Related Experiment Video
Updated: Dec 12, 2025
05:19
A New Technique for Treating Low-risk Prostate Cancer—Super Active Surveillance
Published on: November 7, 2025
495
Shared Decision-making in Urologic Practice: Results From the 2019 AUA Census
Giulia Ippolito Lane1, Chad Ellimoottil1, Lauren Wallner1
1Department of Urology, University of Michigan, Ann Arbor, MI.
Urology
|August 11, 2020
Summary
Most urologists report using shared decision-making (SDM), but use varies by practice setting and patient volume. Identifying barriers and tailoring interventions can improve SDM rates in urology.
Area of Science:
- Urology
- Health Services Research
- Patient-Centered Care
Background:
- Shared decision-making (SDM) is crucial for patient-centered care in urology.
- Understanding current SDM adoption and influencing factors among urologists is essential.
Purpose of the Study:
- To determine the prevalence of SDM and decision aid use among practicing urologists.
- To identify practice-related factors associated with SDM utilization.
Main Methods:
- Analysis of data from the 2019 American Urological Association Annual Census SDM module.
- Urologists assessed their regular use of SDM elements across 7 preference-sensitive clinical scenarios.
- Multivariable logistic regression models were employed to identify factors influencing SDM use.
Main Results:
- 77% of 2,219 responding urologists reported regular SDM use in at least one scenario.
- Decision aid use ranged from 40% to 58%.
- Barriers to SDM, academic practice settings, and high patient volume (>76 visits/week) were associated with decreased SDM use.
Conclusions:
- The majority of US urologists report using SDM, though rates differ based on training, practice environment, and patient load.
- Findings indicate specific areas for enhancing SDM implementation within urology practices.
Related Concept Videos
01:25Urinary Tract Calculi VI: Surgical Management
213
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
213
01:30Urinary Tract Calculi III: Medical Management
127
The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
127
01:28Urologic Endoscopic Procedure: Cystoscopic Examination
1.4K
Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
1.4K
01:28Urinary Tract Calculi V: Nursing Management
181
AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
181
01:19Urodynamic Studies: Uroflowmetry
2.1K
Uroflowmetry is a non-invasive urodynamic test designed to measure various aspects of urination, including volume, flow rate, and the time to void. This test is crucial for diagnosing and assessing conditions such as bladder outlet obstruction, bladder dysfunction, incomplete bladder emptying, incontinence, and urinary tract blockages caused by benign prostatic hyperplasia (BPH) and urethral strictures.Pre-Test Instructions:Before a uroflowmetry test, patients are typically advised to drink...
2.1K
01:22Imaging Studies V: Intravenous Urography and Retrograde Pyelography
706
IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...
706