Przydacz Mikolaj, Chlosta Marcin, Golabek Tomasz, Chlosta Piotr
Department of Urology, Jagiellonian University Medical College, ul. Jakubowskiego 2, 30-688 Krakow, Poland.
Brain Sci. 2021 May 27;11(6):712. doi: 10.3390/brainsci11060712.
The aim of this study was to perform a cross-sectional study of Polish neurogenic patients to measure, at the population level, the prevalence, bother and behavior associated with treatment for lower urinary tract symptoms (LUTS) and overactive bladder (OAB).
This epidemiological study was based on data from LUTS POLAND, a computer-assisted and population-representative telephone survey. Participants were classified by age, sex and place of residence.
LUTS POLAND includes 6005 completed interviews, of which 1166 (19.4%) were for individuals who had ever received any treatment by neurologists and/or neurosurgeons. Among these neurogenic participants, LUTS prevalence was 72.3%, statistically higher than for non-neurogenic respondents. At the population level, neurogenic patients had about a 20% higher risk for LUTS presence than non-neurogenic participants (relative risk: 1.17-1.21). LUTS prevalence did not differ between men and women. Frequency was the most common of the LUTS. Forty percent of neurogenic respondents described having more than one LUTS subtype (i.e., storage, voiding, and/or post-micturition symptom subtype), and more than 50% of respondents reported OAB symptoms. Both storage and voiding symptoms were bothersome, and many neurogenic individuals (42.3-51.0%) expressed anxiety about bladder function affecting quality of life. Only one-third (34.9-36.6%) of neurogenic participants had sought treatment for their LUTS, and the majority of such individuals received and maintained treatment.
LUTS and OAB symptoms were highly prevalent and bothersome among Polish neurogenic patients at the population level. Because the scale of seeking treatment for LUTS was low, Polish neurogenic patients may not be adequately informed about multiple effects of LUTS and OAB.
本研究旨在对波兰神经源性患者进行横断面研究，以在人群层面测量下尿路症状（LUTS）和膀胱过度活动症（OAB）的患病率、困扰程度及与治疗相关的行为。
这项流行病学研究基于LUTS波兰研究的数据，这是一项计算机辅助的、具有人群代表性的电话调查。参与者按年龄、性别和居住地点进行分类。
LUTS波兰研究包括6005份完成的访谈，其中1166份（19.4%）是针对曾接受过神经科医生和/或神经外科医生治疗的个体。在这些神经源性参与者中，LUTS患病率为72.3%，在统计学上高于非神经源性受访者。在人群层面，神经源性患者出现LUTS的风险比非神经源性参与者高约20%（相对风险：1.17 - 1.21）。LUTS患病率在男性和女性之间没有差异。尿频是最常见的LUTS症状。40%的神经源性受访者表示有不止一种LUTS亚型（即储尿期、排尿期和/或排尿后症状亚型），超过50%的受访者报告有OAB症状。储尿期和排尿期症状都令人困扰，许多神经源性个体（42.3% - 51.0%）对膀胱功能影响生活质量表示焦虑。只有三分之一（34.9% - 36.6%）的神经源性参与者因LUTS寻求过治疗，且大多数此类个体接受并维持了治疗。
在波兰人群层面，神经源性患者中LUTS和OAB症状非常普遍且令人困扰。由于LUTS寻求治疗的比例较低，波兰神经源性患者可能未充分了解LUTS和OAB的多种影响。
