikov splošne medicine, zaposlenih na območju dveh največjih slovenskih mest Ljubljane in Maribora s širšo okolico, ki sem jim poslala anonimni vprašalnik z desetimi vpra{anji. Rezultati. V končno analizo sem vključila podatke iz 76 (54%) popolno izpolnjenih vprašalnikov. Zdravniki so ocenili, da imajo v populaciji opredeljenih pacientov 6, 2 ± 4,9% (mediana 5%) takih z BHP. Bolnika, pri katerem prvič odkrijejo simptome BHP, zdravi samih 47,4% zdravnikov, k urologu bolnika takoj napoti 42,1% zdravnikov. Od preiskavnih metod, ki so glede na strokovna priporočila obvezne, pogosto uporablja vprašalnik za vrednotenje simptomov BHP 51,3% zdravnikov, digitalni rektalni pregled 47,4%, določanje serumskega kreatinina 40,8%. Od priporočenih preiskavnih metod določi PSA 63,2% zdravnikov, UZ meritev volumna zaostalega seča 50%. Od preiskavnih metod, ki niso priporočene, se zdravniki v 84,2% odločijo za UZ sečil Zdravniki nezasebniki se statistično značilno pogosteje odločijo za določitev kreatinina (p < 0,01) in PSA (p < 0,01) kot zdravniki zasebniki. Mednarodni vprašalnik za točkovno vrednotenje simptomov AUA symptom index/IPSS pozna 68,5% zdravnikov. Najpogostejši terapevtski ukrepi zdravnikov splošne medicine pri bolniku s simptomi BHP so: predpisovanje alfa blokatorjev (75%), predpisovanje finasterida (71%) in opazovanje z občasnimi kontrolami (70%). (Izvleček skrajšan pri 2000 znakih).
Deskriptorji		PROSTATIC HYPERPLASIA PHYSICIANS, FAMILY PRIVATE PRACTICE PHYSICAL EXAMINATION CREATININE URINARY RETENTION QUESTIONNAIRES