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題 名 | Factors Related to Delayed Treatment and Posttreatment Symptom Severity in Taiwanese Patients with Benign Prostatic Hyperplasia=臺灣前列腺肥大病人延遲治療後症狀嚴重度之相關因素 |
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作 者 | 張慶國; 余宏政; 陳建煒; 季瑋珠; 陳淳; 陳永泰; 賴明坤; | 書刊名 | 臺灣醫學會雜誌 |
卷 期 | 97:11 1998.11[民87.11] |
頁 次 | 頁757-762 |
分類號 | 416.275 |
關鍵詞 | 前列腺肥大; Benign prostatic hyperplasia; International prostate symptom score; Care-seeking behavior; |
語 文 | 英文(English) |
英文摘要 | We evaluated the sociodemographic and clinical factors of delayed treatment and posttreatment symptom severity in outpatients with benign prostatic hyperplasia (BPH). The study included 146 BPH patients treated at the National Taiwan University Hospital in early 1997. All patients were treated with α-adrenergic antagonists or finasteride for at least 2 weeks. A questionnaire based on Andersen's Health Behavior Model was used to assess various sociodemographic features, while the pre-and posttreatment symptoms severity was rated according to the International Prostate Symptom Score (IPSS). Multiple logistic regression was used to assess the associations of these factors with delayed treatment and posttreatment symptom severity. Subjects who had recently quit smoking or were blue-collar workers tended to delay treatment, while those who chose a medical center as the care provider for chronic diseases tended to be less likely to delay treatment. However, none of these associations were statistically significant. No enabling factors (income, insurance) or need factors (symptom scores) evaluated were associated with delayed treatment. Predisposing factors associated with higher posttreatment symptom severity were delayed treatment (over 12 months) (adjusted odds ratio〔OR〕:2.67,95% confidence interval〔CI〕:1.16-6.16), quitting smoking (adjusted OR; 4.47,95% CI:1.34-14.94), and having never smoked (adjusted OR:3.73,95% CI:1.15-12.11). Subjects with severe pretreatment symptoms were far more likely than subjects with mild pretreatment symptoms to have severe symptoms after treatment ( adjusted OR:52.69,95% CI:54.46-621.90). Our findings, though based on a limited number of subjects, suggest sociodemographic factors rather than objective clinical attributes (prostate specific antigen level, prostate volume, and urodynamic results) are associated with delayed treatment in Taiwanese men with BPH. Both pretreatment symptom severity and sociodemographic factors are related to posttreatment symptom severity. |
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