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Moving towards a comprehensive assessment of lower urinary tract symptoms (LUTS)
Author(s) -
Coyne Karin S.,
Barsdorf Alexandra I.,
Thompson Christine,
Ireland Andrea,
Milsom Ian,
Chapple Chris,
Kopp Zoe S.,
Bavendam Tamara
Publication year - 2012
Publication title -
neurourology and urodynamics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 90
eISSN - 1520-6777
pISSN - 0733-2467
DOI - 10.1002/nau.21202
Subject(s) - lower urinary tract symptoms , medicine , nocturia , international prostate symptom score , concordance , overactive bladder , urinary incontinence , population , physical therapy , urology , gynecology , urinary system , prostate , alternative medicine , environmental health , pathology , cancer
Aims To evaluate the utility of the International Prostate Symptom Score (IPSS) and the LUTS Tool when assessing lower urinary tract symptoms (LUTS). Secondary objectives were to examine associations of LUTS and treatment seeking. Methods Analyses were performed using EpiLUTS data, a population‐based, cross‐sectional, Internet survey of men and women (aged ≥40) in Sweden, UK, and US with a sample of 30,000 participants. Participants completed the IPSS and the LUTS Tool. Prevalence rates of symptoms captured by the LUTS Tool were compared using IPSS summary scores: 0, 1–7, 8–19, and ≥20. LUTS Tool subscale scores were calculated. Pearson correlations between the LUTS Tool symptoms and subscales and IPSS symptoms were performed. Logistic regressions evaluated the associations of IPSS scores and LUTS Tool subscales with treatment seeking for LUTS. Results The IPSS did not assess some symptoms (i.e., incontinence) for which there was a high prevalence among participants. Correlations between the 7 symptoms assessed by the IPSS and LUTS Tool were moderate to high ranging between 0.37 (nocturia women) and 0.77 (weak stream men), indicating concordance. While the LUTS Tool subscales and the total IPSS score were all significantly associated with treatment seeking, the LUTS Tool OAB subscale in men and Voiding subscale in women most strongly predicted treatment seeking. Conclusion LUTS that are excluded from the IPSS, most notably incontinence, were prevalent even among mildly symptomatic participants. Since storage symptoms appear to drive treatment seeking, identifying, and treating these symptoms is essential when caring for patients with LUTS. Neurourol. Urodynam. 31:448–454, 2012. © 2012 Wiley Periodicals, Inc.