Population-based survey of urinary incontinence, overactive bladder, and other lower urinary tract symptoms in five countries: Results of the EPIC study
Population-based survey of urinary incontinence, overactive bladder, and other lower urinary tract symptoms in five countries: Results of the EPIC study
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DOI：
10.1016/j.eururo.2006.09.019
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发表时间：
2006-12-01
期刊：
影响因子：
23.4
通讯作者：
Abrams, Paul
中科院分区：
文献类型：
--
作者：
Irwin, Debra E.;Milsom, Ian;Abrams, Paul
目的：使用 2002 年国际尿失禁协会 (ICS) 的定义，估计五个国家的男性和女性尿失禁 (UI)、膀胱过度活动症 (OAB) 和其他下尿路症状 (LUTS) 的患病率。 方法：这项基于人群的横断面调查于 2005 年 4 月至 12 月期间在加拿大、德国、意大利、瑞典和英国通过计算机辅助电话访谈进行。随机抽取了居住在这五个国家的 18 岁以上男性和女性样本，他们代表了这些国家的一般人群。使用 2002 年 ICS 定义，计算了蓄尿、排尿和排尿后 LUTS 的患病率估计值。数据按国家、年龄组和性别进行分层。结果：共有 19,165 人同意参与； 64.3% 的人报告至少有一种 LUTS。夜尿是最常见的 LUTS（男性，48.6%；女性，54.5%）。蓄尿性LUTS（男性，51.3%；女性，59.2%）的患病率高于排尿症状（男性，2S.7%；女性，19.5%）和排尿后症状（男性，16.9%；女性，14.2%）症状的总和。 CAB的总体患病率为11.8%；男性和女性的发病率相似，并且随着年龄的增长而增加。 CAB 的患病率高于所有类型 UI 的总和 (9.4%)。结论：EPIC 研究是评估五个国家 OAB、UI 和其他 LUTS 患病率的最大的基于人群的调查。迄今为止，这是第一项使用 2002 年 ICS 定义同时评估这些症状的研究。结果表明，这些症状在接受调查的国家中非常普遍。 (c) 2006 年由 Elsevier B.V. 代表欧洲泌尿外科协会出版。
Objective: Estimate the prevalence of urinary incontinence (UI), overactive bladder (OAB), and other lower urinary tract symptoms (LUTS) among men and women in five countries using the 2002 International Continence Society (ICS) definitions.Methods: This population-based, cross-sectional survey was conducted between April and December 2005 in Canada, Germany, Italy, Sweden, and the United Kingdom using computer-assisted telephone interviews. A random sample of men and women aged >= 18 yr residing in the five countries and who were representative of the general populations in these countries was selected. Using 2002 ICS definitions, the prevalence estimates of storage, voiding, and postmicturition LUTS were calculated. Data were stratified by country, age cohort, and gender.Results: A total of 19,165 individuals agreed to participate; 64.3% reported at least one LUTS. Nocturia was the most prevalent LUTS (men, 48.6%; women, 54.5%). The prevalence of storage LUTS (men, 51.3%; women, 59.2%) was greater than that for voiding (men, 2S.7%; women, 19.5%) and postmicturition (men, 16.9%; women, 14.2%) symptoms combined. The overall prevalence of CAB was 11.8%; rates were similar in men and women and increased with age. CAB was more prevalent than all types of UI combined (9.4%).Conclusions: The EPIC study is the largest population-based survey to assess prevalence rates of OAB, UI, and other LUTS in five countries. To date, this is the first study to evaluate these symptoms simultaneously using the 2002 ICS definitions. The results indicate that these symptoms are highly prevalent in the countries surveyed. (c) 2006 Published by Elsevier B.V. on behalf of European Association of Urology.