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Paediatricians' perspectives in treating lower urinary tract symptoms: a qualitative exploratory needs assessment
Stav Spinzi1, Gunjan Agrawal1,2, Aditi Sharma1,3
1Department of Urology, Stanford University School of Medicine, Stanford, California, USA.
BMJ Paediatrics Open
|April 3, 2024
Summary
Pediatricians recognize pediatric lower urinary tract symptoms (LUTS) but face barriers like short visits and lack of guidelines. Improving care requires better education and screening strategies for children with LUTS.
Area of Science:
- Pediatric healthcare
- Urology
- Public health
Background:
- Pediatric lower urinary tract symptoms (LUTS) affect up to 20% of school-aged children.
- Paediatricians are the primary point of contact for LUTS management but lack formal resources.
- Understanding paediatricians' perspectives is crucial for improving pediatric health outcomes.
Purpose of the Study:
- To explore paediatricians' knowledge, beliefs, and practice patterns regarding pediatric LUTS care.
- To identify perceived barriers and facilitators influencing the provision of LUTS care by paediatricians.
- To inform health promotion strategies aimed at enhancing pediatric LUTS management.
Main Methods:
- Qualitative study utilizing semistructured focus groups with paediatricians in California.
- Thematic analysis was conducted using both deductive and inductive approaches.
- Participant enrollment continued until thematic saturation was achieved.
Main Results:
- 15 paediatricians participated, with most practicing in general outpatient settings.
- Paediatricians acknowledged LUTS as a significant issue impacting children's well-being.
- Barriers included short visit durations, competing demands, lack of guidelines, parental mistrust, and inadequate education.
Conclusions:
- Paediatricians are willing to manage LUTS but face significant practice limitations.
- Future efforts should focus on developing clinical guidelines for pediatric LUTS.
- Enhancing clinician education and implementing early screening strategies are recommended for timely intervention.
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