Evidence map›Paper›PMID 34097640›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2021

Managing lower urinary tract symptoms in primary care: qualitative study of GPs' and patients' experiences.

Sarah Milosevic, Natalie Joseph-Williams, Bethan Pell, Elizabeth Cain, Robyn Hackett, Ffion Murdoch, Haroon Ahmed, A Joy Allen, Alison Bray, Emma Thomas-Jones and 2 more

Open access · hybridAbstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.0field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 11 citations in OpenAlex.

  1. Self-management of male urinary symptoms: qualitative findings from a primary care trial.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026
    Trial
  2. Lower urinary tract symptoms in men: the TRIUMPH cluster RCT.Health technology assessment (Winchester, England) · 2024
    Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Effective management of male lower urinary tract symptoms in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 3 countries.

Sarah MilosevicCentre for Trials Research, Cardiff University, Cardiff.
Natalie Joseph-WilliamsPRIME Centre Wales, Division of Population Medicine, School of Medicine, Cardiff University, Cardiff.
Bethan PellCentre for the Development and Evaluation of Complex Interventions for Public Health Improvement (DECIPHer), Cardiff University, Cardiff.
Elizabeth CainPRIME Centre Wales, Division of Population Medicine, School of Medicine, Cardiff University, Cardiff.
Robyn HackettPRIME Centre Wales, Division of Population Medicine, School of Medicine, Cardiff University, Cardiff.
Ffion MurdochPRIME Centre Wales, Division of Population Medicine, School of Medicine, Cardiff University, Cardiff.
Haroon AhmedPRIME Centre Wales, Division of Population Medicine, School of Medicine, Cardiff University, Cardiff.
A Joy AllenNational Institute for Health Research Newcastle In Vitro Diagnostics Co-operative, Newcastle University, Newcastle upon Tyne; Translational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne.
Alison BrayNorthern Medical Physics and Clinical Engineering, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne; honorary research associate, Translational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne.
Emma Thomas-JonesCentre for Trials Research, Cardiff University, Cardiff.
Chris HardingDepartment of Urology, Newcastle upon Tyne NHS Hospital Trust, Newcastle Freeman Hospital, Newcastle upon Tyne.
Adrian EdwardsPRIME Centre Wales, Division of Population Medicine, School of Medicine, Cardiff University, Cardiff.
Cardiff University · GBNewcastle upon Tyne Hospitals NHS Foundation Trust · GBNIHR Leeds In Vitro Diagnostics Co-operative · GB

Funding

Medical Research Council MR/K023233/1
6 · The paper itself

Abstract

backgroundLower urinary tract symptoms (LUTS) are common in males aged ≥40 years and have a considerable impact on quality of life. Management can be complex, and although most LUTS could be treated effectively in primary care, referrals to urology outpatients are increasing.

aimTo explore GPs' experiences of managing LUTS together with patients' experiences of and preferences for treatment in primary care. DESIGN AND

settingTelephone interviews were conducted with GPs and male patients presenting to primary care with bothersome LUTS.

methodEleven GPs and 25 male patients were purposively sampled from 20 GP practices in three UK regions: Newcastle upon Tyne, Bristol, and South Wales. Interviews were conducted between May 2018 and January 2019, and were analysed using a framework approach.

resultsDifficulty establishing causes and differentiating between prostate and bladder symptoms were key challenges to the diagnosis of LUTS in primary care, often making treatment a process of trial and error. Pharmacological treatments were commonly ineffective and often caused side effects. Despite this, patients were generally satisfied with GP consultations and expressed a preference for treatment in primary care.

conclusionManaging LUTS in primary care is a more accessible option for patients. Given the challenges of LUTS diagnosis, an effective diagnostic tool for use by GPs would be beneficial. Ensuring bothersome LUTS are not dismissed as a normal part of ageing is essential in improving patients' quality of life. Greater exploration of the role of non-pharmacological treatments is needed.

Indexed as

General PractitionersLower Urinary Tract SymptomsAttitude of Health PersonnelHumansMalePrimary Health CareQualitative ResearchQuality of LifeReferral and Consultationgeneral practicelower urinary tract symptomsprimary health carequalitative researchurology

Identifiers

PMID34097640
PMCPMC8340731
OpenAlexW3171991838

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.