Development of a Clinical Practice Guideline : Benign Prostatic Hyperplasia

Yu, Seung-Hum; Chai, Soo Eung; Kim, Chun-Bae; Kang, Myung Geun; Song, Jae Mann; Lee, Eun Sik; Lee, Jung Gu; Lee, Tchun Yong; Hong, Sung Joon

Journal of Korean Society Quality Assurance Health Care 1997;3(2): 36.
Published online March 30, 1997.

전립선비대증의 진료지침 개발

유승흠¹, 채수응², 김춘배³, 강명근³, 송재만⁴, 이은식⁵, 이정구⁶, 이춘용⁷, 홍성준⁸

¹연세대학교 의과대학 예방의학교실
²삼성서울병원 비뇨기과
³연세대학교 원주의과대학 예방의학교실
⁴연세대학교 원주의과대학 비뇨기과학교실
⁵서울대학교 의과대학 비뇨기과학교실
⁶고려대학교 의과대학 비뇨기과학교실
⁷한양대학교 의과대학 비뇨기과학교실
⁸연세대학교 의과대학 비뇨기과학교실

Development of a Clinical Practice Guideline : Benign Prostatic Hyperplasia

Seung-Hum Yu¹, Soo Eung Chai², Chun-Bae Kim³, Myung Geun Kang³, Jae Mann Song⁴, Eun Sik Lee⁵, Jung Gu Lee⁶, Tchun Yong Lee⁷, Sung Joon Hong⁸

¹Dept. of Preventive Medicine College of Medicine, Yonsei Univ.
²Dept. of Urology Samsung Medical Center
³Dept. of Preventive Medicine Wonju College of Medicine, Yonsei Univ.
⁴Dept. of Urology Wonju College of Medicine, Yonsei Univ.
⁵Dept. of Urology College of Medicine, Seoul Univ.
⁶Dept. of Urology College of Medicine, Korea Univ.
⁷Dept. of Urology College of Medicine, Hanyang Univ.
⁸Dept. of Urology College of Medicine, Yonsei Univ.

Abstract

Background
Clinical practice guidelines define "systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances" and help to improve patient care. The purpose of this study is to develop a clinical practice guideline for the most effective diagnoses and treatments of benign prostatic hyperplasia based on patient preference and clinical need.
Methods
For this research project, extensive literature searches (208 articles) were conducted. As well, critical reviews and syntheses (meta-analysis) were used to evaluate empirical evidence and significant outcomes of the BPH literature. Questionnaires about clinical practice for BPH patients were distributed and consensus meetings were undertaken to grasp variations in clinical practice and to reach agreement on the guideline's development. The guideline was promoted under the sponsorship of the Korean Medical Association and the Korean urological Cancer. Society. For the task, the Benign Prostatic Hyperplasia Guideline Panel was composed of multidisciplinary experts in the field.
Results
BPH is a disease that affects a patient's quality of life. This Clinical Practice Guideline was developed for the typical man over age 50 with symptoms of prostatism, but with no significant medical morbidities such as diabetes or other known causes of voiding dysfunction, such as urethral stricture or neurogenic bladder. The guidelines detail the relative benefits and obstacles associated with all diagnostic and treatment approaches, including watchful waiting.
Conclusion
This guideline provides a cornerstone for our medical association. It represents the most current scientific knowledge regarding the development, diagnosis, and treatment of BPH. It will be revised and updated as needed.

Key words Clinical Practice Guideline;Benign Prostatic Hyperplasia;Meta-analysis;Consensus Meeting;