2013 年度全国数字直肠检查日：对前列腺健康意识和疾病检出率的影响。

2013 Annual National Digital Rectal Exam Day: impact on prostate health awareness and disease detection.

机构信息

Institute of Urology, St. Luke's Medical Center, Quezon, Philippines.

Institute of Urology, St. Luke's Medical Center, Quezon, Philippines ; Department of Surgery, Philippine General Hospital, Manila, Philippines.

出版信息

Prostate Int. 2014 Mar;2(1):31-6. doi: 10.12954/PI.13039. Epub 2014 Mar 30.

DOI:10.12954/PI.13039

PMID:24693532

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3970987/

Abstract

PURPOSE

"Mag-paDRE" is a yearly prostate health public awareness program initiated by the Philippine Urological Association. This study aimed to describe the demographic and clinical data of the participants in the 2013 "Mag-paDRE" program and to identify factors that will further improve prostate health public awareness.

METHODS

A descriptive cross-sectional study undertaken to collect and assess the demographic data, International Prostate Symptom Score (IPSS) and digital rectal examination findings of the participants in the "Mag-paDRE" conducted in the 10 Philippine Board of Urology (PBU) different accredited training institutions. Descriptive statistics was used to report the proportion of Filipino men aged 40 or older who presented for their first prostate health evaluation. Clinical profile were reviewed and summarized. The study protocol was registered in the Clinicaltrial.gov under Identifier NCT01886547.

RESULTS

A total of 925 participants from the 10 PBU accredited training institutions were assessed. Among the 10 training institutions the large tertiary government owned medical center had the highest number of participants and target participants recruited; while the private sectors owned tertiary hospitals have the highest proportion of target participants and cases. According to the predetermined definition of this study, 614 (66%) were considered the target population for the "Mag-paDRE" program. The mean age of the target participants was 58.9±9.9. Only 360 of 614 (59%) were new case, 118 (32.7%) had severe lower urinary tract symptoms (LUTS), 223 (62%) had moderate LUTS, 19 (5.3%) were asymptomatic but with hard prostates, palpable prostate nodules or prostate tenderness. The most bothersome symptoms were incomplete bladder emptying (30.2%), and frequency (22.9%).

CONCLUSIONS

Overall, the 2013 "Mag-paDRE" among the 10 training institutions was effective in promoting prostate health awareness. A need to modify the preactivity information dissemination by these institutions can be done to further increase the attendance of targeted population of the prostate health awareness program.

摘要

目的

“Mag-paDRE”是菲律宾泌尿科医师协会发起的一项年度前列腺健康公众意识计划。本研究旨在描述 2013 年“Mag-paDRE”计划参与者的人口统计学和临床数据，并确定进一步提高前列腺健康公众意识的因素。

方法

采用描述性横断面研究方法，收集并评估了在菲律宾泌尿科医师协会（PBU）10 个认证培训机构进行的“Mag-paDRE”中参与者的人口统计学数据、国际前列腺症状评分（IPSS）和直肠指检结果。使用描述性统计方法报告了年龄在 40 岁或以上首次接受前列腺健康评估的菲律宾男性的比例。对临床资料进行了回顾和总结。该研究方案已在 Clinicaltrial.gov 上注册，注册号为 NCT01886547。

结果

共有来自 10 个 PBU 认证培训机构的 925 名参与者接受了评估。在 10 个培训机构中，大型三级政府拥有的医疗机构拥有最多的参与者和目标参与者招募人数；而私营部门拥有的三级医院拥有最高比例的目标参与者和病例。根据本研究的预先确定定义，614 人（66%）被认为是“Mag-paDRE”计划的目标人群。目标参与者的平均年龄为 58.9±9.9 岁。在 614 名目标参与者中，仅有 360 名（59%）为新病例，118 名（32.7%）有严重的下尿路症状（LUTS），223 名（62%）有中度 LUTS，19 名（5.3%）无症状，但前列腺坚硬、可触及前列腺结节或前列腺触痛。最困扰的症状是膀胱不完全排空（30.2%）和尿频（22.9%）。