scholarly journals EAU, AUA and NICE Guidelines on Surgical and Minimally Invasive Treatment of Benign Prostate Hyperplasia: A Critical Appraisal of the Guidelines Using the AGREE-II Tool

2021 ◽  
pp. 1-10
Author(s):  
Dmitry Enikeev ◽  
Vincent Misrai ◽  
Enrique Rijo ◽  
Roman Sukhanov ◽  
Denis Chinenov ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Treatment Options ◽  
Stakeholder Involvement ◽  
Minimally Invasive Treatment ◽  
Invasive Treatment ◽  
Agree Ii ◽  
Prostate Hyperplasia ◽  
Assessment Score ◽  
Nice Guideline ◽  
Agree Ii Tool

<b><i>Objective:</i></b> To critically appraise the methodological rigour of the clinical practice guidelines (CPGs) vis-à-vis BPH surgery as used by specialist research associations in the US, Europe and UK, and to compare whether the guidelines cover all or only some of the available treatments. <b><i>Methods:</i></b> The current guidelines issued by the EUA, AUA and NICE associations have been analyzed by 4 appraisers using the AGREE-II instrument. We also compared the recommendations given in the guidelines for surgical and minimally invasive treatment to find out which of these CPGs include most of the available treatment options. <b><i>Results:</i></b> According to the AGREE II tool, the median scores of domains were: domain 1 scope and purpose 66.7%, domain 2 stakeholder involvement 50.0%, domain 3 rigor of development 65.1%, domain 4 clarity of presentation 80.6%, domain 5 applicability 33.3%, domain 6 editorial independence 72.9%. The overall assessment according to AGREE II is 83.3%. The NICE guideline scored highest on 5 out of 6 domains and the highest overall assessment score (91.6%). The EAU guideline scored lowest on 4 out of 6 domains and has the lowest overall assessment score (79.1%). <b><i>Conclusions:</i></b> The analyzed CPGs comprehensively highlight the minimally invasive and surgical treatment options for BPH. According to the AGREE II tool, the domains for clarity of presentation and editorial independence received the highest scores. The stakeholder involvement and applicability domains were ranked as the lowest. Improving the CPG in these domains may help to improve the clinical utility and applicability of CPGs.

scholarly journals Complications of laparoscopic cholecystectomy: an analysis of 1,695 laparoscopic operations

2017 ◽  
Vol 4 (9) ◽  
pp. 3049
Author(s):  
Dasharadha Jatothu ◽  
Rajkumar Sade ◽  
Kirthana Sade ◽  
. Taruni ◽  
Nagababu Pyadala
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Conservative Treatment ◽  
Minimally Invasive ◽  
Treatment Options ◽  
Gallstone Disease ◽  
Minimally Invasive Treatment ◽  
Medical Sciences ◽  
Invasive Treatment ◽  
Gold Standard Method ◽  
Operative Complication

Background: Laparoscopic cholecystectomy (LCs) is the gold standard method to treat gallstone disease. But there are some complications which occur frequently as compared to open cholecystectomy.Methods: The prospective study was conducted in the Department of Surgery, Kamineni Institute of Medical Sciences, Telengana during the period of 2 years; March 2015 to February 2017. A total of 1,695 laparoscopic cholecystectomy cases were included in this study. Several treatment options such as, conservative treatment, minimally invasive treatment and open surgery was performed based on the severity of the disease.Results: Majority of patients were female (83.9%) and most common age group affected was above 40 years. Intra-operative and post-operative complication occurred in 4.5% and 1.9% patients respectively. Majority complications were treated by conservative treatment and minimally invasive treatment. So, in conclusion, we can use conservative and minimally invasive treatment to manage the complications from laparoscopic cholecystectomy.Conclusions: Conservative treatment options and minimally invasive treatment was more efficient to overcome the post-operative complication of laparoscopic cholecystectomy.

Current Concepts of Minimally Invasive Treatment Options for Plantar Fasciitis: a Comprehensive Review

2020 ◽  
Vol 24 (9) ◽  
Author(s):  
Morgan Hasegawa ◽  
Ivan Urits ◽  
Vwaire Orhurhu ◽  
Mariam Salisu Orhurhu ◽  
Joseph Brinkman ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Plantar Fasciitis ◽  
Treatment Options ◽  
Minimally Invasive Treatment ◽  
Invasive Treatment ◽  
Comprehensive Review

scholarly journals Modern approaches to surgical and minimally invasive treatment of patients with benign prostate hyperplasia

2020 ◽  
pp. 114-124
Author(s):  
A. A. Zimichev ◽  
D. O. Gusev ◽  
A. S. Pochivalov ◽  
P. V. Sumsky ◽  
I. V. Tarasov ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Conservative Therapy ◽  
Benign Prostate Hyperplasia ◽  
Prostate Gland ◽  
Minimally Invasive Treatment ◽  
Invasive Treatment ◽  
Prostate Hyperplasia ◽  
Surgical Interventions ◽  
Benign Prostate ◽  
Urological Diseases

Adenoma of the prostate gland is one of the most common urological diseases among males. The percentage of those suffering from BPH increases in direct proportion to the age of the patients. Despite the high study of the etiology, pathogenesis and manifestations of this disease, it is not always possible to achieve the desired effect using conservative therapy. Taking into account the middle age of the majority of patients dealing  with  this  problem, the presence of a number of concomitant diseases, if there is a technical  feasibility, priority is given to the least traumatic surgical interventions. The literature review analyzes the existing approaches to surgical and minimally invasive treatment of patients with benign prostatic hyperplasia.

Bloodless management of benign prostatic hyperplasia: medical and minimally invasive treatment options

2011 ◽  
Vol 14 (3) ◽  
pp. 141-149 ◽  
Author(s):  
Evangelos Liatsikos ◽  
Iason Kyriazis ◽  
Panagiotis Kallidonis ◽  
Jens-Uwe Stolzenburg
Keyword(s):  
Benign Prostatic Hyperplasia ◽  
Minimally Invasive ◽  
Treatment Options ◽  
Prostatic Hyperplasia ◽  
Minimally Invasive Treatment ◽  
Invasive Treatment

scholarly journals Biomechanical comparison of minimally invasive treatment options for Type C unstable fractures of the pelvic ring

2020 ◽  
Vol 106 (1) ◽  
pp. 127-133 ◽  
Author(s):  
Adrian Cavalcanti Kußmaul ◽  
Axel Greiner ◽  
Christian Kammerlander ◽  
Christian Zeckey ◽  
Matthias Woiczinski ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Pelvic Ring ◽  
Treatment Options ◽  
Minimally Invasive Treatment ◽  
Invasive Treatment ◽  
Type C ◽  
Biomechanical Comparison ◽  
Unstable Fractures
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