Prevalence of a physician-assigned diagnosis of prostatitis: The Olmsted County study of urinary symptoms and health status among men
Prevalence of a physician-assigned diagnosis of prostatitis: The Olmsted County study of urinary symptoms and health status among men
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DOI：
10.1016/s0090-4295(98)00034-x
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发表时间：
1998-04-01
期刊：
影响因子：
2.1
通讯作者：
Jacobsen, SJ
中科院分区：
文献类型：
--
作者：
Roberts, RO;Lieber, MM;Jacobsen, SJ
目标。描述以社区为基础的队列中医生指定诊断前列腺炎的发生情况。采用明尼苏达州奥姆斯特县全县男性居民抽样框架，于1990年1月1日前随机抽取40~79岁男性队列，参与下尿路症状的纵向研究。2115名参与者(应答率55%)完成了一份先前有效的自我管理问卷，该问卷评估了下尿路症状的患病率，包括前列腺炎病史。随后，对参与者的所有住院和门诊社区病历进行了回顾，以确定从病历开始之日到最后一次随访之日医生指定的前列腺炎诊断。医生指定诊断前列腺炎的总患病率为9%。确诊为“前列腺炎”的男性有排尿困难和尿频的症状，以及直肠、会阴、耻骨上和下腰痛。在既往诊断为前列腺炎的男性中，随后发生前列腺炎的累积概率要高得多(40岁、60岁和80岁的男性分别为20%、38%和50%)。这些发现表明，以社区为基础的医生指定诊断前列腺炎的患病率很高，与缺血性心脏病和糖尿病的患病率相似。此外，一旦男性患上前列腺炎，他比没有确诊的男性更有可能患上慢性前列腺炎。尽管这些诊断背后的病理机制尚不确定，但这些数据为了解诊断在社区中发生的频率提供了第一步。(C)1998，Elsevier Science Inc.保留所有权利。
Objectives. To describe the occurrence of a physician-assigned diagnosis of prostatitis in a community-based cohort.Methods. A sampling frame of all Olmsted County, Minnesota, male residents was used to randomly select a cohort of men between 40 and 79 years old by January 1, 1990, to participate in a longitudinal study of lower urinary tract symptoms. The 2115 participants (response rate 55%) completed a previously validated self-administered questionnaire that assessed the prevalence of lower urinary tract symptoms, including a history of prostatitis. Subsequently, all inpatient and outpatient community medical records of participants were reviewed retrospectively for a physician-assigned diagnosis of prostatitis from the date of initiation of the medical record through the date of the last follow-up.Results. The overall prevalence rate of a physician-assigned diagnosis of prostatitis was 9%. Men identified with the diagnosis of "prostatitis" had symptoms of dysuria and frequency and rectal, perineal, suprapubic, and lower back pain. Among men with a previous diagnosis of prostatitis, the cumulative probability of subsequent episodes of prostatitis was much higher (20%, 38%, and 50% among men 40, 60, and 80 years old, respectively).Conclusions. These findings indicate that the community-based prevalence of a physician-assigned diagnosis of prostatitis is high, of similar magnitude to that of ischemic heart disease and diabetes. Furthermore, once a man has an initial episode of prostatitis, he is more likely to suffer chronic episodes than men without a diagnosis. Although the pathologic mechanisms underlying these diagnoses are not certain, these data provide a first step toward understanding how frequently the diagnosis occurs in the community. (C) 1998, Elsevier Science Inc. All rights reserved.