Transcription
Practice Guidelinesfrom theAmerican UrologicalAssociationAUA GUIDELINESA Department within the Health Policy Division
The American Urological Association (AUA), founded in1902, is the premier professional association for theadvancement of urologic patient care, and works to ensurethat its more than 18,000 members are current on the latestresearch and practices in urology. AUA Mission Statement: To promote the highest standards of urological clinical carethrough education, research and in the formulation ofhealth care policy.AUA GUIDELINESA Department within the Health Policy Division
Health Policy/Science and QualityDivision Practice Guidelines Committee Six Staff PositionsAUA GUIDELINESA Department within the Health Policy Division
1.2.3.4.5.6.7.8.9.Topic NominationPanel IdentificationDefinition of Research QuestionsLiterature Review & AppraisalData Synthesis & AnalysisEvidence Report & Guideline Statement DevelopmentWritingPeer Review & RevisionApproval & PublicationAUA GUIDELINESA Department within the Health Policy Division
Dissemination for all new guidelines:ooooooooooooooOnline publicationNGC/GIN submissionPlenary presentation at Annual MeetingExecutive Summary for Journal of UrologyGuidelines-at-a-glance (print and app)Primary Care Pocket GuidesTranslated GuidelinesPocket table/Wall chartWebinarAUANews/HPBrief articlePress releaseSocial media announcementsEmail blastSlide setAUA GUIDELINESA Department within the Health Policy Division
Smartphone Applications Video Panel Discussions Adaptive Spaced Education (Qstream)AUA GUIDELINESA Department within the Health Policy Division
GLIDES workgroup BRIDGE-Wiz eGLIA GEM cutter Panel Informaticists XML formatting EHR vendorsAUA GUIDELINESA Department within the Health Policy Division
Formalizes a process for writing implementable recommendationsFocuses discussionIncorporates prompts based on COGS to improve guidelinequalityControlled natural language Offers verb choices based on action-type Traps and disallows use of “consider” Discourages “statement of fact” masquerading asrecommendation Limits boolean connectors to all ANDs or ORs in a statementIncorporates decidability and executability checksRequires systematic appraisal of evidence quality and benefitharms Suggests appropriate obligation term (deontic modal)Output includes a high-level “rule” and an evidence profileAUA GUIDELINESA Department within the Health Policy Division
AUA GUIDELINESA Department within the Health Policy Division
AUA GUIDELINESA Department within the Health Policy Division
Orientation at panel meeting (May 2011) Learning curve: Practice makes perfect Visual representation of benefits vsrisks/burden was helpful Adaptable to AUA systemAUA GUIDELINESA Department within the Health Policy Division
Clinicians who are making the diagnosis of urodynamicstress incontinence should assess urethral function.(Recommendation; Evidence Strength: Grade C) Clinicians should perform repeat stress testing with theurethral catheter removed in patients suspected ofhaving SUI who do not demonstrate this finding withthe catheter in place during urodynamic testing.(Recommendation; Evidence Strength: Grade C)AUA GUIDELINESA Department within the Health Policy Division
In rare cases, augmentation cystoplasty orurinary diversion for severe, refractory,complicated OAB patients may beconsidered. Expert Opinion Behavioral therapies may be combined withanti-muscarinic therapies. RecommendationAUA GUIDELINESA Department within the Health Policy Division
eGLIA: evaluation of Implementability GEM cutter III: XML format Clinical Decision SupportAUA GUIDELINESA Department within the Health Policy Division
Questions? Comments?AUA GUIDELINESA Department within the Health Policy Division
The American Urological Association (AUA), founded in 1902, is the premier professional association for the advancement of urologic patient care, and works to ensure that its more than 18,000 members are current on the latest research and practices in urology. AUA Mission Statement: To promote the highest standards of urological .
