Prevalence, diagnosis, characterization, and treatment of prostatitis, interstitial cystitis, and epididymitis in outpatient urological practice: The Canadian PIE study
Prevalence, diagnosis, characterization, and treatment of prostatitis, interstitial cystitis, and epididymitis in outpatient urological practice: The Canadian PIE study
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DOI：
10.1016/j.urology.2005.05.007
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发表时间：
2005-11-01
期刊：
影响因子：
2.1
通讯作者：
Downey, J
中科院分区：
文献类型：
--
作者：
Nickel, JC;Teichman, JMH;Downey, J
目标。目的：了解加拿大泌尿外科门诊中前列腺炎、间质性膀胱炎和附睾炎(PIE)的患病率、诊断模式和处理方法。代表性的泌尿科医生是从加拿大和魁北克泌尿外科协会中随机挑选出来的。在2004年4月至2004年7月期间，每一个被确诊为PIE的患者都被要求完成相应的慢性前列腺炎症状指数(CPSI)、奥利里-桑特症状指数(OSSI)或慢性附睾炎症状指数(CESI)。每天，参与研究的泌尿科医生完成一份门诊记录和详细的程序化图表审查，以转录与每个馅饼患者相关的人口统计学、调查和治疗。65名泌尿科医生受邀参加。57人(88%)同意，48人(74%)完成审计。在门诊就诊的8712名患者中(平均每位泌尿科医生182名)，2675名女性和6037名男性。前列腺炎占2.7%(n=166；平均年龄50岁；平均病程3.1年；平均CPSI评分19.7)；间质性膀胱炎2.8%(n=242；女性2 11例[7.9%]，男性26例[0.4%]；平均年龄50.2岁，平均病程4.5年，平均Ossi评分11.8)；附睾炎0.9%(n=57；平均年龄41.1岁，平均病程2.5年，CESI评分15.5)。在调查和治疗方面存在很大差异。这项前瞻性审计表明，前列腺炎可能并不像人们通常认为的那样常见，间质性膀胱炎更常见，这是在泌尿外科实践中对附睾炎患病率的首次估计。调查和治疗方面的巨大差异证实了制定实践管理指南的必要性。
Objectives. To determine the prevalence, diagnostic patterns, and management of prostatitis, interstitial cystitis, and epididymitis (PIE) in Canadian urology outpatient practice.Methods. Representative urologists were randomly selected from the Canadian and Quebec Urological Associations. Each patient identified with a PIE diagnosis during a typical 2-consecutive-week period during April 2004 to July 2004 was requested to complete a corresponding Chronic Prostatitis Symptom Index (CPSI), O'Leary-Sant Symptom Index (OSSI), or a Chronic Epididymitis Symptom Index (CESI). Each day the participant urologist completed an outpatient log and a detailed programmed chart review to transcribe demographics, investigations, and treatments associated with each PIE patient.Results. Sixty-five urologists were invited to participate. Fifty-seven (88%) agreed, and 48 (74%) completed the audit. Of the 87 12 patients seen in outpatient practice (average 182 per urologist), 2675 were female and 6037 male. Prostatitis was identified in 2.7% of the men (n = 166; mean age 50 years; mean duration 3.1 years; mean CPSI score 19.7), interstitial cystitis in 2.8% of patients (n = 242; 2 11 women [7.9%], 26 men [0.4%]; mean age 50.2 years, mean duration 4.5 years, mean OSSI score 11.8), and epididymitis in 0.9% of men (n = 57; mean age 41.1 years, mean duration 2.5 years, mean CESI score 15.5). There was wide variance in investigations and treatments.Conclusions. This prospective audit indicates that prostatitis might not be as common as frequently believed and that interstitial cystitis is more common, and it represents the first estimate of the prevalence of epididymitis in urologic practice. The wide variance in investigations and treatments confirms the need for practice management guidelines.