Surgical management of urolithiasis – a systematic analysis of available guidelines
| العنوان: | Surgical management of urolithiasis – a systematic analysis of available guidelines |
|---|---|
| المؤلفون: | Cédric M. Panje, Patrick Betschart, Valentin Zumstein, Dominik Abt, Hans-Peter Schmid, Paul Martin Putora |
| المصدر: | BMC Urology, Vol 18, Iss 1, Pp 1-8 (2018) BMC Urology Zumstein, Valentin; Betschart, Patrick; Abt, Dominik; Schmid, Hans-Peter; Panje, Cedric Michael; Putora, Paul Martin (2018). Surgical management of urolithiasis-a systematic analysis of available guidelines. BMC urology, 18(1), p. 25. BMC 10.1186/s12894-018-0332-9 <http://dx.doi.org/10.1186/s12894-018-0332-9> |
| بيانات النشر: | BMC, 2018. |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | medicine.medical_specialty, Internationality, Consensus, Urology, Clinical Decision-Making, 030232 urology & nephrology, Ureteral stone, 610 Medicine & health, Guidelines, lcsh:RC870-923, 03 medical and health sciences, 0302 clinical medicine, Clinical decision making, Urolithiasis, Surgical, medicine, Decision tree, Humans, Disease management (health), Surgical treatment, business.industry, Decision Trees, Disease Management, Treatment options, General Medicine, Guideline, lcsh:Diseases of the genitourinary system. Urology, Management, Reproductive Medicine, 030220 oncology & carcinogenesis, Family medicine, Practice Guidelines as Topic, business, Research Article |
| الوصف: | Background Several societies around the world issue guidelines incorporating the latest evidence. However, even the most commonly cited guidelines of the European Association of Urology (EAU) and the American Urological Association (AUA) leave the clinician with several treatment options and differ on specific points. We aimed to identify discrepancies and areas of consensus between guidelines to give novel insights into areas where low consensus between the guideline panels exists, and therefore where more evidence might increase consensus. Methods The webpages of the 61 members of the Societé Internationale d’Urologie were analysed to identify all listed or linked guidelines. Decision trees for the surgical management of urolithiasis were derived, and a comparative analysis was performed to determine consensus and discrepancies. Results Five national and one international guideline (EAU) on surgical stone treatment were available for analysis. While 7 national urological societies refer to the AUA guidelines and 11 to the EAU guidelines, 43 neither publish their own guidelines nor refer to others. Comparative analysis revealed a high degree of consensus for most renal and ureteral stone scenarios. Nevertheless, we also identified a variety of discrepancies between the different guidelines, the largest being the approach to the treatment of proximal ureteral calculi and larger renal calculi. Conclusions Six guidelines with recommendations for the surgical treatment of urolithiasis to support urologists in decision-making were available for inclusion in our analysis. While there is a high grade of consensus for most stone scenarios, we also detected some discrepancies between different guidelines. These are, however, controversial situations where adequate evidence to assist with decision-making has yet to be elicited by further research. |
| وصف الملف: | application/pdf |
| اللغة: | English |
| تدمد: | 1471-2490 |
| DOI: | 10.1186/s12894-018-0332-9 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::6d145a32e83d17408312ee15190588bb http://link.springer.com/article/10.1186/s12894-018-0332-9 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....6d145a32e83d17408312ee15190588bb |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14712490 |
|---|---|
| DOI: | 10.1186/s12894-018-0332-9 |