Local clinical practice patterns in urolithiasis guidelines: a critical evaluation from Turkey.
Kemal Sarica1,2, Rasim Güzel3, Zeki Bayraktar1
1Department of Urology, Sancaktepe Research and Training Hospital, Health Sciences University, Istanbul, Turkey.
World Journal of Urology
|February 3, 2025
Summary
Turkish urologists widely use urolithiasis guidelines for patient safety and legal reasons. However, practice varies due to local needs and lack of training, highlighting a need for adapted guidelines.
Area of Science:
- Urology
- Clinical Practice Guidelines
- Healthcare Management
Background:
- Urolithiasis management relies on established clinical guidelines.
- Understanding guideline adherence is crucial for optimizing patient care.
Purpose of the Study:
- To assess the clinical practice patterns of urolithiasis guideline utilization in Turkey.
- To identify factors influencing urologists' application of these guidelines.
Main Methods:
- A survey was distributed to 415 practicing urologists in Turkey.
- 65.08% of urologists completed the survey regarding guideline use and perceptions.
Main Results:
- 84.7% of urologists use urolithiasis guidelines, primarily for complication prevention and legal risk mitigation.
- Significant variability exists in adherence (56.9% standardized vs. 41.6% case-by-case), with 41.0% desiring locally adapted guidelines.
- Nearly half received no formal training on guidelines, and 12.7% questioned their evidence base.
Conclusions:
- Urolithiasis guidelines are valued but their application varies significantly among Turkish urologists.
- Local conditions, individual experiences, and perceptions of guideline development impact adherence.
- Improving guideline dissemination and adaptation to local settings is recommended.
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