MP13-11 FACTORS THAT INFLUENCE ON LOWER URINARY TRACT SYMPTOM (LUTS) RELATED QUALITY OF LIFE (QOL)

Abstract

You have accessJournal of UrologyBenign Prostatic Hyperplasia: Epidemiology & Evaluation1 Apr 2017MP13-11 FACTORS THAT INFLUENCE ON LOWER URINARY TRACT SYMPTOM (LUTS) RELATED QUALITY OF LIFE (QOL) Woo Suk Choi, Hyoung Keun Park, Sung Hyun Paick, Hyeong Gon Kim, and Hwancheol Son Woo Suk ChoiWoo Suk Choi More articles by this author , Hyoung Keun ParkHyoung Keun Park More articles by this author , Sung Hyun PaickSung Hyun Paick More articles by this author , Hyeong Gon KimHyeong Gon Kim More articles by this author , and Hwancheol SonHwancheol Son More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2017.02.454AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES American urologic association symptom Index (AUA-SI) with the quality of life (QoL) item is the most widely used questionnaire for evaluating lower urinary tract symptom (LUTS). Symptom severity does not always account for negative impact on QoL, and someone have worse Qol scores although he has only mild LUTS. In this study, we evaluated the factors affecting the LUTS related QoL score. METHODS This retrospective study analyzed 29,123 men who underwent health check-ups from January 2007 to July 2011 at a single institution. Those patients who completed the AUA-SI with QoL, Beck depression inventory (BDI) and state-trait anxiety inventory (STAI) questionnaires were included in the study. Men with a history of medication for LUTS were excluded from the study. Men who submitted QoL scores of 3 or higher in spite of mild LUTS (total AUA-SI score < 8) were defined as having a relatively worse QoL. RESULTS Mean age of 21,390 men was 48.4 ± 9.5 years. Mean total AUA-SI score was 6.4 ± 5.9 points. The QoL score was well correlated with the total AUA-SI score (r = 0.705, p < 0.001). Among all AUA-SI items, AUA-SI item 1 (incomplete emptying, r = 0.600, p < 0.001) had the strongest correlation with QoL scores. On the multivariate analysis, hypertension, total AUA-SI score, BDI score, and trait anxiety score were found to be independent factors that influenced the QoL scores. A lower age, a higher PSA, a higher AUA-SI score and a higher BDI score were risk factors for relatively worse QoL scores in spite of mild LUTS. CONCLUSIONS Among the 7 items of AUA-SI, AUA-SI item 1 has the strongest correlation with a worse LUTS related QoL. Psychological status also influences the QoL scores. © 2017FiguresReferencesRelatedDetails Volume 197Issue 4SApril 2017Page: e157 Advertisement Copyright & Permissions© 2017MetricsAuthor Information Woo Suk Choi More articles by this author Hyoung Keun Park More articles by this author Sung Hyun Paick More articles by this author Hyeong Gon Kim More articles by this author Hwancheol Son More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...