Prevalence of interstitial cystitis in a primary care setting
Prevalence of interstitial cystitis in a primary care setting
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DOI：
10.1016/j.urology.2006.03.085
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发表时间：
2007-04-01
期刊：
影响因子：
2.1
通讯作者：
Hazzard, Matthew A.
中科院分区：
文献类型：
--
作者：
Rosenberg, Matt T.;Page, Shari;Hazzard, Matthew A.
在这篇文章中，我们报告了一项研究，该研究使用基于症状和改进的基于诊断的评估模式来评估初级保健办公室的间质性膀胱炎(IC)的患病率。在一年的时间里，所有来初级保健办公室就诊的18岁患者都接受了骨盆疼痛和紧迫度/频率(PUF)问卷的调查。根据PUF评分，选择有潜在IC的患者进行进一步的访谈，并在适当的情况下进行钾敏感试验(PST)或麻醉膀胱挑战(ABC)。之后，那些接受了PST测试的人被问及测试的耐受性。在最初接受调查的3883名患者中，13.1%(n+/-509)的患者报告了提示可能的IC的PUF评分，其中17.5%(2043年中的357人)和8.3%(1840人中的152人)。总体而言，在这个初级保健人群中，根据病史、PUF评分、患者访谈和PST或ABC的结果，4.3%(3883人中的168人)被诊断为IC。研究发现，PST与几种基于办公室的标准程序相当，而且在大多数情况下痛苦较少。IC是普通初级保健人群中的一种流行疾病。PUF问卷是一种简单易用的IC症状筛查方法，PST和ABC是诊断IC的有用且相对无创的辅助手段。
In this article, we report a study that assessed the prevalence of interstitial cystitis (IC) in a primary care office using symptom-based and improved diagnosis-based assessment modalities. Over the course of 1 year, all patients >= 18 years of age who presented for a primary care office visit were administered the Pelvic Pain and Urgency/Frequency (PUF) questionnaire. Patients with potential IC as indicated by PUF score were selected for further interview and, when appropriate, a Potassium Sensitivity Test (PST) or Anesthetic Bladder Challenge (ABC). Those given the PST were queried afterward regarding the tolerability of the test. Of 3883 patients initially surveyed, 13.1% (n +/- 509) reported PUF scores suggestive of probable IC, including 17.5% (357 of 2043) of women and 8.3% (152 of 1840) of men. Overall, 4.3% (168 of 3883) of patients in this primary care population was diagnosed with IC on the basis of history, PUF score, patient interview, and results of the PST or ABC. The PST was found to be comparable to, and in most cases less painful than, several standard office-based procedures. IC is a prevalent disease in the general primary care population. The PUF questionnaire represents an easy-to-use approach for IC symptom screening, and the PST and the ABC are useful and relatively noninvasive adjuncts in the diagnosis of IC.