title: A national benchmark for the initial assessment of men with LUTS: data from the 2010 Royal College of Physicians National Audit of Continence Care.
abstract: OBJECTIVE
  To assess the degree of adherence to the current National Institute for Health and Clinical Excellence (NICE) guidelines on the management of urinary incontinence (UI) in men.
  
  
  METHODS
  Retrospective survey of male patients with UI in primary and acute hospital (AH) care as part of a national audit.
  
  
  METHODS
  NHS AH and primary care (PC) trusts.
  
  
  METHODS
  Twenty-five men <65 years old and 25 men ≥65 years old from each participating site.
  
  
  METHODS
  All NHS trusts in England, Wales Northern Ireland and Channel Islands were eligible to participate. A web-based data collection form aligned to the NICE guidelines was constructed for the study. All data submitted to the audit were anonymous, and access to the web tool was password protected for confidentiality.
  
  
  RESULTS
  Data were returned by 80 % (128/161) of acute trusts and 52 % (75/144) of PC trusts in England, and 71 % (10/14) of combined trusts from Northern Ireland, Wales and the Channel Islands including data on 559 men <65 and 1271 65+ from 141 sites within acute hospitals and 445 men <65 and 826 men 65+ in PC, a total of 3101 participants.
  
  
  CONCLUSIONS
  The majority of men seen within the NHS with LUTS do not receive management according to evidence-informed NICE guidelines; in general, older men are less likely to receive care that meets guideline standards than younger men.
authors.affiliation: Division of Geriatric Medicine, Department of Medicine, University of Alberta, Edmonton, AB, Canada.
authors.forename: W
authors.initials: W
authors.lastname: Gibson
authors.affiliation: Department of Ageing and Health, Guy's and St. Thomas' NHS Foundation Trust, London, UK.|Clinical Evaluation and Effectiveness Unit, Royal College of Physicians of London, London, UK.
authors.forename: D
authors.initials: D
authors.lastname: Harari
authors.affiliation: Clinical Evaluation and Effectiveness Unit, Royal College of Physicians of London, London, UK.
authors.forename: J
authors.initials: J
authors.lastname: Husk
authors.affiliation: Clinical Evaluation and Effectiveness Unit, Royal College of Physicians of London, London, UK.
authors.forename: D
authors.initials: D
authors.lastname: Lowe
authors.affiliation: Division of Geriatric Medicine, Department of Medicine, University of Alberta, Edmonton, AB, Canada. adrian.wagg@ualberta.ca.|Clinical Evaluation and Effectiveness Unit, Royal College of Physicians of London, London, UK. adrian.wagg@ualberta.ca.
authors.forename: A
authors.initials: A
authors.lastname: Wagg
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019985:Benchmarking; D019983:Guideline Adherence / Q000706:statistics & numerical data*; D006801:Humans; D059411:Lower Urinary Tract Symptoms / Q000175:diagnosis* / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D006113:United Kingdom; D014549:Urinary Incontinence / Q000175:diagnosis* / Q000628:therapy*
keywords: Elderly; Guidelines; Initial assessment; Lower urinary tract symptoms; Men