Natural history of prostatism: Impact of urinary symptoms on quality of life in 2115 randomly selected community men
| Autor: | Michael M. Lieber, Cynthia J. Girman, Steven J. Jacobsen, Robert Epstein, Harry A. Guess, Laurel A. Panser, Joseph E. Oesterling |
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| Rok vydání: | 1994 |
| Předmět: |
Adult
Male medicine.medical_specialty Activities of daily living Urology media_common.quotation_subject Prostatic Hyperplasia Cohort Studies Random Allocation Quality of life Surveys and Questionnaires Activities of Daily Living medicine Humans Prostatism Aged media_common Gynecology business.industry Patient Selection Middle Aged Urination Disorders medicine.disease Cohort Quality of Life Physical therapy Urologic disease Prostate surgery Worry Sexual function business |
| Zdroj: | Urology. 44:825-831 |
| ISSN: | 0090-4295 |
| Popis: | To assess the impact of urinary symptoms on health-related quality of life (QoL), including degree of bother, worry, interference with daily activities, psychological well-being, sexual function, and general health in a community-based cohort of men.Eligible white men (n = 2115) aged 40 to 79 years who had not undergone previous prostate surgery or had prostate cancer were randomly selected from county residents. These subjects completed a questionnaire, which asked them about frequency and bother of urinary symptoms, interference with daily activities, psychological well-being, worry about urologic disease, sexual functioning, and general health.Men with moderate to severe voiding symptoms reported, on average, four to six times the degree of bother and interference with daily activities and twice the level of worry of men with mild symptoms. Nearly five times the degree of bother and interference was reported for those with mild than with no symptoms. A higher percentage of men with moderate to severe symptoms (26% to 33%) than mild symptoms (8%) reported limiting fluids before bed, travel, or driving 2 hours. Receiver operating characteristic curves support the recommended symptom index cutpoint for moderate symptoms (= 8) by differentiating men with and without bother, interference with daily living, or dissatisfaction with urinary condition.Moderate to severe urinary symptoms have a significant impact on men's lives in terms of degree of bother, worry, interference with daily living, and psychological well-being. The recommended cutpoint on symptom index differentiates men with and without decrement in health-related quality of life. |
| Databáze: | OpenAIRE |
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