Lower urinary tract symptoms of men seeking medical care - Comparison of symptoms found in the clinical setting and in a community study
Lower urinary tract symptoms of men seeking medical care - Comparison of symptoms found in the clinical setting and in a community study
复制标题
DOI：
10.1016/s0090-4295(03)00252-8
复制
发表时间：
2003-08-01
期刊：
影响因子：
2.1
通讯作者：
Tsukamoto, T
中科院分区：
文献类型：
--
作者：
Masumori, N;Tanaka, Y;Tsukamoto, T
目标。调查哪些下尿路症状对导致男性就医影响最大。方法。我们评估了 235 名有下尿路症状的门诊患者和 242 名 50 至 79 岁日本男性社区研究参与者的国际前列腺症状评分 (IPSS) 和生活质量 (QOL) 评分。结果。尽管每个年龄段的重度IPSS类别（IPSS 20至35）的门诊患者比例均大于社区研究参与者的比例，但两组中中度IPSS类别（IPSS 8至19）的比例相互重叠。另一方面，生活质量得分的分布差异很大，每个年龄段只有一小部分重叠。尽管门诊患者的排尿症状（排空不完全、间歇性、尿流微弱和犹豫）和储存症状（尿频、尿急和夜尿增多）的得分均显着高于每个年龄段的研究参与者，但排尿症状的差异比储存症状的差异更明显。结论。与 IPSS 类别相比，生活质量得分似乎显示出诊所环境和社区环境中男性之间更显着的差异。日本男性的排尿症状可能会因生活质量受损而影响就医行为。
Objectives. To investigate which lower urinary tract symptoms were most influential in causing men to seek medical care.Methods. We evaluated the International Prostate Symptom Score (IPSS) and quality-of-life (QOL) score of 235 outpatients having lower urinary tract symptoms and 242 participants in a community-based study of Japanese men aged 50 to 79 years old.Results. Although the proportion of outpatients in the severe IPSS category (IPSS 20 to 35) was greater than that in the participants of the community-based study in each age decade, the proportion in the moderate IPSS category (IPSS 8 to 19) in both groups overlapped each other. On the other hand, the distribution of QOL scores was considerably different, with only a small portion of overlap in each age decade. Although scores for both voiding symptoms (incomplete emptying, intermittency, weak stream, and hesitancy) and storage symptoms (increased frequency, urgency, and nocturia) were significantly greater in outpatients than in study participants in each age decade, the difference was more obvious for voiding symptoms than for storage symptoms.Conclusions. The QOL score appeared to show more pronounced differences between men in a clinic setting and those in a community setting than the IPSS category. Voiding symptoms may affect medical care-seeking behavior through QOL impairment in Japanese men.