Prevalence of prostatitis-like symptoms in a population based study using the National Institutes of Health chronic prostatitis symptom index
Prevalence of prostatitis-like symptoms in a population based study using the National Institutes of Health chronic prostatitis symptom index
复制标题
DOI：
10.1016/s0022-5347(05)66541-x
复制
发表时间：
2001-03-01
影响因子：
6.6
通讯作者：
Clark, J
中科院分区：
文献类型：
--
作者：
Nickel, JC;Downey, J;Clark, J
目的：美国国立卫生研究院（NIH）慢性前列腺炎症状指数用于确定男性中前列腺炎样症状的患病率（年龄20至74岁）在基于社区的研究中处于风险中。这项研究是对伦诺克斯和阿丁顿县20至74岁的男性进行的横断面邮政调查，其中包括一个大的农村地区，主要城镇和郊区，男性人口稳定，代表了加拿大的人口结构。问卷收集了NIH慢性前列腺炎症状指数中确定的慢性前列腺炎2个领域的信息，包括疼痛（位置、严重程度和频率）、排尿功能（刺激性、阻塞性）、人口统计学、生活质量、一般健康状况和就医行为。自我报告的疼痛评分用于识别最具鉴别力领域中的类关节炎症状。基于对前列腺炎患者与正常对照组和良性前列腺增生患者进行比较的指数最终验证研究的分析，使用对前列腺炎最具特异性的2个问题，包括会阴和/或射精疼痛/不适，以及总疼痛评分（0至21）4或更高，来识别具有显著前列腺炎样症状的男性。共有2 987名符合条件的男子接受了调查，868人（29%）完成了调查。其中84名男性（9.7%）被确定为患有慢性前列腺炎样症状（平均NIH慢性前列腺炎症状指数疼痛评分9.1 +/- 0.3）。前列腺炎人群的平均年龄为50岁，而没有前列腺炎样症状的男性为52岁。50岁以下男性患病率为11.5%，50岁或以上男性患病率为8.5%。在抽样人群中，57名（6.6%）男性有类膝关节炎症状，指数疼痛评分为8或更高（中度至重度）。50岁以下男性的指数排尿评分（0 - 10）为4.1 +/- 0.5，而正常对照组为1.5 +/- 0.1，50岁或以上男性为4.7 +/- 0.4，而正常对照组为1.9 +/- 0.1。的前列腺炎组60%寻求医疗帮助，他们的symptoms.Conclusions：在我们看来，这个社区为基础的研究，使用新的前列腺炎症状指数证实，慢性前列腺炎样症状是常见的。
Purpose: The National Institutes of Health (NIH) chronic prostatitis symptom index was used to determine the prevalence of prostatitis-like symptoms among men (age 20 to 74 years) at risk in a community based study.Materials and Methods: The study was a cross-sectional postal survey of men age 20 to 74 years in Lennox and Addington counties, which included a large rural area, I major town and a suburban area with a stable population of men representative of Canadian demographics. The questionnaire collected information on 2 domains of chronic prostatitis identified in the NIH chronic prostatitis symptom index, including pain (location, severity and frequency), voiding function (irritative, obstructive), demographics, quality of life, general health and health seeking behavior. The self-reported pain score was used to identify prostatitis-like symptoms in the most discriminating domain. Based on analysis of the index final validation study comparing patients with prostatitis to normal controls and those with benign prostatic hyperplasia, the 2 questions most specific for prostatitis, including perineal and/or ejaculatory pain/discomfort, and a total pain score (0 to 21) 4 or greater were used to identify men with significant prostatitis-like symptoms.Results: A total of 2,987 eligible men received the survey, and it was completed by 868 (29%). Of the men 84 (9.7%) were identified as having chronic prostatitis-like symptoms (mean NIH chronic prostatitis symptom index pain score 9.1 +/- 0.3). The average age of the prostatitis population was 50 years compared with 52 years for men without prostatitis-like symptoms. Prevalence was 11.5% in men younger than 50 years and 8.5% in men 50 years or older. Of the sampled population 57 (6.6%) men had prostatitis-like symptoms and an index pain score 8 or greater (moderate to severe). The index voiding score (0 to 10) was 4.1 +/- 0.5 in men younger than 50 years compared with 1.5 +/- 0.1 for normal controls, and 4.7 +/- 0.4 in those 50 years or older compared with 1.9 +/- 0.1 for normal controls. Of the prostatitis group 60% sought medical help for their symptoms.Conclusions: In our opinion this community based study using the new prostatitis symptom index confirms that chronic prostatitis-like symptoms are common.