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Urinary, bowel and sexual health in older men from Northern Ireland
OBJECTIVES: To provide data on the prevalence of urinary, bowel and sexual dysfunction in Northern Ireland (NI), to act as a baseline for studies of prostate cancer outcomes and to aid service provision within the general population. SUBJECTS AND METHODS: A cross‐sectional postal survey of 10 000 me...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6220963/ https://www.ncbi.nlm.nih.gov/pubmed/29489050 http://dx.doi.org/10.1111/bju.14182 |
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author | Donnelly, David W. Donnelly, Conan Kearney, Therese Weller, David Sharp, Linda Downing, Amy Wilding, Sarah Wright, Penny Kind, Paul Catto, James W.F. Cross, William R. Mason, Malcolm D. McCaughan, Eilis Wagland, Richard Watson, Eila Mottram, Rebecca Allen, Majorie Butcher, Hugh Hounsome, Luke Selby, Peter Huws, Dyfed Brewster, David H. McNair, Emma Rivas, Carol Nayoan, Johana Horton, Mike Matheson, Lauren Glaser, Adam W. Gavin, Anna |
author_facet | Donnelly, David W. Donnelly, Conan Kearney, Therese Weller, David Sharp, Linda Downing, Amy Wilding, Sarah Wright, Penny Kind, Paul Catto, James W.F. Cross, William R. Mason, Malcolm D. McCaughan, Eilis Wagland, Richard Watson, Eila Mottram, Rebecca Allen, Majorie Butcher, Hugh Hounsome, Luke Selby, Peter Huws, Dyfed Brewster, David H. McNair, Emma Rivas, Carol Nayoan, Johana Horton, Mike Matheson, Lauren Glaser, Adam W. Gavin, Anna |
author_sort | Donnelly, David W. |
collection | PubMed |
description | OBJECTIVES: To provide data on the prevalence of urinary, bowel and sexual dysfunction in Northern Ireland (NI), to act as a baseline for studies of prostate cancer outcomes and to aid service provision within the general population. SUBJECTS AND METHODS: A cross‐sectional postal survey of 10 000 men aged ≥40 years in NI was conducted and age‐matched to the distribution of men living with prostate cancer. The EuroQoL five Dimensions five Levels (EQ‐5D‐5L) and 26‐item Expanded Prostate Cancer Composite (EPIC‐26) instruments were used to enable comparisons with prostate cancer outcome studies. Whilst representative of the prostate cancer survivor population, the age‐distribution of the sample differs from the general population, thus data were generalised to the NI population by excluding those aged 40–59 years and applying survey weights. Results are presented as proportions reporting problems along with mean composite scores, with differences by respondent characteristics assessed using chi‐squared tests, analysis of variance, and multivariable log‐linear regression. RESULTS: Amongst men aged ≥60 years, 32.8% reported sexual dysfunction, 9.3% urinary dysfunction, and 6.5% bowel dysfunction. In all, 38.1% reported at least one problem and 2.1% all three. Worse outcome was associated with increasing number of long‐term conditions, low physical activity, and higher body mass index (BMI). Urinary incontinence, urinary irritation/obstruction, and sexual dysfunction increased with age; whilst urinary incontinence, bowel, and sexual dysfunction were more common among the unemployed. CONCLUSION: These data provide an insight into sensitive issues seldom reported by elderly men, which result in poor general health, but could be addressed given adequate service provision. The relationship between these problems, raised BMI and low physical activity offers the prospect of additional health gain by addressing public health issues such as obesity. The results provide essential contemporary population data against which outcomes for those living with prostate cancer can be compared. They will facilitate greater understanding of the true impact of specific treatments such as surgical interventions, pelvic radiation or androgen‐deprivation therapy. |
format | Online Article Text |
