コミュニティにおける良性前立腺増殖の高い流行

W M Garraway¹, G N Collins, R J Lee

¹Department of Public Health Sciences, Edinburgh University, UK.

Lancet (London, England)

|August 24, 1991

まとめ

良性前立腺増殖 (BPH) は,これまで考えられていたよりも一般的であり,40-79歳の男性1000人に253人が罹患しています. この研究は,一般社会におけるBPHの高い罹患率を強調しています.

科学分野:

泌尿器科泌尿器科とは
エピデミオロジーエピデミオロジー

背景:

クリニカル・レトロスペクティブと死体解剖の研究は,泌尿器科医が疑うよりも,良性前立腺増殖 (BPH) の罹患率が低いことを示唆しています.
BPHのより高いコミュニティの流行が存在し,高齢の男性人口の有意な部分に影響を与える可能性があります.

研究の目的:

定義されたコミュニティ内の良性前立腺増殖 (BPH) の実際の罹患率を決定する.
40歳から79歳までの男性における,異なる年齢層におけるBPHの罹患率を評価する.

主な方法:

40歳から79歳までの男性を対象としたコミュニティベースの研究.
参加者は尿症状のアンケートに記入し,尿流量測定を受けた.
トランスレクタル超音波検査 (TRUS) は,前立腺機能不全の症状のある男性における前立腺の容量を評価するために使用されました.

主要な成果:

この研究には705人の男性が参加し,そのうち214人がTRUSを受けた.
BPH (前立腺の体重>20gと尿症状またはピークフロー<15ml/s) の罹患率は1000人に253人 (95%CI 221-285) であった.
罹患率は年齢とともに増加し,40~49歳の男性では1000人当たり138人から60~69歳の男性では1000人当たり430人に増加した.

結論:

前立腺の良性多発症 (BPH) は,臨床試験で報告されたよりも,コミュニティで有意により一般的です.
前もって診断されていなくても,重症な症状もなくても,かなりの数の男性がBPHを経験します.
この発見は,初等医療施設におけるBPHに対する認識と潜在的なスクリーニングの必要性を強調しています.

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