Understanding patient and physician perceptions of benign prostatic hyperplasia in Asia Pacific, Latin America and the Commonwealth of Independent States: the Prostate Research on Behaviour and Education (PROBE) II survey
Autor: | Burkay Adalig, Belinda Lartey, Michael J. Manyak, Phillip J. Ertel, Ipek Demircan |
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Rok vydání: | 2016 |
Předmět: |
Male
Latin Americans Cross-sectional study 030232 urology & nephrology Prostatic Hyperplasia urologic and male genital diseases 0302 clinical medicine Asia pacific Quality of life Prostate Surveys and Questionnaires Physician perception Aged 80 and over medicine.diagnostic_test Patient Preference General Medicine Hyperplasia Middle Aged medicine.anatomical_structure Patient Satisfaction 030220 oncology & carcinogenesis Commonwealth medicine.symptom Attitude to Health medicine.medical_specialty Asia Urology Oceania Medication Adherence 03 medical and health sciences Patient satisfaction Lower Urinary Tract Symptoms Lower urinary tract symptoms Internal medicine medicine Nocturia Blood test Humans Aged Gynecology Original Paper Urinary retention business.industry Rectal examination medicine.disease Commonwealth of Independent States Cross-Sectional Studies Latin America Family medicine Quality of Life business |
Zdroj: | International Journal of Clinical Practice |
ISSN: | 1742-1241 |
Popis: | SummaryAim To assess attitudes and beliefs towards benign prostatic hyperplasia (BPH)/ lower urinary tract symptoms (LUTS) and its treatment among patients and physicians in Latin America, Asia Pacific and the Commonwealth of Independent States (CIS). Methods Cross-sectional, quantitative study conducted between December 2014 and September 2015. Separate questionnaires were administered to BPH/LUTS patients receiving drug treatment for their condition and to practising physicians who treat patients with BPH/LUTS. Results In total, 1094 patients and 202 physicians completed a questionnaire. Most patients (61%) felt very/fairly well informed about BPH/LUTS, and 60% of physicians perceived patients to be very/somewhat informed. Overall, 70% of physicians felt that it would be valuable to raise awareness of BPH/LUTS and encourage men to consult a physician. The first symptoms most commonly noticed by patients were need to urinate more frequently, slower/weaker stream and nocturia. At first consultation, 71% of patients recalled providing a urine sample, 57% having a blood test for prostate-specific antigen and 56% a digital rectal examination being performed. Over two thirds of patients (69%) were satisfied with their current medication; highest satisfaction rates (among both patients and physicians) were reported for alpha blockers and 5ARIs, either as monotherapies or used in combination. Patients were prepared to wait longer for symptom relief in order to have a reduced risk of surgery. Most physicians (90%) thought that at least some patients believe BPH/LUTS to be a progressive condition. Most physicians thought that patients were very/fairly concerned about BPH surgery (92%) and acute urinary retention (72%); 52% of physicians thought treatment adherence was “extremely” important. Conclusions This study provides valuable insights into the attitudes and beliefs of patients and physicians in Asia Pacific, Latin America and CIS about BPH/LUTS and its management. It also highlights areas of discordance between patient/physician perceptions and beliefs about BPH/LUTS, and potential areas of focus to improve the experience of affected patients. |
Databáze: | OpenAIRE |
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