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Prevalence of and risk factors for prostatitis: population based assessment using physician assigned diagnoses.
J Urol. 2007 Oct; 178(4 Pt 1):1333-7.JU

Abstract

PURPOSE

Previous studies to assess risk factors for prostatitis used patient self-reported data and, therefore, they were subject to recall bias. We 1) used coded physician diagnoses to calculate the prevalence of prostatitis and 2) compared these patients with matched controls to identify medical conditions that are associated with prostatitis. Subjects were male enrollees in the Kaiser Permanente Northwest, Portland, Oregon health maintenance organization.

MATERIALS AND METHODS

A computer search of the Kaiser Permanente Northwest administrative database was performed for May 1, 1998 to April 30, 2004 to identify men with a coded diagnosis of prostatitis. Prostatitis cases were each age matched with 3 controls and the medical diagnoses (using 3-digit International Classification of Diseases, 9th Revision codes) assigned to these 2 groups were compared.

RESULTS

A prostatitis diagnosis was present in 4.5% of the male population. There were 37 diagnoses that were significantly more common in cases than in controls (p <0.0001). Most of them were other urological codes to describe prostatitis symptoms, unexplained physical symptoms in other organ systems and psychiatric diagnoses. The strongest observed associations were with benign prostatic hyperplasia (OR 2.7), functional digestive disorders (OR 2.6), dyspepsia (OR 2.1), anxiety disorders (OR 2.0), other soft tissue disorders (OR 2.0), esophageal reflux (OR 1.8) and mood disorders (OR 1.8).

CONCLUSIONS

Prostatitis is a commonly diagnosed condition in the community setting, affecting approximately 1/22 men. The diagnosis is associated with multiple other unexplained physical symptoms and certain psychiatric conditions. Studies to explore possible biological explanations for these associations are needed.

Authors+Show Affiliations

Department of Urology, Northwestern University Feinberg School of Medicine, Chicago, Illinois 60611, USA. qclemens@northwestern.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

17706722

Citation

Clemens, J Quentin, et al. "Prevalence of and Risk Factors for Prostatitis: Population Based Assessment Using Physician Assigned Diagnoses." The Journal of Urology, vol. 178, no. 4 Pt 1, 2007, pp. 1333-7.
Clemens JQ, Meenan RT, O'Keeffe Rosetti MC, et al. Prevalence of and risk factors for prostatitis: population based assessment using physician assigned diagnoses. J Urol. 2007;178(4 Pt 1):1333-7.
Clemens, J. Q., Meenan, R. T., O'Keeffe Rosetti, M. C., Kimes, T., & Calhoun, E. A. (2007). Prevalence of and risk factors for prostatitis: population based assessment using physician assigned diagnoses. The Journal of Urology, 178(4 Pt 1), 1333-7.
Clemens JQ, et al. Prevalence of and Risk Factors for Prostatitis: Population Based Assessment Using Physician Assigned Diagnoses. J Urol. 2007;178(4 Pt 1):1333-7. PubMed PMID: 17706722.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prevalence of and risk factors for prostatitis: population based assessment using physician assigned diagnoses. AU - Clemens,J Quentin, AU - Meenan,Richard T, AU - O'Keeffe Rosetti,Maureen C, AU - Kimes,Terry, AU - Calhoun,Elizabeth A, Y1 - 2007/08/16/ PY - 2007/02/07/received PY - 2007/8/21/pubmed PY - 2007/10/20/medline PY - 2007/8/21/entrez SP - 1333 EP - 7 JF - The Journal of urology JO - J. Urol. VL - 178 IS - 4 Pt 1 N2 - PURPOSE: Previous studies to assess risk factors for prostatitis used patient self-reported data and, therefore, they were subject to recall bias. We 1) used coded physician diagnoses to calculate the prevalence of prostatitis and 2) compared these patients with matched controls to identify medical conditions that are associated with prostatitis. Subjects were male enrollees in the Kaiser Permanente Northwest, Portland, Oregon health maintenance organization. MATERIALS AND METHODS: A computer search of the Kaiser Permanente Northwest administrative database was performed for May 1, 1998 to April 30, 2004 to identify men with a coded diagnosis of prostatitis. Prostatitis cases were each age matched with 3 controls and the medical diagnoses (using 3-digit International Classification of Diseases, 9th Revision codes) assigned to these 2 groups were compared. RESULTS: A prostatitis diagnosis was present in 4.5% of the male population. There were 37 diagnoses that were significantly more common in cases than in controls (p <0.0001). Most of them were other urological codes to describe prostatitis symptoms, unexplained physical symptoms in other organ systems and psychiatric diagnoses. The strongest observed associations were with benign prostatic hyperplasia (OR 2.7), functional digestive disorders (OR 2.6), dyspepsia (OR 2.1), anxiety disorders (OR 2.0), other soft tissue disorders (OR 2.0), esophageal reflux (OR 1.8) and mood disorders (OR 1.8). CONCLUSIONS: Prostatitis is a commonly diagnosed condition in the community setting, affecting approximately 1/22 men. The diagnosis is associated with multiple other unexplained physical symptoms and certain psychiatric conditions. Studies to explore possible biological explanations for these associations are needed. SN - 0022-5347 UR - https://www.unboundmedicine.com/medline/citation/17706722/Prevalence_of_and_risk_factors_for_prostatitis:_population_based_assessment_using_physician_assigned_diagnoses_ L2 - https://www.jurology.com/doi/full/10.1016/j.juro.2007.05.140?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -