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Main arrow Archive of previous Issues arrow ╣6 2014 (40) arrow Implementation results of the comprehensive standardized step-wise program on benign prostatic hyperplasia diagnosis and treatment
Implementation results of the comprehensive standardized step-wise program on benign prostatic hyperplasia diagnosis and treatment Print
Wednesday, 25 February 2015

Prosyannikov M.Y.
Scientific Research Institute of Urology named after N.A. Lopatkin, Branch of the Hertsen Federal Medical Research Centre of the Ministry of Health of the Russian Federation

Contacts: Mikhail Prosyannikov, email: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it

Abstract. Background. Benign prostatic hyperplasia is a gender specific, socially important disease, as it accounts for more than 40% of all diseases in men over 50 years.

The study found out that 40.9% of patients with benign prostatic hyperplasia who were treated in hospitals were brought in by ambulance for emergency care. This statement is based on the analysis of benign prostatic hyperplasia diagnosis and treatment in the Russian Federation exemplified by one of its regions ľ the Voronezh region, in 2009. Such urgent hospitalization implies insufficient prevention and disease detection.

To improve quality of health care delivery to patients with benign prostatic hyperplasia a comprehensive program on standardized step-wise delivery of urological care was developed and introduced into Voronezh region in 2011.

Methods and data. There are three steps in urological care delivery. The first step is timely detection of patients. The second step is performance of standard therapeutic manipulations including surgery. Seven interdistrict urological centers were opened to provide this type of care. As a third step, a regional urological center was set up under the regional clinical hospital #1.

Results: As a result of the program activities the number of registered patients with benign prostatic hyperplasia increased by 311.15%. The share of patients with complicated forms of benign prostatic hyperplasia significantly reduced resulting in a 6.3-fold decrease in emergency hospitalization of patients with benign prostatic hyperplasia. Also, standardization of all steps of care delivery to patients with benign prostatic hyperplasia allowed to reduce complications of surgical treatment of benign prostatic hyperplasia by 2.4 times.

Conclusions: the comprehensive program of standardized step-wise urological care delivery źUrology╗ is a universal tool for improving care organization in case of benign prostatic hyperplasia.

Keywords: benign prostatic hyperplasia; urology service of the Voronezh region; "Urology" program; comprehensive program of standardized step-wise care delivery.


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