Department of Preventive Medicine, Dongguk University College of Medicine, 123 Dongdae-ro, Gyeongju-si, Gyeongsangbuk-do, 38066, Republic of Korea.
Department of Urology, Dongguk University College of Medicine, 123 Dongdae-ro, Gyeongju-si, Gyeongsangbuk-do, 38066, Republic of Korea.
Qual Life Res. 2019 Sep;28(9):2419-2428. doi: 10.1007/s11136-019-02205-w. Epub 2019 May 13.
To assess the status and impact of lower urinary tract symptoms (LUTS) on health-related quality of life (HRQoL) in a community-based sample of Korean adult males.
We analyzed the data of 101,606 adult males aged ≥ 19 years of age obtained during the 2011 Korean Community Health Survey. Subject data were assessed for LUTS and HRQoL using international prostate symptom scores, and EuroQol-five-dimensions three-level version (EQ-5D-3L) and EuroQol-visual analogue scale (EQ-VAS) scores.
Of the 101,606 subjects, 53,323 (52.5%) reported having at least one LUTS and 3116 (3.1%) had an IPSS of ≥ 20, indicating severe LUTS. In those aged 19-39 years, 28.7% (8343/29,072) reported they had mild to severe LUTS. The prevalence of LUTS was high among those aged 40-59 years (47.7%), 60-79 years (80.5%), and ≥ 80 years (91.2%). In addition, EQ-5D-3L and EQ-VAS scores decreased as LUTS severity and frequency increased.
Adult men of all ages with mild to severe LUTS have poorer health statuses and quality of life. Even among young males, LUTS severity and was found to negatively affect HRQoL.
评估韩国成年男性社区样本中下尿路症状(LUTS)对健康相关生活质量(HRQoL)的现状和影响。
我们分析了 2011 年韩国社区健康调查中 101606 名年龄≥19 岁的成年男性的数据。使用国际前列腺症状评分(IPSS)、欧洲五维健康量表 3 级版(EQ-5D-3L)和欧洲五维健康量表视觉模拟评分(EQ-VAS)评估受试者的 LUTS 和 HRQoL。
在 101606 名受试者中,53323 名(52.5%)报告至少有一种 LUTS,3116 名(3.1%)的 IPSS≥20,表明存在严重的 LUTS。在 19-39 岁的人群中,28.7%(8343/29072)报告有轻至重度 LUTS。40-59 岁(47.7%)、60-79 岁(80.5%)和≥80 岁(91.2%)人群的 LUTS 患病率较高。此外,随着 LUTS 的严重程度和频率的增加,EQ-5D-3L 和 EQ-VAS 评分降低。
所有年龄段有轻至重度 LUTS 的成年男性的健康状况和生活质量都较差。即使在年轻男性中,LUTS 的严重程度也会对 HRQoL 产生负面影响。