How common is prostatitis? A national survey of physician visits
How common is prostatitis? A national survey of physician visits
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DOI：
10.1016/s0022-5347(01)63564-x
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发表时间：
1998-04-01
影响因子：
6.6
通讯作者：
Barry, MJ
中科院分区：
文献类型：
--
作者：
Collins, MM;Stafford, RS;Barry, MJ
目的：我们使用一个国家数据库来探索因泌尿生殖系统症状或前列腺炎诊断就诊的流行病学。材料和方法：我们分析了1990年至1994年全国门诊医疗保健调查中，18岁或以上的男性向所有专科办公室医生就诊的58,955人次。结果：1990-1994年间，18岁及以上男性门诊就诊中有5%的就诊原因为泌尿生殖系统症状。在每年近200万人次的就诊中，前列腺炎被列为诊断，其中18至50岁的男性就诊人数为70万，50岁以上的就诊人数为90万。在前列腺炎的就诊中，分别有46%和47%的人去看泌尿科医生和初级保健医生。前列腺炎诊断分别占所有泌尿科医生和初级保健医生就诊的8%和1%。去看泌尿科医生被诊断为前列腺炎的几率是去看初级保健医生的13倍，南部地区大约是东北部的2倍。令人惊讶的是，与66岁或以上的男性相比，36岁至65岁的男性比18岁至35岁的男性更常被诊断为前列腺炎。当诊断为前列腺炎时，患有泌尿生殖道症状的男性可能有45%的时间使用抗菌药物，而那些没有泌尿生殖系统症状的男性可能有27%的时间使用抗菌药物。去看初级保健医生比去看泌尿科医生更多地与抗菌药物的使用有关。年轻男性和老年男性去办公室就诊的原因，前列腺炎是常见的诊断。尽管有报告称，只有不到10%的前列腺炎病例是细菌性的，但在被诊断为前列腺炎的男性中，接受抗菌药治疗的比例要高得多。
Purpose: We used a national data base to explore the epidemiology of physician visits for genitourinary symptoms or a diagnosis of prostatitis.Materials and Methods: We analyzed 58,955 visits by men 18 years old or older to office based physicians of all specialties, as included in the National Ambulatory Medical Care Surveys from 1990 to 1994. Physicians selected by random sampling completed visit forms that included information on patient reasons for visits and physician diagnoses.Results: From 1990 to 1994, 5% of all ambulatory visits by men 18 years old or older included genitourinary symptoms as a reason for the visit. In almost 2 million visits annually prostatitis was listed as a diagnosis, including 0.7 million by men 18 to 50 years old and 0.9 million by those older than 50 years. Of the prostatitis visits 46 and 47% were to urologists and primary care physicians, respectively. A prostatitis diagnosis was assigned at 8 and 1% of all urologist and primary care physician visits, respectively. The odds of a prostatitis diagnosis were 13-fold greater at visits to urologists compared with visits to primary care physicians, and approximately 2-fold greater in the south than in the northeast. Surprisingly, compared with men 66 years old or older, prostatitis was more commonly diagnosed in men 36 to 65 than men 18 to 35 years old. When a prostatitis diagnosis was given, antimicrobial use was likely to be reported 45% of the time for men with and 27% for those without genitourinary symptoms. Visits to primary care physicians were more often associated with antimicrobial use than visits to urologists.Conclusions: Genitourinary symptoms are a frequent. reason for office visits by younger and older men, and prostatitis is a common diagnosis. Despite a report that less than 10% of prostatitis cases are bacterial, a much higher proportion of men in whom prostatitis is diagnosed receive antimicrobials.