Lower urinary tract symptoms (LUTS) in people aged 50 or older consulting general practitioners

Lower urinary tract symptoms (LUTS) in people aged 50 or older consulting general practitioners
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50 岁或以上人群的下尿路症状 (LUTS) 咨询全科医生

DOI:
10.1111/j.1447-0594.2007.00389.x
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发表时间:
2007
影响因子:
3.3
通讯作者:
T. Fujisawa
T. Fujisawa
中科院分区:
医学3区
文献类型:
--
作者:
K. Okamura;Y. Nojiri;M. Hirano;T. Yanagihara;Toshiyuki Murase;T. Fujisawa

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调查了咨询全科医生(GP)的人的下尿路症状(LUTS)的发生率。我们使用了一份问卷,其中包括7个关于LUTS的问题和1个关于基于国际前列腺症状评分(I-PSS)的困扰的问题,3个关于膀胱过度活动症状评分(OABSS)的问题和4个关于国际咨询问卷简表(ICIQ-SF)的问题,并在1120名50岁或以上的人中进行了调查,这些人咨询了17家GP诊所。在958人(86%)回答了问卷,我们分析了822人(73%)完成了所有上述问题的数据。有364名男性(平均年龄67岁)和458名女性(平均年龄68岁)。  I-PSS和OABSS中度或重度分级分别适用于男性99例(27%)和43例(12%),女性55例(12%)和39例(9%)。I-PSS与男性年龄相关,而OABSS在两种性别中均与年龄相关。大多数患有中度或重度I-PSS的人都经历了中度或重度的麻烦。55名(15%)男性和185名(40%)女性表示他们有某种类型的尿失禁。有138名(38%)男性和165名(36%)女性表现出中度或重度I-PSS,中度或重度困扰,和/或ICIQ-SF评分为1或更高。大约三分之一的50岁或以上的男性和女性咨询全科医生有麻烦的LUTS,包括尿失禁。我们认为,应该对他们进行仔细评估,以确定他们是否需要治疗。
The incidence of lower urinary tract symptoms (LUTS) in people consulting general practitioners (GPs) was investigated. We used a questionnaire including seven questions regarding LUTS and one question regarding bothersomeness based on the International Prostate Symptom Score (I‐PSS), three questions on the Overactive Bladder Symptom Score (OABSS) and four questions on the International Consultation on Incontinence Questionnaire Short‐Form (ICIQ‐SF), and conducted the survey among 1120 people aged 50 or older who consulted 17 GP clinics. Of 958 persons (86%) who responded the questionnaires, we analyzed the data from 822 (73%) who completed all the above questions. There were 364 men (mean age, 67 years) and 458 women (mean age, 68 years). Moderate or severe grades in I‐PSS and OABSS were indicated in 99 (27%) and 43 (12%), for men, respectively, and 55 (12%) and 39 (9%) for women, respectively. I‐PSS correlated with age in men and OABSS did in both genders. Most people with moderate or severe I‐PSS experienced moderate or severe bothersomeness. Fifty‐five (15%) men and 185 (40%) women indicated that they had some type of urinary incontinence. There were 138 (38%) men and 165 (36%) women showing both moderate or severe I‐PSS, and moderate or severe bothersomeness, and/or with an ICIQ‐SF score of 1 or greater. Approximately one‐third of men and women aged 50 or older consulting GPs have bothersome LUTS, including urinary incontinence. We believe that they should be carefully assessed to determine whether they need treatment.
DOI: 10.1016/j.urology.2006.02.042
发表时间: 2006-08-01
期刊: UROLOGY
影响因子: 2.1
作者:
Homma, Yukio;Yoshida, Masaki;Nishizawa, Osamu
通讯作者: Nishizawa, Osamu