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Behavioral Economics in Urology: A Scoping Review
Leonid I Aksenov1, Rebecca J Fairchild1, Samantha J Kaplan2
1Division of Urologic Surgery, Duke University School of Medicine, Durham, North Carolina.
The Journal of Urology
|March 28, 2022
Summary
Behavioral economics offers insights into patient behavior, but its application in urology is limited. More research and trials are needed to leverage these concepts for improved urological care and outcomes.
Area of Science:
- Behavioral economics
- Urology
- Health services research
Background:
- Behavioral economics studies irrationality, self-control, and self-interest in decision-making.
- Its principles have successfully improved health outcomes in areas like smoking cessation, weight management, and medication adherence.
- Understanding these concepts can enhance urologists' ability to manage behavior-dependent clinical outcomes.
Purpose of the Study:
- To conduct a scoping review of existing literature on behavioral economics in urology.
- To assess the current application and integration of behavioral economic principles within urological research.
Main Methods:
- A comprehensive scoping review was performed using MEDLINE, Embase, and Scopus databases.
- Searches covered literature from inception to August 30, 2021.
- Selected abstracts underwent full-text review, followed by qualitative synthesis of relevant articles.
Main Results:
- 1,855 articles were initially identified, with 13 selected for qualitative synthesis.
- The selected studies covered diverse urological topics including prostate cancer, hematuria, incontinence, and nephrolithiasis.
- A small number of prospective trials were identified, indicating limited empirical research.
Conclusions:
- The application of behavioral economics in urology is currently very limited, with few published trials.
- There is a significant need for developing and evaluating urological interventions informed by behavioral economics.
- Further well-designed trials are essential to explore the potential of behavioral economics in improving urological patient care.
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