Evaluative care guideline compliance is associated with provision of benign prostatic hyperplasia surgery.

ABSTRACT:

Objective

To determine the impact of evaluative care guideline compliance on surgical intervention for benign prostatic hyperplasia (BPH).

Methods

From Medicare claims data, we developed a cohort of men new to a urologist with a diagnosis of BPH. We determined urologists' compliance with guideline recommended care (3 months) and their time- and geography-standardized average monthly Medicare expenditures (1 year). At the level of the urologist, we assessed the impact of these measures on the use of surgical therapy within 1 year of the new patient visit.

Results

Of 10 248 patients in the cohort, 675 received surgical intervention (6.7%). Guideline compliance (2% received surgery in highest quintile; 11% lowest quintile) was associated with surgical intervention. The r

SUBMITTER: Strope SA 

PROVIDER: S-EPMC3392961 | biostudies-literature | 2012 Jul

REPOSITORIES: biostudies-literature