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Correlates and prevalence of prostatitis in a large community-based cohort of older men.
Urology. 2005 Nov; 66(5):964-70.U

Abstract

OBJECTIVES

To describe the prevalence and correlates of self-reported history of prostatitis in terms of lower urinary tract symptoms and associated dissatisfaction in community-dwelling older men.

METHODS

We performed a cross-sectional analysis from a prospective cohort study of 5821 men aged 65 years and older recruited from six clinical centers.

RESULTS

Overall, 1439 men (25%) self-reported a history of prostatitis. Men with a history of prostatitis were more likely to self-report a history of prostate cancer (26% versus 7%; P < 0.0001) and a history of benign prostatic hyperplasia (83% versus 38%; P < 0.0001) within a lifetime compared with men without a history of prostatitis. Men with a history of prostatitis also had a greater mean American Urological Association symptom score (mean +/- SD, 10.1 +/- 7.1 versus 7.7 +/- 5.9; P < 0.0001) than men without a history of prostatitis. Also, a greater percentage of men with a history of prostatitis reported being dissatisfied with their present urinary condition than did men without a history of prostatitis (21% versus 11%; P < 0.0001). We found positive associations for a history of prostatitis with a history of benign prostatic hyperplasia (odds ratio 8.0, 95% confidence interval 6.8 to 9.5), a history of prostate cancer (odds ratio 5.4, 95% confidence interval 4.4 to 6.6), and dissatisfaction with current urinary condition (odds ratio 1.2, 95% confidence interval 1.01 to 1.5).

CONCLUSIONS

A self-reported history of prostatitis is common in older men and was associated with self-reported prostate cancer and benign prostatic hyperplasia and increased severity of lower urinary tract symptoms and associated dissatisfaction. Because of the potential detection bias, recall bias, and the cross-sectional nature of the study, limiting causal inference, the associations among these urologic conditions require additional study.

Authors+Show Affiliations

Division of General Internal Medicine, Department of Medicine, University of California, School of Medicine, San Francisco, California 94115, USA. ndaniels@medicine.ucsf.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, Non-P.H.S.
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

16286104

Citation

Daniels, Nicholas A., et al. "Correlates and Prevalence of Prostatitis in a Large Community-based Cohort of Older Men." Urology, vol. 66, no. 5, 2005, pp. 964-70.
Daniels NA, Ewing SK, Zmuda JM, et al. Correlates and prevalence of prostatitis in a large community-based cohort of older men. Urology. 2005;66(5):964-70.
Daniels, N. A., Ewing, S. K., Zmuda, J. M., Wilt, T. J., & Bauer, D. C. (2005). Correlates and prevalence of prostatitis in a large community-based cohort of older men. Urology, 66(5), 964-70.
Daniels NA, et al. Correlates and Prevalence of Prostatitis in a Large Community-based Cohort of Older Men. Urology. 2005;66(5):964-70. PubMed PMID: 16286104.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Correlates and prevalence of prostatitis in a large community-based cohort of older men. AU - Daniels,Nicholas A, AU - Ewing,Susan K, AU - Zmuda,Joseph M, AU - Wilt,Timothy J, AU - Bauer,Douglas C, AU - ,, PY - 2005/01/15/received PY - 2005/04/26/revised PY - 2005/05/13/accepted PY - 2005/11/16/pubmed PY - 2005/12/24/medline PY - 2005/11/16/entrez SP - 964 EP - 70 JF - Urology JO - Urology VL - 66 IS - 5 N2 - OBJECTIVES: To describe the prevalence and correlates of self-reported history of prostatitis in terms of lower urinary tract symptoms and associated dissatisfaction in community-dwelling older men. METHODS: We performed a cross-sectional analysis from a prospective cohort study of 5821 men aged 65 years and older recruited from six clinical centers. RESULTS: Overall, 1439 men (25%) self-reported a history of prostatitis. Men with a history of prostatitis were more likely to self-report a history of prostate cancer (26% versus 7%; P < 0.0001) and a history of benign prostatic hyperplasia (83% versus 38%; P < 0.0001) within a lifetime compared with men without a history of prostatitis. Men with a history of prostatitis also had a greater mean American Urological Association symptom score (mean +/- SD, 10.1 +/- 7.1 versus 7.7 +/- 5.9; P < 0.0001) than men without a history of prostatitis. Also, a greater percentage of men with a history of prostatitis reported being dissatisfied with their present urinary condition than did men without a history of prostatitis (21% versus 11%; P < 0.0001). We found positive associations for a history of prostatitis with a history of benign prostatic hyperplasia (odds ratio 8.0, 95% confidence interval 6.8 to 9.5), a history of prostate cancer (odds ratio 5.4, 95% confidence interval 4.4 to 6.6), and dissatisfaction with current urinary condition (odds ratio 1.2, 95% confidence interval 1.01 to 1.5). CONCLUSIONS: A self-reported history of prostatitis is common in older men and was associated with self-reported prostate cancer and benign prostatic hyperplasia and increased severity of lower urinary tract symptoms and associated dissatisfaction. Because of the potential detection bias, recall bias, and the cross-sectional nature of the study, limiting causal inference, the associations among these urologic conditions require additional study. SN - 1527-9995 UR - https://www.unboundmedicine.com/medline/citation/16286104/Correlates_and_prevalence_of_prostatitis_in_a_large_community_based_cohort_of_older_men_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0090-4295(05)00758-2 DB - PRIME DP - Unbound Medicine ER -