1. Development of a Clinically Relevant Men's Health Phenotype and Correlation of Systemic and Urologic Conditions.
- Author
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Shoskes DA, Vij SC, Shoskes A, Nyame Y, and Gao T
- Subjects
- Adult, Aged, Chronic Disease, Cluster Analysis, Cohort Studies, Erectile Dysfunction diagnosis, Erectile Dysfunction epidemiology, Erectile Dysfunction therapy, Humans, Logistic Models, Male, Middle Aged, Pelvic Pain diagnosis, Pelvic Pain epidemiology, Pelvic Pain therapy, Prostatic Hyperplasia diagnosis, Prostatic Hyperplasia epidemiology, Prostatic Hyperplasia therapy, Prostatitis diagnosis, Prostatitis epidemiology, Prostatitis therapy, Retrospective Studies, United States, Urologic Diseases therapy, Attitude to Health, Men's Health, Phenotype, Urologic Diseases diagnosis, Urologic Diseases epidemiology
- Abstract
Objective: To develop a clinically relevant men's health phenotype and investigate the correlation between severity of urologic symptoms and systemic health conditions METHODS: Retrospective chart review was performed for men seeking care for benign prostatic hypertrophy, erectile dysfunction or chronic prostatitis or chronic pelvic pain syndrome. Urologic symptoms were assessed with the International Prostate Symptom Score, Sexual Health Inventory for Men, and National Institute of Health Chronic Prostatitis Symptom Score. Each was graded as absent or mild (0), moderate (1), or severe (2) and totaled for a urologic score (US). Seven comorbidities with known impact on urologic symptoms were similarly graded (0-2 for each) and totaled for a systemic score (SS). These domains were anxiety, cardiovascular, testosterone deficiency, insulin (diabetes), obesity, neurologic, and sleep apnea., Results: The study included 415 men with median age of 53.8 (range 19-92). Mean total US was 2.1 (range 0-6) and mean SS was 4.1 (0-12). There was a strong correlation between US and SS (Spearman Rho = 0.37, Pā<ā.00001) which was consistent regardless of age. The hierarchy of systemic condition impact on US was cardiovascular> neurologic> diabetes> anxiety> sleep apnea> obesity> testosterone. By cluster analysis the tightest correlations were age with cardiovascular, anxiety with CPPS, and diabetes with erectile dysfunction., Conclusion: Systemic health conditions correlate strongly with urologic symptoms in men who present for urologic care. Phenotyping with ACTIONS (anxiety, cardiovascular, testosterone deficiency, insulin, obesity, neurologic, sleep apnea) can identify modifiable conditions that may impact urologic symptoms and outcome of interventions. Future validation in the general population is needed., (Copyright © 2018 Elsevier Inc. All rights reserved.)
- Published
- 2018
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