Kok Esther T, Groeneveld Frans P M J, Gouweloos Jochem, Jonkheijm Rikkert, Bosch J L H Ruud, Thomas Siep, Bohnen Arthur M
Department of General Practice, Erasmus Medical Centre, Rotterdam, The Netherlands.
Eur Urol. 2006 Oct;50(4):811-7. doi: 10.1016/j.eururo.2006.03.024. Epub 2006 Mar 31.
To determine which factors predict seeking of primary care among men with lower urinary tract symptoms (LUTS).
A longitudinal, population-based study with a follow-up period of 6.5 yr was conducted among 1688 men aged 50-78 yr. The following data were collected: prostate volume (using transrectal ultrasonometry), urinary flow rate, ultrasound-estimated postvoid residual urine volume, generic and disease-specific quality of life (QOL), and symptom severity (International Prostate Symptom Score [IPSS]). Information on the seeking of primary care by all participants during 2 yr of follow-up was collected from the general practitioner's (GP) record using a computerised search engine and a manual check of electronically selected files.
Prostate volume, postvoid residual volume, IPSS, and social generic QOL are important determinants of first GP consultation in men with LUTS. Measurements (physical urologic parameters) and self-reported items (symptom severity and QOL) contribute almost equally to GP consultation in these men.
Both measurements of prostate volume and postvoid residual urine volume and self-reported information about symptoms or QOL can help to select those who will benefit from medical care and to reassure those men not likely to need help in the near future.
确定哪些因素可预测下尿路症状（LUTS）男性寻求初级保健的情况。
对1688名年龄在50 - 78岁的男性进行了一项为期6.5年的纵向、基于人群的研究。收集了以下数据：前列腺体积（经直肠超声测量）、尿流率、超声估计的排尿后残余尿量、一般和疾病特异性生活质量（QOL）以及症状严重程度（国际前列腺症状评分[IPSS]）。使用计算机搜索引擎并手动检查电子选择的文件，从全科医生（GP）记录中收集所有参与者在2年随访期间寻求初级保健的信息。
前列腺体积、排尿后残余尿量、IPSS和社会一般生活质量是LUTS男性首次全科医生咨询的重要决定因素。测量（物理泌尿学参数）和自我报告项目（症状严重程度和生活质量）对这些男性的全科医生咨询贡献几乎相同。
前列腺体积和排尿后残余尿量的测量以及关于症状或生活质量的自我报告信息，都有助于筛选出那些将从医疗护理中受益的人，并让那些近期不太可能需要帮助的男性放心。
