@article{8669635,
  abstract     = {{Introduction/Background: The management of therapy-resistant lower urinary tract symptoms (LUTS) and symptoms resulting from pelvic organ dysfunctions are subject to a high variability in the Belgian health-care centres. Practical guidelines and standardized patient clinical care pathways are often lacking and unadapted to the Belgian healthcare system.
Objectives: The OptiLUTS trial aims to improve the multidisciplinary care of therapy-resistant symptoms of the pelvis in the Belgian healthcare setting. Project A aims for the improvement of knowledge of 2nd line treatments for LUTS among general practitioners. In project B a treatment algorithm for the overactive bladder syndrome and non-obstructive urinary retention will be developed specifically for Belgium. In Project C a patient customized sacral neuromodulation (SNM) care pathway will be set up.
Methods: Part A: Explorative study among general practitioners by distribution of a questionnaire. Part B: Review of existing guidelines and use of the Delphi method to obtain expert consensus. Part C: A single center comparative study to compare outcomes before and after implementation of the SNM care pathway. Patients scheduled for the first stage of Interstim therapy (TM) will be included (N=100). Primary endpoints are the sensitivity and specificity of a new pelvic symptom assessment tool, the conversion to implant and explantation rates.
Conclusion: There is a margin for improvement in the care process of patients with therapy-resistant symptoms of the pelvis in the Belgium healthcare system. In the OptiLUTs trial adapted guidelines and a clinical care pathway will be developed to standardize and increase the efficiency of care.}},
  author       = {{Ghijselings, Lynn and Van de Putte, Dirk and Hervé, François and Goessaert, An-Sofie and Beeckman, Dimitri and Pattyn, Piet and Everaert, Karel}},
  issn         = {{1784-3286}},
  journal      = {{ACTA CLINICA BELGICA}},
  keywords     = {{General Medicine,Lower urinary tract symptoms,Clinical care pathway,Sacral neuromodulation,Overactive bladder,Quality Improvement,QUALITY-OF-LIFE,SACRAL NEUROMODULATION,SCORING SYSTEM,QUESTIONNAIRE,IMPACT,INDEX,ICIQ}},
  language     = {{eng}},
  number       = {{5}},
  pages        = {{334--339}},
  title        = {{The OptiLUTS trial : improving care for therapy-resistant symptoms of the pelvis in Belgium}},
  url          = {{http://dx.doi.org/10.1080/17843286.2019.1630109}},
  volume       = {{75}},
  year         = {{2020}},
}

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