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array:23 [ "pii" => "S2173578612000844" "issn" => "21735786" "doi" => "10.1016/j.acuroe.2012.05.010" "estado" => "S300" "fechaPublicacion" => "2012-03-01" "aid" => "391" "copyright" => "AEU" "copyrightAnyo" => "2011" "documento" => "simple-article" "crossmark" => 0 "subdocumento" => "cor" "cita" => "Actas Urol Esp. 2012;36:203-4" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1137 "formatos" => array:3 [ "EPUB" => 15 "HTML" => 869 "PDF" => 253 ] ] "Traduccion" => array:1 [ "es" => array:19 [ "pii" => "S0210480611003950" "issn" => "02104806" "doi" => "10.1016/j.acuro.2011.11.002" "estado" => "S300" "fechaPublicacion" => "2012-03-01" "aid" => "391" "copyright" => "AEU" "documento" => "simple-article" "crossmark" => 0 "subdocumento" => "cor" "cita" => "Actas Urol Esp. 2012;36:203-4" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 4201 "formatos" => array:3 [ "EPUB" => 11 "HTML" => 3676 "PDF" => 514 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Carta al Director</span>" "titulo" => "Criterios de derivación de la hiperplasia benigna de próstata para atención primaria. Versión 2011" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "203" "paginaFinal" => "204" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Referral Criteria for Benign Prostatic Hyperplasia in Primary Care. The 2011 Update" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 3315 "Ancho" => 2402 "Tamanyo" => 528732 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Algoritmo de criterios de derivación en HBP.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "J.M. Cózar, J. Castiñeiras" "autores" => array:2 [ 0 => array:2 [ "nombre" => "J.M." "apellidos" => "Cózar" ] 1 => array:2 [ "nombre" => "J." "apellidos" => "Castiñeiras" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2173578612000844" "doi" => "10.1016/j.acuroe.2012.05.010" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173578612000844?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480611003950?idApp=UINPBA00004N" "url" => "/02104806/0000003600000003/v2_201304261330/S0210480611003950/v2_201304261330/es/main.assets" ] ] "itemAnterior" => array:19 [ "pii" => "S2173578612000832" "issn" => "21735786" "doi" => "10.1016/j.acuroe.2012.05.009" "estado" => "S300" "fechaPublicacion" => "2012-03-01" "aid" => "355" "copyright" => "AEU" "documento" => "simple-article" "crossmark" => 0 "subdocumento" => "cor" "cita" => "Actas Urol Esp. 2012;36:202" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1392 "formatos" => array:3 [ "EPUB" => 9 "HTML" => 1001 "PDF" => 382 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Joseph Bell (1837–1911): Centenary of the surgeon who inspired Arthur Conan Doyle for the character of Sherlock Holmes and who taught urology in Edinburgh" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "202" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Joseph Bell (1837-1911): Centenario del cirujano que inspiró a Arthur Conan Doyle el personaje de Sherlock Holmes, y que enseñó urología en Edimburgo" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 880 "Ancho" => 1550 "Tamanyo" => 118450 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Figure 34 of Bell's text to illustrate perineal lithotomy, which includes the following legend: ‘Diagram of a section of the prostate seen from within the prostate. PF: pelvic fascia or prostatic sheath; RR: ring to be sectioned; L: position of the incision in the lateral operation; DD: position of the incision in the bilateral operation’.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "L.A. Fariña-Pérez" "autores" => array:1 [ 0 => array:2 [ "nombre" => "L.A." "apellidos" => "Fariña-Pérez" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0210480611003159" "doi" => "10.1016/j.acuro.2011.07.014" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480611003159?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173578612000832?idApp=UINPBA00004N" "url" => "/21735786/0000003600000003/v1_201304251809/S2173578612000832/v1_201304251809/en/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Referral criteria for benign prostatic hyperplasia in primary care. The 2011 update" "tieneTextoCompleto" => true "saludo" => "<span class="elsevierStyleItalic">Dear Editor:</span>" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "203" "paginaFinal" => "204" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "J.M. Cózar, J. Castiñeiras" "autores" => array:2 [ 0 => array:4 [ "nombre" => "J.M." "apellidos" => "Cózar" "email" => array:1 [ 0 => "cozarjm@yahoo.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "J." "apellidos" => "Castiñeiras" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "En representación del Comité Científico de Criterios de Derivación en Hiperplasia Benigna de Próstata, Madrid, Spain" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Criterios de derivación de la hiperplasia benigna de próstata para atención primaria. Versión 2011" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 3325 "Ancho" => 2402 "Tamanyo" => 510182 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Referral criteria algorithm in BPH.