Anwendung der S3-Leitlinie zur Prostatakrebsfrüherkennung in urologischen Praxen

Tiedje, Dorothee; Quer, O; Breil, Bernhard; Schrader, A.J.; Bothe, Christiane; Kruse, K.; Bögemann, Martin; Donner-Banzhoff, Norbert; Semjonow, Axel

doi:10.1007/s00120-017-0352-1

Cited by 4 publications

(1 citation statement)

References 5 publications

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“…Studies in various other indications indicate that guideline knowledge and adherence among physicians is suboptimal, for instance among primary care physicians [ 4 ] and pediatricians [ 5 , 6 ] in functional constipation in children, urologists in prostate cancer screening [ 7 ], hospital-based physicians in infection management [ 8 ], or primary care physicians in the use of antibiotics in the management of acute lower respiratory tract infections [ 9 ]. Against this background, we have performed an online survey among groups of HCPs, specifically GPs, PAs and PTs to explore their awareness and knowledge of applicable guidelines on acute cough and to compare their recommendation behavior to that in the guideline; moreover, we have investigated whether recommendation behavior changes acutely following exposure to excerpts from the German Respiratory Society guideline [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Impact of guideline awareness on the counseling of patients with acute cough among general practitioners and pharmacy personnel

et al. 2021

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Objective To explore the awareness and knowledge of applicable guidelines on acute cough among general practitioners, pharmacists and pharmacy technicians and to compare their recommendation behavior and clinical decision making to the evidence-based recommendation in the applicable guidelines. Methods An anonymous online survey was performed among 303 members of an existing panel of healthcare professionals (HCPs). They were presented with a hypothetical case vignette representative of their daily practice and asked for their treatment recommendations. After being shown an excerpt from the applicable guidelines, these questions were repeated. Results Forty-six % of participants reported to seek information on cough and respiratory conditions very often or often. Among 12 non-prescription treatments-commonly used over-the-counter-products for acute cough, HCPs most often recommended various plant extract-based products (phytotherapeutic remedies) for the acute cough case, whereas chemically defined options such as ambroxol or N-acetyl-cysteine were recommended less often. Following presentation of the guidelines excerpt, recommendations of the phytotherapeutic remedies decreased moderately whereas that of the guideline-recommended ambroxol more than doubled. Among stated reasons for the recommendation guideline conformity increased from 5% to 35% among the top-3 reasons. Conclusions The recommendations for the treatment of acute cough by professionals involved in primary healthcare deviated considerably from the applicable guideline recommendation but changed after presentation of a guidelines excerpt and knowledge thereof. We conclude that dissemination of applicable guideline knowledge is relevant to improve evidence-based healthcare and clinical decision making.

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Section: Introductionmentioning

confidence: 99%

Impact of guideline awareness on the counseling of patients with acute cough among general practitioners and pharmacy personnel

et al. 2021

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Development and Prospective Randomized Evaluation of a Decision Aid for Prostate-specific Antigen-based Early Detection of Prostate Cancer in Men Aged Between 55 and 69 Yr: The PSAInForm Trial

Semjonow¹,

Hense²,

Schlößler

et al. 2019

European Urology

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Decision aid and cost compensation influence uptake of PSA-based early detection without affecting decisional conflict: a cluster randomised trial

Tiedje¹,

Borowski²,

Simbrich³

et al. 2021

Sci Rep

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International guidelines recommend to inform men about the benefits and harms of prostate specific antigen (PSA) based early detection of prostate cancer. This study investigates the influence of a transactional decision aid (DA) or cost compensation (CC) for a PSA test on the decisional behaviour of men. Prospective, cluster-randomised trial to compare two interventions in a 2 × 2 factorial design: DA versus counselling as usual, and CC versus noCC for PSA-testing. 90 cluster-randomised physicians in the administrative district of Muenster, Germany recruited 962 participants aged 55–69 yrs. in 2018. Primary endpoint: the influence of the DA and CC on the decisional conflict. Secondary endpoints: factors which altered the involvement of the men regarding their decision to take a PSA-test. The primary endpoint was analysed by a multivariate regression model. The choice to take the PSA test was increased by CC and reduced by the DA, the latter also reduced PSA uptake in men who were offered CC. The DA led to an increase of the median knowledge about early detection, changed willingness to perform a PSA test without increasing the level of shared decision, giving participants a stronger feeling of having made the decision by themselves. The DA did not alter the decisional conflict, as it was very low in all study groups. DA reduced and CC increased the PSA uptake. The DA seemed to have a greater impact on the participants than CC, as it led to fewer PSA tests even if CC was granted.Trial registration: German Clinical Trial Register (Deutsches Register Klinischer Studien DRKS00007687). Registered: 06/05/2015. https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00007687.

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Anwendung der S3-Leitlinie zur Prostatakrebsfrüherkennung in urologischen Praxen

Cited by 4 publications

References 5 publications

Impact of guideline awareness on the counseling of patients with acute cough among general practitioners and pharmacy personnel

Impact of guideline awareness on the counseling of patients with acute cough among general practitioners and pharmacy personnel

Development and Prospective Randomized Evaluation of a Decision Aid for Prostate-specific Antigen-based Early Detection of Prostate Cancer in Men Aged Between 55 and 69 Yr: The PSAInForm Trial

Decision aid and cost compensation influence uptake of PSA-based early detection without affecting decisional conflict: a cluster randomised trial

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