PMID- 25485007
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20141208
LR  - 20220309
IS  - 1911-6470 (Print)
IS  - 1920-1214 (Electronic)
IS  - 1911-6470 (Linking)
VI  - 8
IP  - 11-12
DP  - 2014 Nov
TI  - The pattern of urologic care among traumatic spinal cord injured patients.
PG  - E805-9
LID - 10.5489/cuaj.2403 [doi]
AB  - INTRODUCTON: We assessed the urologic care patterns of traumatic spinal cord 
      injury (TSCI) patients. METHODS: This was a retrospective cohort study of adult 
      TSCI patients injured between 2002 and 2012. The primary outcome was urologic 
      consultation. The primary exposure was the year of injury. Measured covariates 
      included lesion level, age, gender, comorbidity burden, and socioeconomic status. 
      RESULTS: We identified 1551 incident TSCI patients who were discharged from a 
      rehabilitation hospital in Ontario between 2002 and 2012. The median follow-up 
      time of this cohort was 5.0 (inter-quartile range [IQR] 2.9-7.5) years. Within 
      this cohort, 74% were male, and the mean age was 48 (IQR 33-63) years. In total, 
      66% of patients (1022/1551) were seen by a urologist in a median of 0.7 (IQR 
      0.2-3.0) years after the SCI. Over the study period, there was no change in the 
      proportion of TSCI patients being assessed by a urologist within 1 year of their 
      initial injury (median 55.1%, p = 0.92 for the trend). An adjusted Cox 
      proportional hazards model demonstrated that TSCI patients who were female 
      (hazard ratio [HR] 0.77, 95% confidence interval [CI] 0.66-0.92) or over 65 years 
      of age (HR 0.70, 95% CI 0.57-0.85) were significantly less likely to be referred 
      to a urologist. CONCLUSIONS: Urologists are often not involved in the care of 
      TSCI patients, and this has not changed significantly over the last 10 years. 
      Females and older patients are significantly less likely to be referred to a 
      urologist.
FAU - Welk, Blayne
AU  - Welk B
AD  - Institute for Clinical Evaluative Sciences - Western University (ICES Western), 
      London, ON; ; Department of Surgery, and Epidemiology and Biostatistics, Western 
      University, London, ON;
FAU - Tran, Kim Chi
AU  - Tran KC
AD  - Department of Surgery, Western University, London, ON;
FAU - Liu, Kuan
AU  - Liu K
AD  - Institute for Clinical Evaluative Sciences - Western University (ICES Western), 
      London, ON;
FAU - Shariff, Salimah
AU  - Shariff S
AD  - Institute for Clinical Evaluative Sciences - Western University (ICES Western), 
      London, ON;
LA  - eng
PT  - Journal Article
PL  - Canada
TA  - Can Urol Assoc J
JT  - Canadian Urological Association journal = Journal de l'Association des urologues 
      du Canada
JID - 101312644
PMC - PMC4250244
EDAT- 2014/12/09 06:00
MHDA- 2014/12/09 06:01
PMCR- 2014/11/01
CRDT- 2014/12/09 06:00
PHST- 2014/12/09 06:00 [entrez]
PHST- 2014/12/09 06:00 [pubmed]
PHST- 2014/12/09 06:01 [medline]
PHST- 2014/11/01 00:00 [pmc-release]
AID - cuaj-11-12-e805 [pii]
AID - 10.5489/cuaj.2403 [doi]
PST - ppublish
SO  - Can Urol Assoc J. 2014 Nov;8(11-12):E805-9. doi: 10.5489/cuaj.2403.