Prevalencia de síntomas del tracto urinario inferior relacionados con la hiperplasia benigna de próstata. Estudio de 1804 hombres de 40 años o más residentes en madrid durante 1999-2000
Prevalence of lower urinary tract symptoms related with benign prostatic hyperplasia. study of 1804 men aged 40 or older in madrid
Cristina Fernández pérez
, Jesús Moreno sierra**, Sara Cano escudero*, Manuel Enrique fuentes ferrer*, Gloria Bocardo fajardo**, Ángel Silmi moyano***
,1
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cfernandez.hcsc@salud.madrid.org
Correspondencia autor: Dra. Cristina Fernández Pérez Servicio de Medicina Preventiva. Hospital Clínico San Carlos Profesor Martín Lagos, s/n. - 28040 Madrid. Tel.: 913 303 194
Correspondencia autor: Dra. Cristina Fernández Pérez Servicio de Medicina Preventiva. Hospital Clínico San Carlos Profesor Martín Lagos, s/n. - 28040 Madrid. Tel.: 913 303 194
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Servicio de Medicina Preventiva. Hospital Clínico San Carlos. Madrid" "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Urología. Hospital Clínico San Carlos. Madrid" "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Universidad Complutense de Madrid" "etiqueta" => "<span class="elsevierStyleSup">***</span>" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Correspondencia autor: Dra. Cristina Fernández Pérez Servicio de Medicina Preventiva. Hospital Clínico San Carlos Profesor Martín Lagos, s/n. - 28040 Madrid. Tel.: 913 303 194" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Prevalence of lower urinary tract symptoms related with benign prostatic hyperplasia. study of 1804 men aged 40 or older in madrid" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2008-09-01" "fechaAceptado" => "2008-10-01" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras Clave" "identificador" => "xpalclavsec88763" "palabras" => array:5 [ 0 => "Epidemiología" 1 => "Tracto urinario" 2 => "Signos y síntomas" 3 => "Prevalencia" 4 => "Hiperplasia de próstata" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec88764" "palabras" => array:6 [ 0 => "Epidemiology" 1 => "Urinary tract" 2 => "Signs" 3 => "symptoms" 4 => "Prevalence" 5 => "Prostatic hyperplasia" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Introducción</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Los síntomas del tracto urinario inferior (STUI) asociados con la hiperplasia benigna de próstata están presentes en el 20-30% de la población española masculina de 50 años o más. El objetivo de este estudio es analizar las características clínicas y epidemiológicas de los pacientes con STUI.</p> <span class="elsevierStyleSectionTitle">Material y métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudio transversal realizado entre los años 1999 y 2000 en 1804 hombres de 40 años o más residentes en Madrid. Mediante entrevista telefónica se recabó información sociodemográfica de los participantes y se evaluó la presencia de STUI mediante el I-PSS (International Prostate Symptoms Score). La asociación entre variables cualitativas se evaluó con el test ?2 o el exacto de Fisher. Se ajustó un modelo de regresión logística para evaluar la probabilidad de tener STUI moderados/severos controlando la confusión.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">La prevalencia de STUI moderados/severos fue del 16,6% (IC95%: 14,8-18,3). Cerca del 90% de los participantes consumían aceite de oliva, el 71,5% alcohol, el 63,1% no fumaba y el 96,9% no consumían drogas. Un 27,7% refería hipertensión y un 8,8% diabetes. Los hombres de 70 años o más tenían una frecuencia de STUI moderados/severos tres veces mayor que los hombres más jóvenes (OR: 3,31; IC95%: 2,10-5,22). El nivel bajo de estudios, frente al alto, mostró una frecuencia 2,2 veces mayor de STUI moderados/severos (IC95%: 1,42-3,46), así como el consumo de aceite de semillas, frente al de oliva (OR: 1,86; IC95%: 0,98-3,55).</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La historia familiar de enfermedades urológicas, la edad, el nivel bajo de estudios, la hipertensión, la diabetes y el consumo de aceite de semillas se asociaron de forma independiente con la presencia de STUI más severos, mientras el consumo moderado de alcohol y tabaco se asoció de forma independiente a la presencia de STUI leves</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Lower urinary tract symptoms (LUTS) related with benign prostatic hyperplasia (BPH) are present nowadays in approximately 20 to 30% of the Spanish male population from the age of 50 onwards. The purpose of this study was to assess clinical and epidemiological characteristics of patients with LUTS.</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">A cross-sectional study was performed, between 1999 and 2000, among 1,804 men aged 40 or older who were living in Madrid. Subjects were interviewed by telephone; socio-demographic information was requested and the presence of LUTS was assessed using the International Prostate Symptoms Score. Informed consent was requested. Association between qualitative variables was evaluated by ?2 or Fisher’s test. A logistic regression model was performed to control confusion.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Prevalence of moderate/severe LUTS was 16.6% (95%CI: 14.8-18.3). Nearly 90% of the subjects consumed olive oil, 71.5% alcohol, 63.1% did not smoke and 96.9% did not consume drugs. A 27.7% of the subjects had hypertension and 8.8% referred diabetes. Men aged 70 or older had a threefold increased frequency of serious symptoms compared to younger men (OR: 3.31; 95%CI: 2.10-5.22). Low level of studies increased this frequency by a factor of 2.2 (95%CI: 1.42-3.46) and men who consumed only seed oil had twice more serious symptoms than those who consumed olive oil (OR: 1.86; 95%CI: 0.98-3.55).</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Family history of urological diseases, age, low level of studies, hypertension, diabetes and seed oil consumption were independently associated with more serious symptoms, while medium alcohol consumption and mild smoking habit were associated with slighter symptoms.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:33 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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| 2015 Marzo | 4 | 6 | 10 |
| 2015 Febrero | 2 | 5 | 7 |
| 2015 Enero | 9 | 3 | 12 |
| 2014 Diciembre | 10 | 11 | 21 |
| 2014 Noviembre | 11 | 4 | 15 |
| 2014 Octubre | 18 | 4 | 22 |
| 2014 Septiembre | 22 | 1 | 23 |
| 2014 Agosto | 9 | 2 | 11 |
| 2014 Julio | 14 | 1 | 15 |
| 2014 Junio | 8 | 4 | 12 |
| 2014 Mayo | 8 | 2 | 10 |
| 2014 Abril | 4 | 6 | 10 |
| 2014 Marzo | 8 | 6 | 14 |
| 2014 Febrero | 8 | 2 | 10 |
| 2014 Enero | 6 | 1 | 7 |
| 2013 Diciembre | 4 | 2 | 6 |
| 2013 Noviembre | 7 | 6 | 13 |
| 2013 Octubre | 4 | 1 | 5 |
| 2013 Septiembre | 8 | 4 | 12 |
| 2013 Agosto | 5 | 3 | 8 |
| 2013 Julio | 3 | 0 | 3 |
| 2009 Enero | 365 | 0 | 365 |
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