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Gepubliceerd in: Quality of Life Research 5/2021

14-01-2021

Health-related quality of life among Chinese primary care patients with different lower urinary tract symptoms: a latent class analysis

Auteurs: Edmond Pui Hang Choi, Jing Huang, Pui Hing Chau, Eric Yuk Fai Wan

Gepubliceerd in: Quality of Life Research | Uitgave 5/2021

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Abstract

Purpose

No previous study has used a data-driven approach to explore symptom subclasses among patients with lower urinary tract symptoms (LUTS). The objectives of this study were to use latent class analysis (LCA) to identify distinct classes of LUTS among primary care patients and to assess the class differences in health-related quality of life (HRQOL).

Methods

In this cross-sectional study, 500 patients were randomly recruited, and 18 symptoms according to the International Continence Society 2002 criteria were assessed. Classes were identified by LCA. Patient HRQOL was measured using the 12-item Short Form Health Survey (version 2), the modified Incontinence Impact Questionnaire-Short Form and the HRQOL item from the International Prostate Symptom Score.

Results

Six distinct LUTS classes were identified: “asymptomatic” (26.0%), “mild symptoms” (22.6%), “moderate multiple symptoms” (17.0%), “urgency symptoms” (13.8%), “urinary incontinence” (12.0%) and “severe multiple symptoms” (8.6%). Multinomial regression analysis found differences in the gender distribution and prevalence of heart diseases across classes, and multiple linear regression found that patients with “severe multiple symptoms” and “urinary incontinence” had the poorest HRQOL.

Conclusion

Almost three quarters of the primary care patients in this study were suffering from varying degrees of LUTS. The poor HRQOL in “severe multiple symptoms” and “urinary incontinence” implies that patients in these classes require additional attention and treatments.
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Metagegevens
Titel
Health-related quality of life among Chinese primary care patients with different lower urinary tract symptoms: a latent class analysis
Auteurs
Edmond Pui Hang Choi
Jing Huang
Pui Hing Chau
Eric Yuk Fai Wan
Publicatiedatum
14-01-2021
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 5/2021
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-020-02731-y