1721 HOSPITAL DISCHARGE TRENDS FOR BENIGN PROSTATIC HYPERPLASIA, 1998 TO 2007

Abstract

You have accessJournal of UrologyBenign Prostatic Hyperplasia: Epidemiology and Natural History/Evaluation and Markers1 Apr 20111721 HOSPITAL DISCHARGE TRENDS FOR BENIGN PROSTATIC HYPERPLASIA, 1998 TO 2007 Sean Stroup, Kerrin Palazzi-Churas, Ryan Kopp, and J. Kellog Parsons Sean StroupSean Stroup San Diego, CA More articles by this author , Kerrin Palazzi-ChurasKerrin Palazzi-Churas San Diego, CA More articles by this author , Ryan KoppRyan Kopp San Diego, CA More articles by this author , and J. Kellog ParsonsJ. Kellog Parsons San Diego, CA More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2011.02.1992AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Oral medications have transformed treatment paradigms for benign prostatic hyperplasia (BPH). Concomitant trends in hospitalizations for BPH and adverse outcomes of BPH remain undefined. METHODS We utilized the Nationwide Inpatient Sample, a 20% sample of Unites States community hospitals, to characterize inpatient discharges for BPH and adverse outcomes of BPH from 1998 to 2007. We calculated the age-adjusted prevalence of BPH and associated conditions and analyzed trends over time with regression modeling. RESULTS Of 121 million estimated eligible discharges during the study period, 6,409,576 (5.3%) had either a primary or secondary diagnosis of BPH. The age-adjusted prevalence of BPH among all hospital discharges, irrespective of primary diagnosis, increased from 4.2% to 7.4% (p < 0.001) during the study period. The age-adjusted prevalence of primary BPH decreased from 0.86% to 0.47% (p < 0.001). Discharges for BPH surgery decreased 51% (OR 0.49, 95% CI 0.48 to 0.49, p-trend < 0.001); those for primary BPH with acute renal failure increased more than 300% (OR 3.35, 95% CI 2.94 to 3.83, p-trend < 0.001). There were no significant changes in discharges for primary BPH with urinary retention (p-trend = 0.18), bladder stones (p-trend = 0.12), or urinary infection (p-trend = 0.14). CONCLUSIONS While the prevalence of BPH among all male adult hospital discharges increased, discharges for primary BPH declined. Increased discharges for primary BPH associated with acute renal failure, and stable discharges for other associated conditions, indicate that severe adverse outcomes of BPH persist despite widespread use of oral therapies. © 2011 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 185Issue 4SApril 2011Page: e691 Advertisement Copyright & Permissions© 2011 by American Urological Association Education and Research, Inc.MetricsAuthor Information Sean Stroup San Diego, CA More articles by this author Kerrin Palazzi-Churas San Diego, CA More articles by this author Ryan Kopp San Diego, CA More articles by this author J. Kellog Parsons San Diego, CA More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...