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  4. The pattern of urologic care among traumatic spinal cord injured patients

The pattern of urologic care among traumatic spinal cord injured patients

CUAJ, 2014 · DOI: http://dx.doi.org/10.5489/cuaj.2403 · Published: November 24, 2014

Spinal Cord InjuryUrologyHealthcare

Simple Explanation

This study looked at how often people with traumatic spinal cord injuries (TSCI) in Ontario, Canada, see a urologist. It checked if this has changed over 10 years (2002-2012) and what factors might affect whether they get urologic care. The study found that many TSCI patients don't see a urologist, and this hasn't improved much. Women and older patients are even less likely to get referred to a urologist. This matters because regular urologic check-ups can prevent problems for TSCI patients. The study suggests we need to understand why some patients don't get this care and fix any barriers.

Study Duration
10 Years
Participants
1551 adult TSCI patients
Evidence Level
Not specified

Key Findings

  • 1
    Only 66% of TSCI patients were assessed by a urologist, with a median time of 0.7 years after the injury.
  • 2
    There was no significant change in the proportion of TSCI patients seen by a urologist within 1 year of injury over the 10-year study period.
  • 3
    Female patients and patients over 65 were significantly less likely to be referred to a urologist after TSCI.

Research Summary

This retrospective cohort study examined urologic care patterns among TSCI patients in Ontario between 2002 and 2012. It found that a significant proportion of patients do not receive urologic assessment. The study revealed that there was no significant improvement in urologic referral rates over the 10-year period. Key factors influencing referral rates included gender and age. The findings highlight the need for improved understanding of barriers to urologic care for TSCI patients and suggest the importance of targeted interventions to improve access, especially for women and older individuals.

Practical Implications

Improve Referral Practices

Implement strategies to ensure equitable access to urologic care for all TSCI patients, addressing disparities related to gender and age.

Enhance Awareness and Education

Increase awareness among healthcare providers regarding the importance of regular urologic assessments for TSCI patients.

Streamline Urologic Care Pathways

Develop clear and efficient referral pathways to facilitate timely urologic consultations for TSCI patients.

Study Limitations

  • 1
    Use of administrative data limited clinical details.
  • 2
    Inability to ascertain the reason for urologic assessment.
  • 3
    Study did not measure the quality of urologic care.

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