Examining the Impact of Renal Trauma Guidelines on Urologists in UK

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
Davendra SharmaChristopher Dawson

Abstract

To investigate whether urologists in UK utilise and adhere to recently published renal trauma guidelines. A one-page anonymous questionnaire was created based on recently published guidelines. Thirteen questions were used to investigate the current patterns of practice. The questionnaire was posted to 500 consultants in UK. Out of 500 questionnaires, 152 (30%) were returned; 109 (70%) respondents saw an estimated five or less cases of renal trauma per year; 104 (71%) respondents used guidelines but these differed; 79 (52%) respondents believed that the published guidelines were appropriate for UK practice; 8 (5%) did not feel that they were appropriate and 48 (32%) were unsure, and 30 (20%) used local guidelines. In stable patients with dipstick hematuria, 121 (80%) respondents requested imaging with ultrasound (76) the most popular. In stable patients with gross hematuria, all respondents requested imaging with CT scanning (126) the most popular. In stable children with suspected renal trauma, all respondents who managed pediatric cases would request imaging. Re-imaging following initial ultrasound was common. Imaging was described as easy or possible to obtain during regular working hours by 147 (97%) respondents. This fell t...Continue Reading

References

Aug 1, 1995·The Journal of Urology·K S Miller, J W McAninch
Mar 19, 1999·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·J P McGahanE O Gerscovich
Dec 8, 2004·European Urology·Thomas H LynchUNKNOWN European Association of Urology

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Citations

Jan 4, 2012·BJU International·Jonathan K MakanjuolaDavendra M Sharma
Jul 21, 2010·The Journal of Urology·Paul DavisNiall M Corcoran

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