Trends in Age-Specific Prevalence of Lower Urinary Tract Dysfunction: A Nationwide Population-Based Cohort Study
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Purpose: To elucidate the longitudinal changes in the prevalence of lower urinary tract dysfunction (LUTD) according to age over the past 10 years. Materials and Methods: The changes in the proportion of prevalence for LUTD, including benign prostatic hyperplasia (BPH) and urinary incontinence (UI) among South Koreans from 2009 to 2018, were analyzed using the National Health Information Database established by the Korean National Health Insurance Service. All conditions were defined according to the corresponding Korean Standard Classification of Diseases-8 for diagnosis and surgical procedures and Health Insurance Review & Assessment Service codes for drugs. Results: The 60-69, 70-79, and over 80 age groups accounted for more than 60% of the LUTD cases from 2009 to 2018, while significant increases in the crude prevalence of LUTD were observed over a 10-year period in all age groups (p for trend <0.05). In age groups over 60 years, LUTD was more prevalent in men than women, but there was no statistically significant difference in proportion (p>0.05). The changes in the prevalence and prevalence proportion exhibited similar trends in BPH, UI, and LUTD. Conclusions: LUTD was more prevalent in the elderly aged over 60 years old than in younger adults. Therefore, this study suggests the development of nationwide healthcare policies to manage LUTD in the elderly population of South Korea, which is expected to become the world’s most aged population.
Abstract
Purpose: To elucidate the longitudinal changes in the prevalence of lower urinary tract dysfunction (LUTD) according to age over the past 10 years. Materials and Methods: The changes in the proportion of prevalence for LUTD, including benign prostatic hyperplasia (BPH) and urinary incontinence (UI) among South Koreans from 2009 to 2018, were analyzed using the National Health Information Database established by the Korean National Health Insurance Service. All conditions were defined according to the corresponding Korean Standard Classification of Diseases-8 for diagnosis and surgical procedures and Health Insurance Review & Assessment Service codes for drugs. Results: The 60-69, 70-79, and over 80 age groups accounted for more than 60% of the LUTD cases from 2009 to 2018, while significant increases in the crude prevalence of LUTD were observed over a 10-year period in all age groups (p for trend <0.05). In age groups over 60 years, LUTD was more prevalent in men than women, but there was no statistically significant difference in proportion (p>0.05). The changes in the prevalence and prevalence proportion exhibited similar trends in BPH, UI, and LUTD. Conclusions: LUTD was more prevalent in the elderly aged over 60 years old than in younger adults. Therefore, this study suggests the development of nationwide healthcare policies to manage LUTD in the elderly population of South Korea, which is expected to become the world’s most aged population.
참고문헌 (19)
- Ji Yeon Baek, "Geriatrics Fact Sheet in Korea 2021", Annals of geriatric medicine and research, 25(2), pp.65~71 (2021), 대한노인병학회[DOI]
- 유탁근, "The prevalence of lower urinary tract symptoms in population aged 40 years or over, in South Korea", Investigative and Clinical Urology, 59(3), pp.166~176 (2018), 대한비뇨의학회[DOI]
- Irwin DE, "Population-based survey of urinary incontinence, overactive bladder, and other lower urinary tract symptoms in five countries : results of the EPIC study", Eur Urol, 50, pp.1306~1314 (2006)[DOI]
- Kupelian V, "Prevalence of lower urinary tract symptoms and effect on quality of life in a racially and ethnically diverse random sample: the Boston Area Community Health (BACH) Survey", Arch Intern Med, 166, pp.2381~2387 (2006)
- Boyle P, "The prevalence of lower urinary tract symptoms in men and women in four centres", BJU Int, 92, pp.409~414 (2003)
- Trueman P, "Prevalence of lower urinary tract symptoms and self-reported diagnosed 'benign prostatic hyperplasia', and their effect on quality of life in a community-based survey of men in the UK", BJU Int, 83, pp.410~415 (1999)
- "Korean Statistical Information Service" (2023)[URL]
- 최훈, "Overview of the Epidemiology of Lower Urinary Tract Dysfunction in South Korea", International Neurourology Journal, 20(2), pp.91~100 (2016), 대한배뇨장애요실금학회
- Xia SJ, "An overview of prostate diseases and their characteristics specific to Asian men", Asian J Androl, 14, pp.458~464 (2012)
- Bosch JL, "Establishing normal reference ranges for prostate volume change with age in the population-based Krimpen-study : prediction of future prostate volume in individual men", Prostate, 67, pp.1816~1824 (2007)
- Loeb S, "Prostate volume changes over time : results from the Baltimore longitudinal study of aging", J Urol, 182, pp.1458~1462 (2009)
- Guess HA, "Cumulative prevalence of prostatism matches the autopsy prevalence of benign prostatic hyperplasia", Prostate, 17, pp.241~246 (1990)
- Kok ET, "Risk factors for lower urinary tract symptoms suggestive of benign prostatic hyperplasia in a community based population of healthy aging men : the Krimpen Study", J Urol, 181, pp.710~716 (2009)
- Taylor BC, "Prevalence, severity, and health correlates of lower urinary tract symptoms among older men: the MrOS study", Urology, 68, pp.804~809 (2006)
- Lee SWH, "The global burden of lower urinary tract symptoms suggestive of benign prostatic hyperplasia : a systematic review and meta-analysis", Sci Rep, 7, pp.7984~ (2017)
- 김욱현, "젊은 여성에서 과민성방광과 요실금의 유병률 및 삶의 질", Investigative and Clinical Urology, 45(6), pp.543~550 (2004), 대한비뇨의학회
- Choo MS, "Prevalence of urinary incontinence in Korean women : an epidemiologic survey", Int Urogynecol J Pelvic Floor Dysfunct, 18, pp.1309~1315 (2007)
- Milsom I, "The prevalence of urinary incontinence", Climacteric, 22, pp.217~222 (2019)
- Stewart WF, "Prevalence and burden of overactive bladder in the United States", World J Urol, 20, pp.327~336 (2003)