You have accessJournal of UrologyGeneral & Epidemiological Trends & Socioeconomics: Quality Improvement & Patient Safety II1 Apr 2016MP08-13 LATER CAREER UROLOGISTS ARE LESS LIKELY TO UTILIZE AUA GUIDELINES Lael Reinstatler, Florian Schroeck, and Elias Hyams Lael ReinstatlerLael Reinstatler More articles by this author , Florian SchroeckFlorian Schroeck More articles by this author , and Elias HyamsElias Hyams More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2016.02.2258AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES The American Urologic Association (AUA) publishes evidence-based guidelines to improve the quality and consistency of urological care. The 2014 AUA Census reported a unique field regarding providers’ utilization of AUA guidelines, in addition to a profile of providers’ demographic, training, and practice characteristics. We sought to identify factors associated with non-utilization of AUA guidelines to understand how education and dissemination of these guidelines might be improved. METHODS : Using 2014 AUA census data, providers were stratified based on self-reported utilization or non-utilization of AUA guidelines. Bivariate analysis was used to characterize non-utilizers, and multivariable logistic regression analysis was performed to identify factors associated with non-utilization. In all analyses, we used the post-stratification weights provided with the census data to calculate national estimates (SAS 9.4, Cary, NC). RESULTS Including only urologists who responded to the outcome variable (2 respondents reported being unaware of the guidelines and were removed from the analysis), there were 2202 survey respondents representing 11,680 practicing urologists. Utilization of AUA guidelines was reported in 95.0% of the weighted population. There was no significant difference in utilization based on gender, race, country of origin (United States vs. other), owner interest in equipment, practice type, or having completed a fellowship. After controlling for other variables, urologists who reported practicing in a rural/micropolitan area (vs. metropolitan) were more likely to be non-utilizers (OR 1.06, 95% CI 1.03, 1.09). Additionally, urologists who had been practicing longer were less likely to utilize guidelines compared with those earlier in their careers; OR 1.15 (95% CI 1.10, 1.21) for practicing 10-20 years and OR 1.13 (95% CI 1.09, 1.18) for practicing >20 years vs. <10 years of practice (p<0.05). CONCLUSIONS Despite continued production and dissemination of AUA practice guidelines, about 5% of urologists do not utilize guidelines in their practice. Later career status and rural/micropolitan geography were associated with non-utilization. These data may inform efforts to improve dissemination and education regarding evidence-based practice. © 2016FiguresReferencesRelatedDetails Volume 195Issue 4SApril 2016Page: e89-e90 Advertisement Copyright & Permissions© 2016MetricsAuthor Information Lael Reinstatler More articles by this author Florian Schroeck More articles by this author Elias Hyams More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...