ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2000
Management of urinary tract infection in general practice: a cost-effectiveness analysis.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 3 of them syntheses that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
34 citing papers in PubMed, 3 syntheses or guidelines pooled it, 94 citations in OpenAlex.
- Point-of-care tests for urinary tract infections to reduce antimicrobial resistance: a systematic review and conceptual economic model.Health technology assessment (Winchester, England) · 2024Pooled it
- Does clinical examination aid in the diagnosis of urinary tract infections in women? A systematic review and meta-analysis.BMC family practice · 2011Pooled it
- Predicting acute uncomplicated urinary tract infection in women: a systematic review of the diagnostic accuracy of symptoms and signs.BMC family practice · 2010Pooled it
- Trial
- Cost effectiveness of management strategies for urinary tract infections: results from randomised controlled trial.BMJ (Clinical research ed.) · 2010Trial
- Clinical and bacteriological outcome of different doses and duration of pivmecillinam compared with placebo therapy of uncomplicated lower urinary tract infection in women: the LUTIW project.Scandinavian journal of primary health care · 2007Trial
- Response to antibiotics of women with symptoms of urinary tract infection but negative dipstick urine test results: double blind randomised controlled trial.BMJ (Clinical research ed.) · 2005Trial
- An observational diagnostic accuracy study comparing the urine dipstick with a consensus-based reference standard for the diagnosis of urinary tract infections in older adults.BMC geriatrics · 2026Observational
- Rapid diagnosis of urinary tract infection with miniaturised point-of-care cultivation on a dipstick.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2025Review
- Deep Learning-Based Culture-Free Bacteria Detection in Urine Using Large-Volume Microscopy.Biosensors · 2024Article
- Performance of an innovative culture-based digital dipstick for detection of bacteriuria.Microbiology spectrum · 2024Article
- Article
- Workload, diagnostic work-up and treatment of urinary tract infections in adults during out-of-hours primary care: a retrospective cohort study.BMC family practice · 2020Observational
- Diagnosis and Management of UTI in Primary Care Settings-A Qualitative Study to Inform a Diagnostic Quick Reference Tool for Women Under 65 Years.Antibiotics (Basel, Switzerland) · 2020Article
- Point-of-care tests for urinary tract infections: protocol for a systematic review and meta-analysis of diagnostic test accuracy.BMJ open · 2020Article
- A guide for urogynecologic patient care utilizing telemedicine during the COVID-19 pandemic: review of existing evidence.International urogynecology journal · 2020Review
- Management of Urinary Tract Infections in Direct to Consumer Telemedicine.Journal of general internal medicine · 2020Observational
- Knowledge and Practice Discordance in Treating Urinary Tract Infections.PRiMER (Leawood, Kan.) · 2018Article
- The economic burden of urinary tract infections in women visiting general practices in France: a cross-sectional survey.BMC health services research · 2016Article
- [German validation of the Acute Cystitis Symptom Score].Der Urologe. Ausg. A · 2015Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSymptoms associated with urinary tract infection (UTI) are common in women in general practice and represent a significant burden for the National Health Service. There is considerable variation among general practitioners in the management of patients presenting with these symptoms.
aimTo identify the most appropriate patient management strategy given current information for non-pregnant, adult women presenting in general practice with symptoms of uncomplicated UTI.
methodA decision analytic model incorporating a variety of patient management strategies was constructed using available published information and expert opinion. This model was able to provide guidance on current best practice based upon cost-effectiveness (cost per symptom-free day).
resultsEmpiric treatment was found to be the least costly strategy available. It saved two days of symptoms per episode of UTI at a cost of 14 Pounds. The empiric-and-laboratory strategy involves an incremental cost-effectiveness ratio of 215 Pounds per symptom day averted per episode of UTI. The remaining patient management strategies are never optimal.
conclusionEmpiric treatment of patients presenting with symptoms of UTI was found to be cost-effective under a range of assumptions for this patient group. However, recognition of the impact of this strategy upon antibiotic resistance may lead to the dipstick strategy being considered a superior strategy overall.
Indexed as
Identifiers
11042915PMC1313774W2096410209What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.