title: [Quality of care indicators for benign prostatic hyperplasia. A qualitative study].
abstract: OBJECTIVE
  To assess quality of care indicators for benign prostatic hyperplasia (BPH), and to evaluate their strengths and weaknesses for incorporation into health information systems.
  
  
  METHODS
  Structured expert meeting, using procedures adapted from the nominal group techniques and the Rand consensus method.
  
  
  METHODS
  Valencian School of Health Studies.
  
  
  METHODS
  Forty panellists (74% doctors, 70% from primary care settings) with experience in the management of BPH from 15 departments of the Valencia Health Agency.
  
  
  METHODS
  Three workshops were held simultaneously (examination and diagnosis, drug therapy, and appropriateness and results), and the 15 quality indicators selected by the coordination group were assessed.
  
  
  RESULTS
  Eleven of the 15 indicators scored in the range of high relevance. The 5 best rated were: the use of alpha-blockers + 5-alpha reductase inhibitor from certain severity level, digital rectal examination in the initial assessment, follow-up with the International Prostate Symptoms Score (IPSS), the rate of urgent catheterization in Hospital Accident & Emergency Units, initial assessment with the IPSS and the use of alpha-blockers prior to catheter removal for acute retention of urine.
  
  
  CONCLUSIONS
  Some of the assessed indicators can be useful for incorporation into health information systems.
authors.affiliation: Centro de Salud Salvador Pau, Instituto de Investigación Sanitaria INCLIVA, Valencia, España. Electronic address: jorge.navarro@uv.es.
authors.forename: Jorge
authors.initials: J
authors.lastname: Navarro-Pérez
authors.affiliation: Centro Superior de Investigación en Salud Pública (CSISP-FISABIO), Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), Valencia, España.
authors.forename: Salvador
authors.initials: S
authors.lastname: Peiró
authors.affiliation: Centro de Salud de Carinyena, Departamento de La Plana, Castellón, España.
authors.forename: Francisco
authors.initials: F
authors.lastname: Brotons-Muntó
authors.affiliation: Servicio de Urología, Consorcio Hospital General Universitario de Valencia, Valencia, España.
authors.forename: Emilio
authors.initials: E
authors.lastname: López-Alcina
authors.affiliation: Escuela Universitaria de Enfermería, Consorcio Hospital General Universitario de Valencia, Valencia.
authors.forename: Arcadio
authors.initials: A
authors.lastname: Real-Romaguera
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011470:Prostatic Hyperplasia / Q000628:therapy*; D036301:Qualitative Research; D019984:Quality Indicators, Health Care; D011795:Surveys and Questionnaires
keywords: Benign prostatic hyperplasia; Consensus methods; Hiperplasia benigna de próstata; Indicadores de calidad; Lower urinary tract syndrome; Métodos de consenso; Quality indicators; Síndrome del tracto urinario inferior