Przydacz Mikolaj, Dudek Przemyslaw, Chlosta Piotr
Department of Urology, Jagiellonian University Medical College, 30-688 Krakow, Poland.
J Clin Med. 2020 Dec 19;9(12):4102. doi: 10.3390/jcm9124102.
The aim of this study was to measure, at the population level, the prevalence, bother, and treatment-related behavior for lower urinary tract symptoms (LUTS) and overactive bladder syndrome (OAB) in a large cohort of cardiology patients.
This report is a further analysis of data from LUTS POLAND, a computer-assisted telephone survey that reflected the entire Polish population, stratified by age, sex, and place of residence. LUTS and OAB were assessed by a standardized protocol, the International Continence Society definitions, and validated questionnaires. In addition, all participants provided information regarding their behavior as it related to LUTS treatment.
Overall, 6005 participants completed interviews, and 1835 (30.6%) had received treatment by cardiologists. The prevalence of LUTS was 73.3% for cardiology participants compared with 57.0% for respondents who were not treated by cardiologists ( < 0.001). There were no differences between men and women in LUTS prevalence for cardiology patients. Nocturia was the most prevalent LUTS. LUTS were often bothersome, and storage symptoms were more bothersome than voiding or postmicturition symptoms. The prevalence of OAB syndrome was 50.7% in cardiology patients, higher than in noncardiology participants (36.6%, < 0.001), and more women were affected than men. Only one-third of cardiology patients who reported LUTS were seeking treatment for LUTS, and most of them received treatment. There were no differences between persons living in urban and rural areas.
LUTS and OAB were highly prevalent among cardiology patients. Although LUTS were often bothersome in this unique population, we found that the seeking of treatment for LUTS was minimal. These results highlight the need for cooperation between cardiologists and urologists.
本研究旨在在人群层面上，对一大群心脏病患者下尿路症状（LUTS）和膀胱过度活动症（OAB）的患病率、困扰程度及治疗相关行为进行测量。
本报告是对LUTS波兰研究数据的进一步分析，该研究是一项计算机辅助电话调查，反映了整个波兰人口，按年龄、性别和居住地点分层。LUTS和OAB通过标准化方案、国际尿控协会的定义及经过验证的问卷进行评估。此外，所有参与者提供了与LUTS治疗相关的行为信息。
总体而言，6005名参与者完成了访谈，其中1835名（30.6%）接受过心脏病专家的治疗。心脏病患者中LUTS的患病率为73.3%，未接受心脏病专家治疗的受访者中这一比例为57.0%（<0.001）。心脏病患者中LUTS患病率在男性和女性之间没有差异。夜尿症是最常见的LUTS。LUTS常常令人困扰，储尿期症状比排尿期或排尿后症状更令人困扰。心脏病患者中OAB综合征的患病率为50.7%，高于非心脏病参与者（36.6%，<0.001），且受影响的女性多于男性。报告有LUTS的心脏病患者中只有三分之一寻求LUTS治疗，且他们中的大多数接受了治疗。城乡居民之间没有差异。
LUTS和OAB在心脏病患者中高度流行。尽管在这一特殊人群中LUTS常常令人困扰，但我们发现寻求LUTS治疗的情况很少。这些结果凸显了心脏病专家和泌尿科专家合作的必要性。
