Abstract：
UNASSIGNED: Recent AUA guidelines for the management of benign prostatic hyperplasia (BPH) recommend routine collection of the International Prostate Symptom Score (IPSS) data, but routine collection can be challenging to fully implement. We investigated the impact of distributing the IPSS by electronic patient portal (EPP) on IPSS completion and its impact on BPH management.
UNASSIGNED: We performed a retrospective, longitudinal study of men undergoing a new patient visit (NPV) for BPH at our academic medical center. From September 2019 to November 2022, we identified patients undergoing an NPV for BPH. Prior to January 2021, the IPSS was collected in person at NPVs via paper forms; afterwards, the IPSS was distributed before the NPV using the EPP. Our primary outcome was IPSS completion; secondary outcomes were new BPH medications and BPH surgery ordered within 6 months.
UNASSIGNED: We identified 485 patients who underwent an NPV for BPH. EPP implementation significantly increased IPSS questionnaire completion (36.5% vs 56.9%, P < .0001). Following EPP implementation, we found that new BPH medications ordered at time of NPV decreased (10.4% vs 4.7%, P = .02). Although BPH surgery ordered within 6 months was similar, patients following EPP implementation had shorter time to BPH surgery compared to prior.
UNASSIGNED: Our study revealed that EPP distribution of the IPSS improves IPSS collection compliance, aligning our practice closer with AUA guidelines. Routine collection of the IPSS may impact clinical practice through the detection of more severe BPH, which reduces medical BPH management and time to definitive BPH therapy. Further work is needed to confirm findings.
UNASSIGNED: We performed a retrospective, longitudinal study of men undergoing a new patient visit (NPV) for BPH at our academic medical center. From September 2019 to November 2022, we identified patients undergoing an NPV for BPH. Prior to January 2021, the IPSS was collected in person at NPVs via paper forms; afterwards, the IPSS was distributed before the NPV using the EPP. Our primary outcome was IPSS completion; secondary outcomes were new BPH medications and BPH surgery ordered within 6 months.
UNASSIGNED: We identified 485 patients who underwent an NPV for BPH. EPP implementation significantly increased IPSS questionnaire completion (36.5% vs 56.9%, P < .0001). Following EPP implementation, we found that new BPH medications ordered at time of NPV decreased (10.4% vs 4.7%, P = .02). Although BPH surgery ordered within 6 months was similar, patients following EPP implementation had shorter time to BPH surgery compared to prior.
UNASSIGNED: Our study revealed that EPP distribution of the IPSS improves IPSS collection compliance, aligning our practice closer with AUA guidelines. Routine collection of the IPSS may impact clinical practice through the detection of more severe BPH, which reduces medical BPH management and time to definitive BPH therapy. Further work is needed to confirm findings.
摘要：
■最近的AUA良性前列腺增生（BPH）管理指南建议常规收集国际前列腺症状评分（IPSS）数据，但是要完全实施常规收集可能具有挑战性。我们调查了通过电子患者门户（EPP）分发IPSS对IPSS完成的影响及其对BPH管理的影响。
■我们进行了回顾性研究，在我们的学术医学中心接受BPH新患者就诊（NPV）的男性的纵向研究。从2019年9月到2022年11月，我们确定了接受BPHNPV的患者。在2021年1月之前，IPSS是通过纸质表格亲自在NPV收集的；之后，IPSS在NPV之前使用EPP分配。我们的主要结果是IPSS完成;次要结果是在6个月内订购新的BPH药物和BPH手术。
■我们确定了485例接受BPHNPV的患者。EPP的实施显着提高了IPSS问卷的完成度（36.5%vs56.9%，P<.0001)。在EPP实施之后，我们发现在NPV时订购的新BPH药物下降(10.4%vs4.7%，P=.02）。虽然在6个月内订购的BPH手术相似，与之前相比,EPP实施后的患者接受BPH手术的时间更短.
■我们的研究表明，IPSS的EPP分布提高了IPSS收集合规性，使我们的实践与AUA准则更接近。通过检测更严重的BPH，常规收集IPSS可能会影响临床实践。这减少了医疗BPH管理和确定BPH治疗的时间。需要进一步的工作来确认调查结果。
■我们进行了回顾性研究，在我们的学术医学中心接受BPH新患者就诊（NPV）的男性的纵向研究。从2019年9月到2022年11月，我们确定了接受BPHNPV的患者。在2021年1月之前，IPSS是通过纸质表格亲自在NPV收集的；之后，IPSS在NPV之前使用EPP分配。我们的主要结果是IPSS完成;次要结果是在6个月内订购新的BPH药物和BPH手术。
■我们确定了485例接受BPHNPV的患者。EPP的实施显着提高了IPSS问卷的完成度（36.5%vs56.9%，P<.0001)。在EPP实施之后，我们发现在NPV时订购的新BPH药物下降(10.4%vs4.7%，P=.02）。虽然在6个月内订购的BPH手术相似，与之前相比,EPP实施后的患者接受BPH手术的时间更短.
■我们的研究表明，IPSS的EPP分布提高了IPSS收集合规性，使我们的实践与AUA准则更接近。通过检测更严重的BPH，常规收集IPSS可能会影响临床实践。这减少了医疗BPH管理和确定BPH治疗的时间。需要进一步的工作来确认调查结果。
