Prevalence of Lower Urinary Tract Symptoms in China, Taiwan, and South Korea: Results from a Cross-Sectional, Population-Based Study.
Prevalence of Lower Urinary Tract Symptoms in China, Taiwan, and South Korea: Results from a Cross-Sectional, Population-Based Study.
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中国，台湾和韩国尿路症状较低的患病率：基于人群的横断面研究结果。
DOI：
10.1007/s12325-017-0577-9
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发表时间：
2017-08
影响因子：
3.8
通讯作者：
Sumarsono B
中科院分区：
文献类型：
--
作者：
Chapple C;Castro-Diaz D;Chuang YC;Lee KS;Liao L;Liu SP;Wang J;Yoo TK;Chu R;Sumarsono B
很少有基于人群的数据可以评估亚洲下尿路症状(LUTS)的患病率。我们研究的目的是使用国际大陆协会(ICS2002)的标准来确定中国、台湾和韩国的下尿路感染的患病率。一项基于互联网的自我管理调查，对象是年龄至少40岁、具有使用计算机和阅读当地语言能力的个人。调查问题包括ICS症状定义和国际前列腺症状评分(IPSS)。数据分析基于描述性统计和事后显着性检验。共有8284名参与者，其中51%是女性，34%的人年龄在60岁以上。男性的下尿路结石患病率略高于女性(62.8%vs.59.6%；p=0.004)，并随着年龄的增长而显著增加(p=0.001)。所有三种ICS症状组(排尿、储尿和排尿后)在35%的LUTS患者中都存在。总患病率最高的症状是夜尿症、尿频、排空不全和末梢流口水。最烦人的症状是末梢流口水、夜尿症和紧迫感。根据IPSS评分，87%的参与者至少有轻微的症状；60岁以上的人中有43%的人有中/重度症状。患有LUTS的参与者因尿路症状而去看医疗专业人员的比例为26%，在所有三种症状组的患者中上升到45%(p=0.001与其他ICS症状组相比)。在中国、台湾和韩国参与这项研究的40岁以上的男性和女性中，LUT非常普遍，并且随着年龄的增长而增加。少数LUTS患者寻求医疗保健，我们的结果表明需要提高患者对LUTS的认识。Astellas Pharma新加坡私人有限公司有限公司。ClinicalTrials.gov标识符，NCT02618421。本文的在线版本(doi：10.1007/s12325-0170577-9)包含补充材料，授权用户可以使用。
Few population-based data are available evaluating the prevalence of lower urinary tract symptoms (LUTS) in Asia. The objective of our study was to determine LUTS prevalence in China, Taiwan, and South Korea using International Continence Society (ICS) 2002 criteria. An Internet-based self-administered survey among individuals aged at least 40 years with the ability to use a computer and to read the local language. Survey questions included ICS symptom definitions and the international prostate symptom score (IPSS). Data analysis was based on descriptive statistics and post hoc significance testing. There were 8284 participants, of whom 51% were women and 34% were aged at least 60 years. LUTS prevalence was slightly higher in men than women (62.8% vs. 59.6%; p = 0.004), increasing significantly with age (p = 0.001). All three ICS symptom groups (voiding, storage, and post-micturition) were present in 35% of individuals with LUTS. Symptoms with the highest overall prevalence were nocturia, frequency, incomplete emptying, and terminal dribble. The most bothersome symptoms were terminal dribble, nocturia, and urgency. According to IPSS scores, 87% of participants had at least mild symptoms; 43% of those aged over 60 years had moderate/severe symptoms. The percentage of participants with any LUTS who had visited healthcare professionals because of urinary symptoms was 26%, rising to 45% amongst individuals with all three symptom groups (p = 0.001 vs. other ICS symptom groups). LUTS are highly prevalent in men and women aged at least 40 years who participated in this study in China, Taiwan, and South Korea and increases with increasing age. A minority of individuals with LUTS seek healthcare and our results suggest an increased patient awareness of LUTS is required. Astellas Pharma Singapore Pte. Ltd. ClinicalTrials.gov identifier, NCT02618421. The online version of this article (doi:10.1007/s12325-017-0577-9) contains supplementary material, which is available to authorized users.
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