title: [Implementation of the S3 prostate cancer guideline in daily clinical practice: results of a survey among urologists].
abstract: BACKGROUND
  Beside the quality of a guideline, the implementation in daily practice is of particular concern. The aim of this study was to determine the degree of implementation of the interdisciplinary S3 guideline on diagnostics and treatment of prostate cancer.
  
  
  METHODS
  A questionnaire containing questions regarding the implementation of the S3 guideline was sent to 119 private practice urologists and 37 urologists working in hospitals. Comparisons were made with the χ(2) test.
  
  
  RESULTS
  The response rate was 63%. Of the responding urologists, 93% reported that they used the guideline in the daily practice, while 95% considered the strong recommendations of the guideline as treatment standard. Urologists working in a hospital recommended the guideline less frequently to their patients as source of information (30 versus 58%, p = 0.0283), but more frequently to other physicians (95 versus 72%, p = 0.0294), than private practice urologists did.
  
  
  CONCLUSIONS
  The interdisciplinary S3 guideline on diagnostics and treatment of prostate cancer is used by the vast majority of urologists in their daily practice. The strong guideline recommendations are considered as treatment standard. A more compact presentation and a propagation of the guideline outside the urologic community might improve implementation of the guideline.
authors.affiliation: Klinik und Poliklinik für Urologie, Universitätsklinikum "Carl Gustav Carus" der Technischen Universität Dresden, Fetscherstraße 74, 01307, Dresden, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Fröhner
authors.forename: C
authors.initials: C
authors.lastname: Khan
authors.forename: R
authors.initials: R
authors.lastname: Koch
authors.forename: S G
authors.initials: SG
authors.lastname: Schorr
authors.forename: M
authors.initials: M
authors.lastname: Wirth
mesh_terms: D005858:Germany / Q000453:epidemiology; D019983:Guideline Adherence / Q000706:statistics & numerical data; D019538:Health Care Surveys; D006801:Humans; D008297:Male; D008495:Medical Oncology / Q000592:standards* / Q000706:statistics & numerical data; D010820:Physicians / Q000706:statistics & numerical data*; D011159:Population Surveillance; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians' / Q000592:standards / Q000706:statistics & numerical data*; D015995:Prevalence; D011471:Prostatic Neoplasms / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy*; D011785:Quality Assurance, Health Care; D014572:Urology / Q000592:standards* / Q000706:statistics & numerical data