Factors influencing the diagnosis and treatment of chronic prostatitis among urologists in China
Factors influencing the diagnosis and treatment of chronic prostatitis among urologists in China
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DOI：
10.1111/j.1745-7262.2008.00416.x
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发表时间：
2008-07-01
影响因子：
2.9
通讯作者：
Yang, Tu-Bao
中科院分区：
文献类型：
--
作者：
Liu, Long-Fei;Yang, Jin-Rui;Yang, Tu-Bao
目的：探讨泌尿外科医师慢性前列腺炎（CP）诊治的影响因素。研究方法：对来自中国29个省的656名泌尿外科医生进行了问卷调查，探讨了对CP的态度以及CP的诊断和治疗模式。采用单因素和多因素Logistic回归分析方法，探讨影响CP诊断和治疗的因素。结果：共发放问卷656份。所有患者均返回，其中410例纳入最终单变量和多变量分析。多因素Logistic回归分析表明，细菌感染是CP病因的信念（OR值为2.544，95%可信区间为1.650-3.923，P < 0.001）是影响细菌培养常规检查的最重要因素。使用相同的模式，（OR，2.799; 95%CI，1.719-4.559; P < 0.001）和常规使用4杯或2杯试验（OR，3.194; 95% CI，2.069-4.931; P < 0.001）被确定为影响美国国立卫生研究院（NIH）新分类系统使用的重要因素。根据同一模型，认为细菌感染是CP的病因（OR，3.415，95% CI，2.024-5.762; P < 0.001）和常规使用细菌培养试验（OR，2.261，95% CI，1.364-3.749; P < 0.01）是影响抗生素常规使用的重要因素。结论：我们的研究结果表明，对CP的态度，和个人的泌尿外科医生的做法的特点可能会影响CP的诊断和治疗在中国泌尿外科医生。
Aim: To identify the factors influencing diagnosis and treatment of chronic prostatitis (CP) among Chinese urologists. Methods: A sample of 656 urologists from 29 provinces of China were asked to complete a questionnaire that explored attitudes towards CP as well as diagnosis and treatment patterns in the management of CP. Both univariate and multivariate logistic regression analysis schemes were used to determine the factors that influence the diagnosis and treatment of CP. Results: A total of 656 questionnaires were given out. All were returned and 410 of those were included in the final univariate and multivariate analysis. Multivariate logistic regression analysis indicated that belief of bacterial infection in the etiology of CP (odds ratio [OR], 2.544; 95% confidence interval [CI], 1.650-3.923; P < 0.001) was the most significant factor influencing the routine performance of bacterial culture test. Using the same model, the type of hospital (OR, 2.799; 95% CI, 1.719-4.559; P < 0.001) and the routine use of the 4- or the 2-glass test (OR, 3.194; 95% CI, 2.069-4.931; P < 0.001) were determined to be significant factors influencing the use of the National Institutes of Health (NIH) new classification system. According to the same model, belief of bacterial infection in the etiology of CP (OR, 3.415; 95% CI, 2.024-5.762; P < 0.001) and the routine use of bacterial culture test (OR, 2.261; 95% CI, 1.364-3.749; P < 0.01) were important factors influencing the routine prescription of antibiotics. Conclusion: Our findings suggest that attitudes towards CP, and the characteristics of individual urologists' practices may influence the diagnosis and treatment of CP among Chinese urologists.