Prevalence of prostatitis-like symptoms in a managed care population
Prevalence of prostatitis-like symptoms in a managed care population
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DOI：
10.1016/j.juro.2006.03.089
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发表时间：
2006-08-01
影响因子：
6.6
通讯作者：
Calhoun, Elizabeth A.
中科院分区：
文献类型：
--
作者：
Clemens, J. Quentin;Meenan, Richard T.;Calhoun, Elizabeth A.
目的：我们计算了典型的慢性前列腺炎/慢性盆腔疼痛综合征在太平洋西北地区的管理护理人群中的男性症状的患病率，材料和方法：一份问卷邮寄给5,000名男性登记25至80岁的凯撒永久西北（波特兰，俄勒冈州）健康计划进行。调查问卷包括有关盆腔疼痛的存在、持续时间和严重程度的筛选问题，以及美国国立卫生研究院慢性前列腺炎症状指数。慢性前列腺炎/慢性骨盆疼痛综合征症状以2种方式定义：1）持续3个月或更长时间存在以下任何症状：会阴、睾丸、阴茎尖端、耻骨或膀胱区域疼痛、排尿困难、射精疼痛;和2）会阴和/或射精疼痛，以及美国国立卫生研究院慢性前列腺炎症状指数总疼痛评分为4或更高。患病率估计年龄调整的总凯萨永久西北男性population.Results：共收回1,550份问卷。慢性前列腺炎/慢性盆腔疼痛综合征症状的患病率在定义1中为7.5%，在定义2中为5.9%。定义1和2的平均国立卫生研究院慢性前列腺炎症状指数评分为17。在那些有类似肠炎症状的人中，30%符合两种定义的标准。两种诊断中任何一种诊断的类似腺炎症状的患病率为11.2%。结论：这项基于人群的研究表明，大约每9名男性中就有1名有类似腺炎的症状。应用2种不同的炎症样症状定义确定了独特的男性群体，这些群体的重叠有限。
Purpose: We calculated the prevalence of symptoms typically associated with chronic prostatitis/chronic pelvic pain syndrome in men in a managed care population in the Pacific Northwest.Materials and Methods: A questionnaire mailing to 5,000 male enrollees 25 to 80 years old in the Kaiser Permanente Northwest (Portland, Oregon) health plan was performed. The questionnaires included screening questions about the presence, duration and severity of pelvic pain, and the National Institutes of Health Chronic Prostatitis Symptom Index. Chronic prostatitis/chronic pelvic pain syndrome symptoms were defined in 2 ways: 1) presence of any of the following for a duration of 3 or more months: pain in the perineum, testicles, tip of penis, pubic or bladder area, dysuria, ejaculatory pain; and 2) perineal and/or ejaculatory pain, and a National Institutes of Health Chronic Prostatitis Symptom Index total pain score of 4 or more. Prevalence estimates were age adjusted to the total Kaiser Permanente Northwest male population.Results: A total of 1,550 questionnaires were returned. The prevalence of chronic prostatitis/chronic pelvic pain syndrome symptoms was 7.5% for definition 1 and 5.9% for definition 2. Mean National Institutes of Health Chronic Prostatitis Symptom Index scores were 17 for definitions 1 and 2. Of those with prostatitis-like symptoms, 30% met criteria for having both definitions present. The prevalence of prostatitis-like symptoms using either of the 2 diagnoses was 11.2%.Conclusions: This population based study indicates that approximately 1 in 9 men have prostatitis-like symptoms. Application of 2 different definitions for prostatitis-like symptoms identified unique groups of men, with limited overlap in the groups.