What Do Men with Lower Urinary Tract Symptoms Expect from a Urologist in Secondary Care?
Pim Brandenbarg,1 Puk Rooijers,1 Martijn G Steffens,2 Michael R van Balken,3 Henk-Jan Mulder,4 Marco H Blanker1 1University of Groningen, University Medical Centre Groningen, Department of General Practice & Elderly Care Medicine, Groningen, The Netherlands; 2Isala Clinics, Department of Uro...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2020-08-01
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| Series: | Patient Preference and Adherence |
| Subjects: | |
| Online Access: | https://www.dovepress.com/what-do-men-with-lower-urinary-tract-symptoms-expect-from-a-urologist--peer-reviewed-article-PPA |
| _version_ | 1818250503667056640 |
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| author | Brandenbarg P Rooijers P Steffens MG van Balken MR Mulder HJ Blanker MH |
| author_facet | Brandenbarg P Rooijers P Steffens MG van Balken MR Mulder HJ Blanker MH |
| author_sort | Brandenbarg P |
| collection | DOAJ |
| description | Pim Brandenbarg,1 Puk Rooijers,1 Martijn G Steffens,2 Michael R van Balken,3 Henk-Jan Mulder,4 Marco H Blanker1 1University of Groningen, University Medical Centre Groningen, Department of General Practice & Elderly Care Medicine, Groningen, The Netherlands; 2Isala Clinics, Department of Urology, Zwolle, The Netherlands; 3Rijnstate Hospital, Department of Urology, Arnhem, The Netherlands; 4Martini Hospital, Department of Urology, Groningen, The NetherlandsCorrespondence: Marco H BlankerUniversity of Groningen, University Medical Centre Groningen, Department of General Practice & Elderly Care Medicine, Groningen, The NetherlandsTel +31 50 361 6729Email m.h.blanker@umcg.nlPurpose: To identify the expectations of men with LUTS referred to a urologist and to study the association between those expectations and satisfaction with the care provided.Methods: In this prospective cohort study, adult men with LUTS completed a questionnaire before their first outpatient appointment, and again at 6 and 12 weeks. The questionnaires included IPSS and OABq-SF, and self-constructed questions on patient expectations, outcome of expectations and satisfaction.Results: Data from 182 participants showed positive expectations about the urologist performing examinations, providing explanations and finding the underlying cause, but mostly neutral expectations for treatment plans and outcomes. Positive treatment expectations were associated with positive expectations about outcomes after physiotherapy, drug treatment and surgery. Higher symptom scores and age were associated with higher expectations about drug treatment. Expectations were subjectively and objectively fulfilled for 66.4% and 27.3%, respectively. Symptom improvement (decrease in IPSS scores) was significantly more in men with objectively fulfilled expectations than in men with no unfulfilled expectations. No significant difference was present between men with subjectively fulfilled expectations and men with unfulfilled expectations. However, satisfaction was significantly higher for patients with subjectively fulfilled expectations at 6 and 12 weeks compared with those who had unfulfilled expectations.Conclusion: Most men referred to a urologist with LUTS do express clear expectations about treatment in secondary care. Patients with higher expectations for treatment outcomes are more likely to expect to receive that treatment. Satisfaction with the care of a urologist is also higher when patients self-report that they receive the treatment they expected.Keywords: lower urinary tract symptoms, LUTS, expectations, satisfaction, urologist |
| first_indexed | 2024-12-12T15:53:26Z |
| format | Article |
| id | doaj.art-704813ab52bf4fb0800711e8d69156c6 |
| institution | Directory Open Access Journal |
| issn | 1177-889X |
| language | English |
| last_indexed | 2024-12-12T15:53:26Z |
| publishDate | 2020-08-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Patient Preference and Adherence |
