Calhoun E A, Clemens J Q, Litwin M S, Walker-Corkery E, Markossian T, Kusek J W, McNaughton-Collins M
Division of Health Policy and Administration, University of Illinois at Chicago School of Public Health, Chicago, IL, USA.
Prostate Cancer Prostatic Dis. 2009;12(3):288-95. doi: 10.1038/pcan.2009.9. Epub 2009 Apr 7.
To describe practice patterns of primary care physicians (PCPs) for the diagnosis, treatment and management of chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS), we surveyed 556 PCPs in Boston, Chicago, and Los Angeles (RR=52%). Only 62% reported ever seeing a patient like the one described in the vignette. In all, 16% were 'not at all' familiar with CP/CPPS, and 48% were 'not at all' familiar with the National Institutes of Health classification scheme. PCPs reported practice patterns regarding CP/CPPS, which are not supported by evidence. Although studies suggest that CP/CPPS is common, many PCPs reported little or no familiarity, important knowledge deficits and limited experience in managing men with this syndrome.
为描述基层医疗医生(PCP)对慢性前列腺炎/慢性盆腔疼痛综合征(CP/CPPS)的诊断、治疗和管理的实践模式,我们对波士顿、芝加哥和洛杉矶的556名基层医疗医生进行了调查(回复率=52%)。只有62%的医生报告曾见过像病例描述中的患者。总体而言,16%的医生“完全不”熟悉CP/CPPS,48%的医生“完全不”熟悉美国国立卫生研究院的分类方案。基层医疗医生报告了关于CP/CPPS的实践模式,但这些模式并无证据支持。尽管研究表明CP/CPPS很常见,但许多基层医疗医生报告对其了解很少或根本不了解,存在重要的知识缺陷,且在管理患有该综合征的男性患者方面经验有限。