(078) The Release of the AUA Testosterone Guidelines Correlate With an Increase in Testosterone Prescriptions Among Urologists

Abstract Introduction There has been a continued increase in total testosterone prescriptions since 2014. The AUA published guidelines regarding the evaluation and treatment of men with deficiency 2018. is paucity literature addressing prescription trends different specialties during release 2018 Guidelines. Objective We aimed to elucidate overall each specialty from 2016 2019 as were released. Methods Publicly available data Center for Medicare Services (CMS) Part D Prescriber database regards across 4-year span (January 1, 2016-December 31, 2019) analyzed. Prescribers categorized into based on their NPI. analyzed over 100 prescribers using negative binomial model. Results Family practice, internal medicine, urology, endocrinology, nurse practitioners (NPs), physician assistants (PAs), general infectious disease, emergency medicine (listed order descending prescribers) nine prescribers. From had an number except which 4% decline (Figure 1). Nurse largest relative at 118%. average claims increased year 2019. However, focusing consecutive years only 2017 significantly differ (p=0.015) urologists having yearly (40 43 claims) 2). NPs PAs both have increasing share 3). Conclusions CMS data. Our analysis showed that statistically significant corresponding Urologists prescribe most highest per provider Additionally, are prescribing course our analysis. Disclosure No