| spelling | doaj.art-704813ab52bf4fb0800711e8d69156c62022-12-22T00:19:32ZengDove Medical PressPatient Preference and Adherence1177-889X2020-08-01Volume 141455146256370What Do Men with Lower Urinary Tract Symptoms Expect from a Urologist in Secondary Care?Brandenbarg PRooijers PSteffens MGvan Balken MRMulder HJBlanker MHPim Brandenbarg,1 Puk Rooijers,1 Martijn G Steffens,2 Michael R van Balken,3 Henk-Jan Mulder,4 Marco H Blanker1 1University of Groningen, University Medical Centre Groningen, Department of General Practice & Elderly Care Medicine, Groningen, The Netherlands; 2Isala Clinics, Department of Urology, Zwolle, The Netherlands; 3Rijnstate Hospital, Department of Urology, Arnhem, The Netherlands; 4Martini Hospital, Department of Urology, Groningen, The NetherlandsCorrespondence: Marco H BlankerUniversity of Groningen, University Medical Centre Groningen, Department of General Practice & Elderly Care Medicine, Groningen, The NetherlandsTel +31 50 361 6729Email m.h.blanker@umcg.nlPurpose: To identify the expectations of men with LUTS referred to a urologist and to study the association between those expectations and satisfaction with the care provided.Methods: In this prospective cohort study, adult men with LUTS completed a questionnaire before their first outpatient appointment, and again at 6 and 12 weeks. The questionnaires included IPSS and OABq-SF, and self-constructed questions on patient expectations, outcome of expectations and satisfaction.Results: Data from 182 participants showed positive expectations about the urologist performing examinations, providing explanations and finding the underlying cause, but mostly neutral expectations for treatment plans and outcomes. Positive treatment expectations were associated with positive expectations about outcomes after physiotherapy, drug treatment and surgery. Higher symptom scores and age were associated with higher expectations about drug treatment. Expectations were subjectively and objectively fulfilled for 66.4% and 27.3%, respectively. Symptom improvement (decrease in IPSS scores) was significantly more in men with objectively fulfilled expectations than in men with no unfulfilled expectations. No significant difference was present between men with subjectively fulfilled expectations and men with unfulfilled expectations. However, satisfaction was significantly higher for patients with subjectively fulfilled expectations at 6 and 12 weeks compared with those who had unfulfilled expectations.Conclusion: Most men referred to a urologist with LUTS do express clear expectations about treatment in secondary care. Patients with higher expectations for treatment outcomes are more likely to expect to receive that treatment. Satisfaction with the care of a urologist is also higher when patients self-report that they receive the treatment they expected.Keywords: lower urinary tract symptoms, LUTS, expectations, satisfaction, urologisthttps://www.dovepress.com/what-do-men-with-lower-urinary-tract-symptoms-expect-from-a-urologist--peer-reviewed-article-PPAlower urinary tract symptoms (luts)expectationssatisfactionurologist |
| spellingShingle | Brandenbarg P Rooijers P Steffens MG van Balken MR Mulder HJ Blanker MH What Do Men with Lower Urinary Tract Symptoms Expect from a Urologist in Secondary Care? Patient Preference and Adherence lower urinary tract symptoms (luts) expectations satisfaction urologist |
| title | What Do Men with Lower Urinary Tract Symptoms Expect from a Urologist in Secondary Care? |
| title_full | What Do Men with Lower Urinary Tract Symptoms Expect from a Urologist in Secondary Care? |
| title_fullStr | What Do Men with Lower Urinary Tract Symptoms Expect from a Urologist in Secondary Care? |
| title_full_unstemmed | What Do Men with Lower Urinary Tract Symptoms Expect from a Urologist in Secondary Care? |
| title_short | What Do Men with Lower Urinary Tract Symptoms Expect from a Urologist in Secondary Care? |
| title_sort | what do men with lower urinary tract symptoms expect from a urologist in secondary care |
| topic | lower urinary tract symptoms (luts) expectations satisfaction urologist |
| url | https://www.dovepress.com/what-do-men-with-lower-urinary-tract-symptoms-expect-from-a-urologist--peer-reviewed-article-PPA |
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