id | pubmed-6220963 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-62209632018-11-15 Urinary, bowel and sexual health in older men from Northern Ireland Donnelly, David W. Donnelly, Conan Kearney, Therese Weller, David Sharp, Linda Downing, Amy Wilding, Sarah Wright, Penny Kind, Paul Catto, James W.F. Cross, William R. Mason, Malcolm D. McCaughan, Eilis Wagland, Richard Watson, Eila Mottram, Rebecca Allen, Majorie Butcher, Hugh Hounsome, Luke Selby, Peter Huws, Dyfed Brewster, David H. McNair, Emma Rivas, Carol Nayoan, Johana Horton, Mike Matheson, Lauren Glaser, Adam W. Gavin, Anna BJU Int Upper Urinary Tract OBJECTIVES: To provide data on the prevalence of urinary, bowel and sexual dysfunction in Northern Ireland (NI), to act as a baseline for studies of prostate cancer outcomes and to aid service provision within the general population. SUBJECTS AND METHODS: A cross‐sectional postal survey of 10 000 men aged ≥40 years in NI was conducted and age‐matched to the distribution of men living with prostate cancer. The EuroQoL five Dimensions five Levels (EQ‐5D‐5L) and 26‐item Expanded Prostate Cancer Composite (EPIC‐26) instruments were used to enable comparisons with prostate cancer outcome studies. Whilst representative of the prostate cancer survivor population, the age‐distribution of the sample differs from the general population, thus data were generalised to the NI population by excluding those aged 40–59 years and applying survey weights. Results are presented as proportions reporting problems along with mean composite scores, with differences by respondent characteristics assessed using chi‐squared tests, analysis of variance, and multivariable log‐linear regression. RESULTS: Amongst men aged ≥60 years, 32.8% reported sexual dysfunction, 9.3% urinary dysfunction, and 6.5% bowel dysfunction. In all, 38.1% reported at least one problem and 2.1% all three. Worse outcome was associated with increasing number of long‐term conditions, low physical activity, and higher body mass index (BMI). Urinary incontinence, urinary irritation/obstruction, and sexual dysfunction increased with age; whilst urinary incontinence, bowel, and sexual dysfunction were more common among the unemployed. CONCLUSION: These data provide an insight into sensitive issues seldom reported by elderly men, which result in poor general health, but could be addressed given adequate service provision. The relationship between these problems, raised BMI and low physical activity offers the prospect of additional health gain by addressing public health issues such as obesity. The results provide essential contemporary population data against which outcomes for those living with prostate cancer can be compared. They will facilitate greater understanding of the true impact of specific treatments such as surgical interventions, pelvic radiation or androgen‐deprivation therapy. John Wiley and Sons Inc. 2018-03-25 2018-11 /pmc/articles/PMC6220963/ /pubmed/29489050 http://dx.doi.org/10.1111/bju.14182 Text en © 2018 The Authors BJU International published by John Wiley & Sons Ltd on behalf of BJU International This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes. |
spellingShingle | Upper Urinary Tract Donnelly, David W. Donnelly, Conan Kearney, Therese Weller, David Sharp, Linda Downing, Amy Wilding, Sarah Wright, Penny Kind, Paul Catto, James W.F. Cross, William R. Mason, Malcolm D. McCaughan, Eilis Wagland, Richard Watson, Eila Mottram, Rebecca Allen, Majorie Butcher, Hugh Hounsome, Luke Selby, Peter Huws, Dyfed Brewster, David H. McNair, Emma Rivas, Carol Nayoan, Johana Horton, Mike Matheson, Lauren Glaser, Adam W. Gavin, Anna Urinary, bowel and sexual health in older men from Northern Ireland |
title | Urinary, bowel and sexual health in older men from Northern Ireland |
title_full | Urinary, bowel and sexual health in older men from Northern Ireland |
title_fullStr | Urinary, bowel and sexual health in older men from Northern Ireland |
title_full_unstemmed | Urinary, bowel and sexual health in older men from Northern Ireland |
title_short | Urinary, bowel and sexual health in older men from Northern Ireland |
title_sort | urinary, bowel and sexual health in older men from northern ireland |
topic | Upper Urinary Tract |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6220963/ https://www.ncbi.nlm.nih.gov/pubmed/29489050 http://dx.doi.org/10.1111/bju.14182 |
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