title: Prevalence and management status of urologic diseases in geriatric hospitals in South Korea: A field research.
abstract: We aimed to investigate the current management status of urologic diseases in geriatric hospitals in South Korea.
  
  
  
  Questionnaire surveys and in-depth person-to-person interviews were conducted at 13 hospitals within the Seoul and Incheon areas.
  
  
  
  The study was carried out from July to December 2014; 75.6% of patients (1,858/2,458) and 77.5% (779/1,031) of medical personnel responded to our survey. All surveys and interviews were performed by urology specialists, fellows, residents, or nurses. The hospitals included in the study had an average of 215.2 beds (range, 110-367), 189.1 patients (range, 90-345), and 40.2 nurses (range, 10-83). The average number of physicians was 6.2 (range, 3-11), but none of these were certified urologists. Only 4 hospitals provided consultation services for urological disorders. In total, 64% of patients had urological disorders, although only 20.7% of patients were receiving medication. Most patients were being treated using urological interventions; diapers (49.7%), indwelling catheters (19.5%), clean intermittent catheters (12.2%), and external collection urinary drainage (7.9%). However, most interventions were inadequately implemented, and only 17% of the patients had been examined by a certified urologist. Urological complications were found in 20.2% of patients, and secondary complications occurred in 18.8%. Excluding redundant cases, the total prevalence of urological complications was 39.0%.
  
  
  
  Urologic diseases are poorly managed, and no certified urologists work in geriatric hospitals. Therefore, more designated urologists are needed in geriatric hospitals.
authors.affiliation: Department of Urology, Seoul National University College of Medicine, Seoul, Korea.
authors.forename: Sang Heon
authors.initials: SH
authors.lastname: Lee
authors.affiliation: Department of Urology, Seoul National University College of Medicine, Seoul, Korea.
authors.forename: Jungyo
authors.initials: J
authors.lastname: Suh
authors.affiliation: Department of Urology, Dongguk University Ilsan Medical Center, Goyang, Korea.
authors.forename: Hyung Suk
authors.initials: HS
authors.lastname: Kim
authors.affiliation: Department of Urology, Seoul National University College of Medicine, Seoul, Korea.
authors.forename: Young Ju
authors.initials: YJ
authors.lastname: Lee
authors.affiliation: Community Nursing Science, Seoul National University College of Nursing, Seoul, Korea.
authors.forename: Sang Rim
authors.initials: SR
authors.lastname: Lee
authors.affiliation: Department of Urology, Gachon University Gil Medical Center, Incheon, Korea.
authors.forename: Khae Hawn
authors.initials: KH
authors.lastname: Kim
authors.affiliation: Department of Urology, Seoul National University College of Medicine, Seoul, Korea.
authors.forename: Chang Wook
authors.initials: CW
authors.lastname: Jeong
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005853:Geriatrics / Q000706:statistics & numerical data*; D006742:Hospital Bed Capacity; D006782:Hospitals, Special / Q000706:statistics & numerical data*; D006801:Humans; D015994:Incidence; D007407:Interviews as Topic; D008297:Male; D008505:Medical Staff, Hospital; D008875:Middle Aged; D009741:Nursing Staff, Hospital; D015995:Prevalence; D012017:Referral and Consultation; D056910:Republic of Korea / Q000453:epidemiology; D011795:Surveys and Questionnaires; D014554:Urination; D014570:Urologic Diseases / Q000150:complications / Q000453:epidemiology* / Q000628:therapy; D000072178:Urologists / Q000600:supply & distribution; D014572:Urology / Q000706:statistics & numerical data; D000078329:Workforce; D055815:Young Adult
keywords: Health services for the aged; Patient care management; Surveys and questionnaires; Urinary incontinence; Urological diseases