Determinants of seeking of primary care for lower urinary tract symptoms: the Krimpen study in community-dwelling men

Esther T Kok; Frans P M J Groeneveld; Jochem Gouweloos; Rikkert Jonkheijm; J L H Ruud Bosch; Siep Thomas; Arthur M Bohnen

doi:10.1016/j.eururo.2006.03.024

Determinants of seeking of primary care for lower urinary tract symptoms: the Krimpen study in community-dwelling men

Esther T Kok, Frans P M J Groeneveld, Jochem Gouweloos, Rikkert Jonkheijm, J L H Ruud Bosch, Siep Thomas, Arthur M Bohnen

Bristol Medical School (PHS)

Research output: Contribution to journal › Article (Academic Journal) › peer-review

13 Citations (Scopus)

Abstract

OBJECTIVES: To determine which factors predict seeking of primary care among men with lower urinary tract symptoms (LUTS).

METHODS: A longitudinal, population-based study with a follow-up period of 6.5 yr was conducted among 1688 men aged 50-78 yr. The following data were collected: prostate volume (using transrectal ultrasonometry), urinary flow rate, ultrasound-estimated postvoid residual urine volume, generic and disease-specific quality of life (QOL), and symptom severity (International Prostate Symptom Score [IPSS]). Information on the seeking of primary care by all participants during 2 yr of follow-up was collected from the general practitioner's (GP) record using a computerised search engine and a manual check of electronically selected files.

RESULTS: Prostate volume, postvoid residual volume, IPSS, and social generic QOL are important determinants of first GP consultation in men with LUTS. Measurements (physical urologic parameters) and self-reported items (symptom severity and QOL) contribute almost equally to GP consultation in these men.

CONCLUSIONS: Both measurements of prostate volume and postvoid residual urine volume and self-reported information about symptoms or QOL can help to select those who will benefit from medical care and to reassure those men not likely to need help in the near future.

Original language	English
Pages (from-to)	811-7
Number of pages	7
Journal	European Urology
Volume	50
Issue number	4
DOIs	https://doi.org/10.1016/j.eururo.2006.03.024
Publication status	Published - Oct 2006

Keywords

Aged
Humans
Longitudinal Studies
Male
Middle Aged
Patient Acceptance of Health Care
Primary Health Care
Prostatism

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@article{a92d03424257419bb94be2fb654e862a,

title = "Determinants of seeking of primary care for lower urinary tract symptoms: the Krimpen study in community-dwelling men",

abstract = "OBJECTIVES: To determine which factors predict seeking of primary care among men with lower urinary tract symptoms (LUTS).METHODS: A longitudinal, population-based study with a follow-up period of 6.5 yr was conducted among 1688 men aged 50-78 yr. The following data were collected: prostate volume (using transrectal ultrasonometry), urinary flow rate, ultrasound-estimated postvoid residual urine volume, generic and disease-specific quality of life (QOL), and symptom severity (International Prostate Symptom Score [IPSS]). Information on the seeking of primary care by all participants during 2 yr of follow-up was collected from the general practitioner's (GP) record using a computerised search engine and a manual check of electronically selected files.RESULTS: Prostate volume, postvoid residual volume, IPSS, and social generic QOL are important determinants of first GP consultation in men with LUTS. Measurements (physical urologic parameters) and self-reported items (symptom severity and QOL) contribute almost equally to GP consultation in these men.CONCLUSIONS: Both measurements of prostate volume and postvoid residual urine volume and self-reported information about symptoms or QOL can help to select those who will benefit from medical care and to reassure those men not likely to need help in the near future.",

keywords = "Aged, Humans, Longitudinal Studies, Male, Middle Aged, Patient Acceptance of Health Care, Primary Health Care, Prostatism",

author = "Kok, {Esther T} and Groeneveld, {Frans P M J} and Jochem Gouweloos and Rikkert Jonkheijm and Bosch, {J L H Ruud} and Siep Thomas and Bohnen, {Arthur M}",

year = "2006",

month = oct,

doi = "10.1016/j.eururo.2006.03.024",

language = "English",

volume = "50",

pages = "811--7",

journal = "European Urology",

issn = "0302-2838",

publisher = "Elsevier B.V.",

number = "4",

}

TY - JOUR

T1 - Determinants of seeking of primary care for lower urinary tract symptoms

T2 - the Krimpen study in community-dwelling men

AU - Kok, Esther T

AU - Groeneveld, Frans P M J

AU - Gouweloos, Jochem

AU - Jonkheijm, Rikkert

AU - Bosch, J L H Ruud

AU - Thomas, Siep

AU - Bohnen, Arthur M

PY - 2006/10

Y1 - 2006/10

N2 - OBJECTIVES: To determine which factors predict seeking of primary care among men with lower urinary tract symptoms (LUTS).METHODS: A longitudinal, population-based study with a follow-up period of 6.5 yr was conducted among 1688 men aged 50-78 yr. The following data were collected: prostate volume (using transrectal ultrasonometry), urinary flow rate, ultrasound-estimated postvoid residual urine volume, generic and disease-specific quality of life (QOL), and symptom severity (International Prostate Symptom Score [IPSS]). Information on the seeking of primary care by all participants during 2 yr of follow-up was collected from the general practitioner's (GP) record using a computerised search engine and a manual check of electronically selected files.RESULTS: Prostate volume, postvoid residual volume, IPSS, and social generic QOL are important determinants of first GP consultation in men with LUTS. Measurements (physical urologic parameters) and self-reported items (symptom severity and QOL) contribute almost equally to GP consultation in these men.CONCLUSIONS: Both measurements of prostate volume and postvoid residual urine volume and self-reported information about symptoms or QOL can help to select those who will benefit from medical care and to reassure those men not likely to need help in the near future.

AB - OBJECTIVES: To determine which factors predict seeking of primary care among men with lower urinary tract symptoms (LUTS).METHODS: A longitudinal, population-based study with a follow-up period of 6.5 yr was conducted among 1688 men aged 50-78 yr. The following data were collected: prostate volume (using transrectal ultrasonometry), urinary flow rate, ultrasound-estimated postvoid residual urine volume, generic and disease-specific quality of life (QOL), and symptom severity (International Prostate Symptom Score [IPSS]). Information on the seeking of primary care by all participants during 2 yr of follow-up was collected from the general practitioner's (GP) record using a computerised search engine and a manual check of electronically selected files.RESULTS: Prostate volume, postvoid residual volume, IPSS, and social generic QOL are important determinants of first GP consultation in men with LUTS. Measurements (physical urologic parameters) and self-reported items (symptom severity and QOL) contribute almost equally to GP consultation in these men.CONCLUSIONS: Both measurements of prostate volume and postvoid residual urine volume and self-reported information about symptoms or QOL can help to select those who will benefit from medical care and to reassure those men not likely to need help in the near future.

KW - Aged

KW - Humans

KW - Longitudinal Studies

KW - Male

KW - Middle Aged

KW - Patient Acceptance of Health Care

KW - Primary Health Care

KW - Prostatism

U2 - 10.1016/j.eururo.2006.03.024

DO - 10.1016/j.eururo.2006.03.024

M3 - Article (Academic Journal)

C2 - 16632189

SN - 0302-2838

VL - 50

SP - 811

EP - 817

JO - European Urology

JF - European Urology

IS - 4

ER -

Determinants of seeking of primary care for lower urinary tract symptoms: the Krimpen study in community-dwelling men

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