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">I am sending the following letter with the intention of communicating the Spanish urologists the update of the document of the referral criteria in benign prostatic hyperplasia (BPH) for primary care (PC) published in <span class="elsevierStyleItalic">Actas Urológicas Españolas</span> in 2010.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">Since the publication of the first version, a great amount of clinically relevant innovations that justify the update of the same have emerged in its management, so that these referral criteria of the patient seen in PC to specialist care (SC) are grounded in the latest published evidence, all as a result of consensus emerged among the authors, representing PC companies (SEMERGEN, SEMG, and SEMFYC) and the <span class="elsevierStyleItalic">Asociación Española de Urología</span> (AEU).</p><p id="par0015" class="elsevierStylePara elsevierViewall">We have included the stratification of patients by risk factors which has recently been published by the British NICE (National Institute for Clinical Excellence), based on the publication of the last major studies on the treatment of the pathology, such as the CombAT study; the 2011 guidelines of the European Association of Urology and the 2001 guidelines of the American Urological Association.</p><p id="par0020" class="elsevierStylePara elsevierViewall">Regarding the diagnosis, the value of the anamnesis is revised, with the IPSS as the best validated test in Spanish, the value of the rectal examination as a fundamental test to assess size and normality or not of the prostatic surface, as well as laboratory tests (blood and sedimentation test), and finally, the information on the usual PSA is updated, with its cut-off points of normality and circulating forms (total PSA, free PSA), and its diagnostic value.</p><p id="par0025" class="elsevierStylePara elsevierViewall">From the discussion of all these variables, the Working Group established a diagnostic and therapeutic decision algorithm based on the results for whether or not to proceed or not to referral from PC to SC (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0030" class="elsevierStylePara elsevierViewall">In the treatment of BPH, its different management options are updated, ranging from changing daily habits and lifestyle to medical treatment with the different groups of drugs available to us today as pharmacological arsenal, leaving surgery for those patients not responding to medical treatment of first or second choice. For this revision, we have taken the levels of evidence into account.</p><p id="par0035" class="elsevierStylePara elsevierViewall">Likewise, the equally important chapter of the moment and periodicity of revisions to assess both the effectiveness of the selected treatment to assess the side effects by the PC physician, as well as the attitudes to follow consistently in each case, is established.</p><p id="par0040" class="elsevierStylePara elsevierViewall">As mentioned above, the final product is a tool that establishes the management of the BPH and its referral criteria in both levels of care, PC and SC, being agreed by the main companies of PC and the AEU, which is a guarantee of success in its application, and it also shows us a new way to establish a real collaboration in the management of other prevalent urological pathologies, whose management and referral criteria concern all the physicians involved in its diagnosis and treatment.</p><p id="par0045" class="elsevierStylePara elsevierViewall">It is expected that all such new scientific knowledge is incorporated by PC physicians and urologists in their usual clinical practice; only then they will reach their ultimate beneficiary, who is none other than the patient with this disease. If so, together, we will have achieved the main goal of this project, which has enjoyed the logistics cooperation of GlaxoSmithKline.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Please cite this article as: Cózar JM, Castiñeiras J. Criterios de derivación de la hiperplasia benigna de próstata para atención primaria. Versión 2011. Actas Urol Esp. 2012;36:203–4.</p>" ] ] "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 3325 "Ancho" => 2402 "Tamanyo" => 510182 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Referral criteria algorithm in BPH.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "Reference" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:1 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Criterios de derivación en hiperplasia benigna de prós-tata para atención primaria" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "J. Castiñeiras Fernández" 1 => "J.M. Cozar Olmo" 2 => "A. Fernández-Pro" 3 => "J.A. Martín" 4 => "F.J. Brenes Bermúdez" 5 => "E. Naval Pulido" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Actas Urol Esp" "fecha" => "2010" "volumen" => "34" "paginaInicial" => "24" "paginaFinal" => "31" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20223130" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735786/0000003600000003/v1_201304251809/S2173578612000844/v1_201304251809/en/main.assets" "Apartado" => array:4 [ "identificador" => "6306" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Letters to the editor" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735786/0000003600000003/v1_201304251809/S2173578612000844/v1_201304251809/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173578612000844?idApp=UINPBA00004N" ]
