000			nab a22 7a 4500
999			_c16988 _d16988
003			PC16988
005			20221005132607.0
008			220829b xxu||||| |||| 00| 0 eng d
040			_cH2O
041			_aspa, eng
100			_92595 _aSopeña Sutil, Raquel _eUrología
100			_9484 _aTejido Sánchez, Ángel _eUrología
100			_92375 _aGuerrero Ramos, Félix _eUrología
100			_93088 _aGalván Ortiz de Urbina, M _eUrología
100			_92833 _aGarcía Alvárez, G _eDirección Médica de Continuidad Asistencial
100			_91929 _aPassas Martínez, Juan _eUrología
245	0	0	_aEvolución de las derivaciones de atención primaria a urología. Impacto de un protocolo en enfermedad prostática y de formación continuada. _h[artículo]
260			_bActas urologicas españolas, _c2015
300			_a39(5):296-302.
500			_aFormato Vancouver: Sopeña Sutil R, Tejido Sánchez A, Galván Ortiz de Urbina M, Guerrero Ramos F, García Álvarez G, Passas Martínez JB. Evolución de las derivaciones de atención primaria a urología. Impacto de un protocolo en enfermedad prostática y de formación continuada. Actas Urol Esp. 2015 Jun;39(5):296-302.
501			_a PMID: 25554605
504			_aContiene 11 referencias
520			_aObjective: To analyze the evolution of primary care referrals to the Urology Department after the implementation of a joint protocol on prostate disease and a continuing education program in our healthcare area. Material and methods: In January 2011, we launched an action protocol on prostate disease, which was complemented by training sessions and an e-mail-based consultation system. We analyzed primary care referrals to the Urology Department between 2011 and 2013 and determined the reasons for the consultations and the compliance with the established criteria on prostate disease. We obtained data from the "Request for Appointment in Specialized Care" program of the Community of Madrid. We calculated the sample size with a 95% confidence level and a 50% heterogeneity. Results: A total of 19,048 referrals were conducted. The most common reason for the referrals was lower urinary tract symptoms associated with benign prostate hyperplasia, with a 27% reduction and a compliance that went from 46% at 67%. Although prostate-specific antigen consultations increased by 40%, they improved their appropriateness (from 55% to 72%). This was the main type of consultation for suspicion of malignancy (30%). Also worth mentioning were female incontinence, which doubled in number, and a 41% reduction in erectile dysfunction, which could be due to the primary care training. Conclusions: The collaboration between the Department of Urology and primary care succeeded in improving the appropriateness of prostate disease referrals and modified the tendency to refer the rest of the diseases included in the project.
710			_9220 _aServicio de Urología
710			_91803 _aDirección-Gerencia
856			_uhttp://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc/1/pc16988.pdf _ySolicitar documento
942			_2ddc _cART _n0