LUTS患者IPSS评分和排尿参数的比较。

IF 1.2 4区 医学 Q3 UROLOGY & NEPHROLOGY Canadian Journal of Urology Pub Date : 2023-10-01
Tobias S Kohler, Sankar J Kausik
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引用次数: 0

摘要

引言:这项研究比较了在非侵入性压力流研究(PFS)UroCuff测试中测量的男性下尿路症状(LUTS)和客观排尿参数。材料和方法:这是对先前报道的50680名患有LUTS的男性的扩展亚群分析,其描述了随着男性年龄的增长疾病进展的增加。在尿囊测试期间,研究人员可选择提供国际前列腺症状评分(IPSS)。使用描述性统计、变量之间的成对相关系数和适合IPSS作为连续结果的多变量线性回归模型对变量进行分析。结果:1077名患者的IPSS数据可用。与50680组相比,该亚群中的男性年龄相似,但总体而言,排尿量(VV)、最大流速(Qmax)的平均值有所改善,并且根据UroCuff象限,膀胱疾病进展程度较低。IPSS具有高度统计学意义(p<0.001),但与Qmax、VV、空隙后残余体积(PVR)和UroCuff象限的相关性较弱,相关系数(绝对值)分别为0.212、0.174、0.151和0.159。按UroCuff象限分层的多变量线性回归分析表明,年龄增加和VV高与IPSS降低有关,而PVR高与IPSS增加有关。随着患者疾病进展的加剧,这些关系变得越来越弱。结论:由于自我报告的泌尿系统症状与客观排尿参数的相关性很弱,单独使用IPSS进行LUTS诊断不足以确定诊断结果。男性LUTS的最佳临床管理取决于对症状和排尿参数的全面评估。
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Comparison of IPSS score and voiding parameters in men presenting with LUTS.

Introduction: This study compares subjective lower urinary tract symptoms (LUTS) to objective voiding parameters measured during the UroCuff Test, a non-invasive pressure flow study (PFS), in men presenting with LUTS attributed to benign prostatic hyperplasia (BPH).

Materials and methods: This is an expanded subpopulation analysis of a previously reported group of 50,680 men with LUTS, which depicted increased disease progression as men age. During the UroCuff Test, investigators optionally provided the International Prostate Symptom Score (IPSS). Variables were analyzed using descriptive statistics, pairwise correlation coefficients between variables and a multivariable linear regression model fit for IPSS as a continuous outcome.

Results: IPSS data are available for 1077 patients. Compared to the 50,680 group, men in this subpopulation are similar in age but overall have improved mean values for voided volume (VV), maximum flow rate (Qmax), and less advanced bladder disease by UroCuff quadrant. IPSS has highly statistically significant (p < 0.001), but weak correlations with Qmax, VV, post-void residual volume (PVR) and UroCuff quadrant, with correlation coefficients (absolute values) of 0.212, 0.174, 0.151, 0.159, respectively. Multivariable linear regression analysis stratified by UroCuff quadrant demonstrate that increased age and high VV are associated with decreased IPSS, while high PVR is associated with increased IPSS. These relationships become weaker as patients experience increasing disease progression.

Conclusion: Since self-reported urological symptoms are only weakly correlated with objective voiding parameters, LUTS diagnosis using IPSS alone is insufficient to create diagnostic certainty. Optimal clinical management of male LUTS depends on a thorough evaluation of both symptoms and voiding parameters.

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来源期刊
Canadian Journal of Urology
Canadian Journal of Urology UROLOGY & NEPHROLOGY-
CiteScore
1.90
自引率
0.00%
发文量
86
审稿时长
6-12 weeks
期刊介绍: The CJU publishes articles of interest to the field of urology and related specialties who treat urologic diseases.
期刊最新文献
Single-port robotic laparoscopic ureterocalicostomy: surgical technique and clinical outcomes. Clinical implications of tumor laterality in renal cell carcinoma. Hypogonadism, frailty, and postoperative outcomes among men undergoing partial nephrectomy. Illuminating the use of photodynamic therapy in urologic oncology. Legends in Urology v31I06.
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