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Influence of pain and urinary symptoms on quality of life in young men with chronic prostatitis-like symptoms.
Int J Urol. 2004 Jul; 11(7):489-93.IJ

Abstract

BACKGROUND

Our aims in the present study were to estimate the influences of pain and urinary symptoms on quality of life, and to determine which of these two variables has the most predictive power with respect to quality of life in young men with chronic prostatitis-like symptoms.

METHODS

Chronic prostatitis-like symptoms were measured by the National Institutes of Health-Chronic Prostatitis Symptom Index. Of the 28,841 men aged 20 years who lived in the study community, 18,495 men (a response rate 64.1%) agreed to participate in the study. A total of 1057 men who complained of symptoms indicative of chronic prostatitis were included in the study. The influences of pain and urinary symptoms on quality of life were determined using logistic regression analysis. The receiver operating characteristic (ROC) curve was used to estimate the predictive ability of each of these variables with respect to quality of life.

RESULTS

Results from multivariate analysis showed that both pain and urinary symptoms were associated with an increased likelihood of impaired quality of life, although pain contributed more to a reduced quality of life than urinary symptoms. Relative to men who experienced mild pain, men who experienced moderate pain had a 3.9-fold risk of poor quality of life (odds ratio [OR], 3.87; 95% confidence interval [CI], 2.86-5.23; P < 0.001) and those who experienced severe pain had a 15.7-fold risk of reduced quality of life (OR, 15.68; 95% CI, 6.59-37.35; P < 0.001). Moderate urinary symptoms were associated with a 1.4-fold risk of bother (OR, 1.41; 95% CI, 1.01-1.99; P < 0.001) and severe urinary symptoms were associated with 2.4-fold risk (OR, 2.39; 95% CI, 1.37-4.12; P < 0.001), relative to mild urinary symptoms. Comparison of the effects of pain and urinary symptoms showed that pain severity had the most predictive power for bother, quality of life, and quality-of-life impact. The areas under the ROC curves for bother, quality of life, and quality-of-life impact were 71.3%, 69.3% and 72.5%, respectively.

CONCLUSION

Urinary symptoms and pain might be associated with an increased likelihood of impaired quality of life in young men with chronic prostatitis-like symptoms. In addition, our findings suggest that pain severity is the most influential variable for determining quality of life in this population.

Authors+Show Affiliations

Department of Urology, Seoul National University College of Medicine, Jongno-gu, Korea.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15242357

Citation

Ku, Ja Hyeon, et al. "Influence of Pain and Urinary Symptoms On Quality of Life in Young Men With Chronic Prostatitis-like Symptoms." International Journal of Urology : Official Journal of the Japanese Urological Association, vol. 11, no. 7, 2004, pp. 489-93.
Ku JH, Kwak C, Oh SJ, et al. Influence of pain and urinary symptoms on quality of life in young men with chronic prostatitis-like symptoms. Int J Urol. 2004;11(7):489-93.
Ku, J. H., Kwak, C., Oh, S. J., Lee, E., Lee, S. E., & Paick, J. S. (2004). Influence of pain and urinary symptoms on quality of life in young men with chronic prostatitis-like symptoms. International Journal of Urology : Official Journal of the Japanese Urological Association, 11(7), 489-93.
Ku JH, et al. Influence of Pain and Urinary Symptoms On Quality of Life in Young Men With Chronic Prostatitis-like Symptoms. Int J Urol. 2004;11(7):489-93. PubMed PMID: 15242357.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Influence of pain and urinary symptoms on quality of life in young men with chronic prostatitis-like symptoms. AU - Ku,Ja Hyeon, AU - Kwak,Cheol, AU - Oh,Seung-June, AU - Lee,Eunsik, AU - Lee,Sang Eun, AU - Paick,Jae-Seung, PY - 2004/7/10/pubmed PY - 2004/12/16/medline PY - 2004/7/10/entrez SP - 489 EP - 93 JF - International journal of urology : official journal of the Japanese Urological Association JO - Int. J. Urol. VL - 11 IS - 7 N2 - BACKGROUND: Our aims in the present study were to estimate the influences of pain and urinary symptoms on quality of life, and to determine which of these two variables has the most predictive power with respect to quality of life in young men with chronic prostatitis-like symptoms. METHODS: Chronic prostatitis-like symptoms were measured by the National Institutes of Health-Chronic Prostatitis Symptom Index. Of the 28,841 men aged 20 years who lived in the study community, 18,495 men (a response rate 64.1%) agreed to participate in the study. A total of 1057 men who complained of symptoms indicative of chronic prostatitis were included in the study. The influences of pain and urinary symptoms on quality of life were determined using logistic regression analysis. The receiver operating characteristic (ROC) curve was used to estimate the predictive ability of each of these variables with respect to quality of life. RESULTS: Results from multivariate analysis showed that both pain and urinary symptoms were associated with an increased likelihood of impaired quality of life, although pain contributed more to a reduced quality of life than urinary symptoms. Relative to men who experienced mild pain, men who experienced moderate pain had a 3.9-fold risk of poor quality of life (odds ratio [OR], 3.87; 95% confidence interval [CI], 2.86-5.23; P < 0.001) and those who experienced severe pain had a 15.7-fold risk of reduced quality of life (OR, 15.68; 95% CI, 6.59-37.35; P < 0.001). Moderate urinary symptoms were associated with a 1.4-fold risk of bother (OR, 1.41; 95% CI, 1.01-1.99; P < 0.001) and severe urinary symptoms were associated with 2.4-fold risk (OR, 2.39; 95% CI, 1.37-4.12; P < 0.001), relative to mild urinary symptoms. Comparison of the effects of pain and urinary symptoms showed that pain severity had the most predictive power for bother, quality of life, and quality-of-life impact. The areas under the ROC curves for bother, quality of life, and quality-of-life impact were 71.3%, 69.3% and 72.5%, respectively. CONCLUSION: Urinary symptoms and pain might be associated with an increased likelihood of impaired quality of life in young men with chronic prostatitis-like symptoms. In addition, our findings suggest that pain severity is the most influential variable for determining quality of life in this population. SN - 0919-8172 UR - https://www.unboundmedicine.com/medline/citation/15242357/Influence_of_pain_and_urinary_symptoms_on_quality_of_life_in_young_men_with_chronic_prostatitis_like_symptoms_ L2 - https://onlinelibrary.wiley.com/resolve/openurl?genre=article&amp;sid=nlm:pubmed&amp;issn=0919-8172&amp;date=2004&amp;volume=11&amp;issue=7&amp;spage=489 DB - PRIME DP - Unbound Medicine ER -