Rovner Eric S, Wein Alan J
Division of Urology, Hospital of the University of Pennsylvania, 1 Rhoads, 3400 Spruce Street, Philadelphia, PA 19104, USA.
Curr Urol Rep. 2002 Dec;3(6):434-8. doi: 10.1007/s11934-002-0093-5.
Recent changes in terminology, diagnosis, and therapy have refocused attention on overactive bladder (OAB). This symptom syndrome is highly prevalent worldwide and significantly impairs the quality of life of those who suffer from it. Accurate epidemiologic incidence and prevalence studies of OAB have been hampered in the past by, among other issues, a generalized lack of agreement regarding definition of the disorder, and consequently, accurate case finding. This obstacle resulted in considerably wide estimates in the reported incidence and prevalence of OAB in the literature. A new symptom-based definition of OAB, formally adopted by the Standardization Committee at a recent International Continence Society meeting, should provide a framework for future epidemiologic studies. Current estimates of incidence, prevalence, effects on quality of life, and societal costs may need to be reassessed based on these new data.
近期，术语、诊断和治疗方面的变化使人们将注意力重新聚焦于膀胱过度活动症（OAB）。这种症状综合征在全球范围内高度流行，严重损害了患者的生活质量。过去，OAB准确的流行病学发病率和患病率研究受到诸多问题的阻碍，其中包括对该疾病定义普遍缺乏共识，进而导致难以准确发现病例。这一障碍致使文献中报道的OAB发病率和患病率估计范围相当宽泛。标准化委员会在最近一次国际尿控协会会议上正式采用的基于症状的OAB新定义，应为未来的流行病学研究提供一个框架。基于这些新数据，可能需要重新评估目前对发病率、患病率、对生活质量的影响以及社会成本的估计。
