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The aim of this study was to evaluate the health-related quality of life (HRQOL) of Chinese primary care patients with lower urinary tract symptoms (LUTS).
Five hundred and nineteen primary care subjects with LUTS completed a structured questionnaire containing the International Prostate Symptom Score, the adapted Incontinence Impact Questionnaire-7, the International Consultation on Incontinence Questionnaire–Urinary Incontinence Short Form, the Chinese (HK) SF-12 Health Survey Version 2 (SF-12 v2) and the Depression, Anxiety and Stress Scale-21.
LUTS patients had poorer HRQOL for the General Health and the Vitality domains and lower Physical Component Summary scores, but better HRQOL for the Role Emotion domain than the adjusted Hong Kong population norms. Clinical factors associated with poorer HRQOL measured by the SF-12 v2 included having more severe LUTS and having more severe depressive, anxiety and stress symptoms. Socio-demographic factors associated with poorer SF-12 v2 were consistent with those found in the general populations. Clinical and socio-demographic factors associated with poorer HRQOL assessed by condition-specific measures included having more severe LUTS (excluding intermittency and straining), the presence of mixed urinary incontinence, having more severe anxiety and stress symptoms, younger age, being not married, being in employment and having a lower household income.
LUTS had substantial negative impact on patients’ overall health perception and global well-being in Chinese population. A decline in HRQOL might be a key determinant for Chinese patients with LUTS to seek treatment. Patients with nocturia, frequency, urgency or mixed urinary incontinence and younger patients deserve more treatment attention because they appear to have poorer HRQOL.
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Abrams, P., Cardozo, L., Fall, M., Griffiths, D., Rosier, P., Ulmsten, U., et al. (2002). The standardisation of terminology of lower urinary tract function: Report from the Standardisation Sub-committee of the International Continence Society. Neurourology and Urodynamics, 21(2), 167–178. PubMedCrossRef
Coyne, K. S., Sexton, C. C., Irwin, D. E., Kopp, Z. S., Kelleher, C. J., & Milsom, I. (2008). The impact of overactive bladder, incontinence and other lower urinary tract symptoms on quality of life, work productivity, sexuality and emotional well-being in men and women: Results from the EPIC study. BJU International, 101(11), 1388–1395. PubMedCrossRef
Fultz, N., Girts, T., Kinchen, K., Nygaard, I., Pohl, G., & Sternfeld, B. (2005). Prevalence, management and impact of urinary incontinence in the workplace. Occupational Medicine (London), 55(7), 552–557. CrossRef
Melville, J. L., Walker, E., Katon, W., Lentz, G., Miller, J., & Fenner, D. (2002). Prevalence of comorbid psychiatric illness and its impact on symptom perception, quality of life, and functional status in women with urinary incontinence. American Journal of Obstetrics and Gynecology, 187(1), 80–87. PubMedCrossRef
Ware, J. E., Kosinski, M., & Keller, S. D. (1995). SF-12: How to score the SF-12 physical and mental health summary scales. Health Institute, New England Medical Center.
Ware, J. E., Kosinski, M., Turner-Bowker, D. M., & Gandek, B. (2002). How to score version 2 of the SF-12 health survey (with a supplement documenting version 1). Quality Metric Incorporated.
Lam, C. L., Wong, C. H., Lam, E. T., Lo, Y. Y., & Huang, W. W. (2010). Population norm of Chinese (HK) SF-12 health survey-version 2 of Chinese adults in Hong Kong. Hong Kong Practitioner, 32(2), 77–86.
Taouk, M., Lovibond, P., & Laube, R. (2001). Psychometric properties of a Chinese version of the 21-item Depression Anxiety Stress Scales (DASS21). Report for New South Wales Transcultural Mental Health Centre, Cumberland Hospital, Sydney.
Leung, P. C. (2010). Healthy Aging. Singapore: World Scientific Publishing Company.
Bjorner, J. B., Wallenstein, G. V., Martin, M. C., Lin, P., Blaisdell-Gross, B., Tak Piech, C., et al. (2007). Interpreting score differences in the SF-36 vitality scale: Using clinical conditions and functional outcomes to define the minimally important difference. Current Medical Research and Opinion, 23(4), 731–739. PubMedCrossRef
Liao, Y. M., Yang, C. Y., Kao, C. C., Dougherty, M. C., Lai, Y. H., Chang, Y., et al. (2009). Prevalence and impact on quality of life of lower urinary tract symptoms among a sample of employed women in Taipei: A questionnaire survey. International Journal of Nursing Studies, 46(5), 633–644. PubMedCrossRef
Seki, N., Yunoki, T., Tomoda, T., Takei, M., Yamaguchi, A., & Naito, S. (2008). Association among the symptoms, quality of life and urodynamic parameters in patients with improved lower urinary tract symptoms following a transurethral resection of the prostate. Neurourology and Urodynamics, 27(3), 222–225. PubMedCrossRef
Apostolidis, A., Kirana, P. S., Chiu, G., Link, C., Tsiouprou, M., & Hatzichristou, D. (2009). Gender and age differences in the perception of bother and health care seeking for lower urinary tract symptoms: Results from the hospitalised and outpatients’ profile and expectations study. European Urology, 56(6), 937–947. PubMedCrossRef
Knorst, M. R., Resende, T. L., & Goldim, J. R. (2011). Clinical profile, quality of life and depressive symptoms of women with urinary incontince attending a university hospital. Revista Brasileira de Fisioterapia, 15(2), 109–116. PubMed
Barentsen, J. A., Visser, E., Hofstetter, H., Maris, A. M., Dekker, J. H., & de Bock, G. H. (2012). Severity, not type, is the main predictor of decreased quality of life in elderly women with urinary incontinence: A population-based study as part of a randomized controlled trial in primary care. Health Qual Life Outcomes, 10, 153. PubMedCentralPubMedCrossRef
Monz, B., Chartier-Kastler, E., Hampel, C., Samsioe, G., Hunskaar, S., Espuna-Pons, M., et al. (2007). Patient characteristics associated with quality of life in European women seeking treatment for urinary incontinence: Results from PURE. European Urology, 51(4), 1073–1081. discussion 1081–1072. PubMedCrossRef
Sung, V. W., Glasgow, M. A., Wohlrab, K. J., & Myers, D. L. (2007). Impact of age on preoperative and postoperative urinary incontinence quality of life. American Journal of Obstetrics and Gynecology, 197(6), 680 e681–685.
Pienta, A. M., Hayward, M. D., & Jenkins, K. R. (2000). Health consequences of marriage for the retirement years. Journal of Family Issues, 21(5), 559–586. CrossRef
- The health-related quality of life of Chinese patients with lower urinary tract symptoms in primary care
Edmond P. H. Choi
Cindy L. K. Lam
- Springer International Publishing