Liu Long-Fei, Yang Jin-Rui, Ginsberg David A, Xie Hui-Wen, Rao Jian-Ming, Wang Long, Yin Zhuo, He Qian, Yang Tu-Bao
Department of Urology, The Second Xiang-Ya Hospital, Central South University, Changsha, China.
Asian J Androl. 2008 Jul;10(4):675-81. doi: 10.1111/j.1745-7262.2008.00416.x.
To identify the factors influencing diagnosis and treatment of chronic prostatitis (CP) among Chinese urologists.
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.
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.
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.
确定影响中国泌尿外科医生对慢性前列腺炎（CP）诊断和治疗的因素。
选取来自中国29个省份的656名泌尿外科医生作为样本，要求他们完成一份调查问卷，该问卷探讨了对CP的态度以及CP管理中的诊断和治疗模式。采用单因素和多因素逻辑回归分析方案来确定影响CP诊断和治疗的因素。
共发放656份问卷。所有问卷均被收回，其中410份纳入最终的单因素和多因素分析。多因素逻辑回归分析表明，认为CP病因是细菌感染（比值比[OR]，2.544；95%置信区间[CI]，1.650 - 3.923；P < 0.001）是影响细菌培养检查常规开展的最显著因素。使用同一模型，医院类型（OR，2.799；95% CI，1.719 - 4.559；P < 0.001）和常规使用四杯或两杯试验（OR，3.194；95% CI，2.069 - 4.931；P < 0.001）被确定为影响使用美国国立卫生研究院（NIH）新分类系统的显著因素。根据同一模型，认为CP病因是细菌感染（OR，3.415；95% CI，2.024 - 5.762；P < 0.001）和常规进行细菌培养检查（OR，2.261；95% CI，1.364 - 3.749；P < 0.01）是影响抗生素常规处方的重要因素。
我们的研究结果表明，对CP的态度以及泌尿外科医生个人的临床特点可能会影响中国泌尿外科医生对CP的诊断和治疗。
