A survey of primary care physician practices in the diagnosis and management of women with interstitial cystitis/painful bladder syndrome.
A survey of primary care physician practices in the diagnosis and management of women with interstitial cystitis/painful bladder syndrome.
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DOI：
10.1016/j.urology.2009.12.047
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发表时间：
2010-08
期刊：
影响因子：
2.1
通讯作者：
McNaughton-Collins, Mary
中科院分区：
文献类型：
--
作者：
Clemens, J. Quentin;Calhoun, Elizabeth A.;Litwin, Mark S.;Walker-Corkery, Elizabeth;Markossian, Talar;Kusek, John W.;McNaughton-Collins, Mary
描述初级保健医生（PCP）管理有间质性膀胱炎/膀胱疼痛综合征（IC/PBS）症状患者的实践模式。我们开发了一个临床小插曲描述一名妇女与典型的IC/PBS症状，以引出有关病因，管理策略，并熟悉这种综合征的问题。我们将问卷邮寄给波士顿、洛杉矶和芝加哥的556名PCP，包括院士和社区医生。我们收到了290份完整的问卷（回复率52%）。19%的受访者表示，他们“从未”见过像小插曲中描述的病人。三分之二的受访者正确识别了IC/PBS的标志性症状（膀胱疼痛/压力）。关于病因，90%的人正确地指出IC/PBS是一种非传染性疾病，76%的人正确地报告它不是由性传播感染引起的，61%的人正确地指出它不是由精神疾病引起的。常见的治疗包括抗生素和非甾体抗炎药。经常被推荐给专家。虽然大多数PCP表示熟悉IC/PBS，但他们很少管理这种情况。他们似乎也有显着的知识赤字的临床特征IC/PBS，他们表示变量的实践模式在诊断和治疗的条件。针对PCP的教育工作可能会改善IC/PBS患者的护理。
To describe the practice patterns among primary care physicians’ (PCPs’) managing patients with symptoms suggestive of interstitial cystitis/ painful bladder syndrome (IC/PBS). We developed a clinical vignette describing a woman with typical IC/PBS symptoms to elicit questions about etiology, management strategies, and familiarity with this syndrome. We mailed the questionnaire to 556 PCPs, including academicians and community physicians, in Boston, Los Angeles and Chicago. We received 290 completed questionnaires (response rate 52%). Nineteen percent of respondents reported they had ”never” seen a patient like the one described in the vignette. Two-thirds of respondents correctly identified the hallmark symptom of IC/PBS (bladder pain/pressure). Regarding etiology, 90% correctly indicated that IC/PBS was a non-infectious disease, 76% correctly reported that it was not caused by a sexually transmitted infection, and 61% correctly indicated that it was not caused by a psychiatric illness. Common treatments included antibiotics and nonsteroidal anti-inflammatory agents. Referrals were often made to a specialist. Although most PCPs indicate familiarity with IC/PBS, they manage the condition infrequently. They also appear to have significant knowledge deficits about the clinical characteristics of IC/PBS, and they indicate variable practice patterns in the diagnosis and treatment of the condition. Educational efforts directed at PCPs will likely improve the care of patients with IC/PBS.
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影响因子：
2.1
作者：
Rosenberg, Matt T.;Page, Shari;Hazzard, Matthew A.
通讯作者：
Hazzard, Matthew A.
影响因子：
2.1
作者：
Nickel, JC;Teichman, JMH;Downey, J
通讯作者：
Downey, J
影响因子：
4.8
作者：
Calhoun, E. A.;Clemens, J. Q.;Litwin, M. S.;Walker-Corkery, E.;Markossian, T.;Kusek, J. W.;McNaughton-Collins, M.
通讯作者：
McNaughton-Collins, M.
影响因子：
6.6
作者：
Curhan, GC;Speizer, FE;Stampfer, MJ
通讯作者：
Stampfer, MJ
影响因子：
5.7
作者：
Collins, MM;Barry, M;Fowler, FJ
通讯作者：
Fowler, FJ