Adherence to the European Association of Urology Guidelines: A National Survey among Italian Urologists

Giovanni Cacciamani, Walter Artibani, Alberto Briganti, James N'Dow

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8 Citations (Scopus)


Objective: The study aimed to explore adherence to the European Urological Association (EAU) Guidelines (GLs) grade A recommendation among Italian urologists. Materials and Methods: A 13-item multiple-choice questionnaire covering oncological and non-oncological urological diseases was e-mailed to all Italian Urologist Society (Società Italiana di Urologia or SIU) members. We asked members to provide an explanation for their answer choice where needed. The quantitative data were tested using the Pearson's chi-square test. For all statistical comparisons, significance was considered as p < 0.05. Results: Of the 2011 invited SIU members, 210 (10.4%) completed the survey. The sample was composed of 22 (10.5%) Academic Urologists (AcUs), 110 (52.4%) Attending Urologists (AtUs), 32 (15.2%) Private Practice Urologists (PPUs), and 41 (19.5%) Residents in Urology (RUs). The mean adherence to the EAU Oncologic GLs ranged from 54.5 to 97.1%, while the adherence to the non-oncologic GLs ranged from 45 to 87.6%. We found that adherence differed across the working categories assessed. Conclusion: Our survey showed that professional role, updates, and local facilities seem to be the drivers that influence the non-adherence to the GLs. Urologists who work in university hospital would be more inclined to adopt the GLs compared to those who practice in non-academic centers.

Original languageEnglish
Pages (from-to)139-145
Number of pages7
JournalUrologia Internationalis
Issue number2
Early online date16 Jan 2018
Publication statusPublished - 31 Mar 2018


  • Adherence to guidelines
  • European Urological Association guidelines
  • Societ Italiana di Urologia
  • Urology survey


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