The Association of Baseline Characteristics of Male Patients Presented With LUTS and Long Term Clinical Outcomes
18. februar 2021 oppdatert av: Chi Fai NG, Chinese University of Hong Kong
A Retrospective Review of the Association of Baseline Characteristics of Male Patients Presented With Lower Urinary Tract and Long Term Clinical Outcomes
Non-neurogenic male lower urinary tract symptom (LUTS) is one of the most common symptom presented in urological clinic.
Male LUTS could be a result of a combination of many different conditions, including benign prostate hypertrophy, overactive bladder, diabetes, noctural polyuria, sleep apnoea etc.
Also male LUTS has shown to have close relationship with metabolic and cardiovascular conditions.
Because of the increasing evidences to suggest a close relationship of cardiovascular condition and metabolic problems and male LUTS, this is a study to retrospective review of the patients assessed in this urology clinic and have a more in-depth assessment of the relationship of the baseline characteristics of these medical conditions with the presenting symptoms, as well as the long term urological and overall clinical outcomes of these patients.
Studieoversikt
Detaljert beskrivelse
This is a retrospective study.Male patients who presented with lower urinary tract symptom to our centre and assessed in the urology clinic from 2005 to 2019 would be enrolled to the study.
This study will be conducted by observation; that is, data will be captured from medical records and central medical system (CMS), but patients will not be contacted.
All the demographic and medical background, as well as investigations performed during the assessment including uroflowmetry, post-voiding residual, questionnaires, blood pressure, pulse, vascular assessment and blood result will be collected.
Follow-up data including usage of medication, clinical outcomes (such as development of urinary retention, cardiovascular events, need of surgical intervention, mortality etc.) will be captured from the medical records.
Studietype
Observasjonsmessig
Registrering (Faktiske)
246
Kontakter og plasseringer
Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.
Studiesteder
-
-
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Shatin, Hong Kong
- Prince of Wales Hospital
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Deltakelseskriterier
Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
35 år til 90 år (Voksen, Eldre voksen)
Tar imot friske frivillige
Nei
Kjønn som er kvalifisert for studier
Mann
Prøvetakingsmetode
Ikke-sannsynlighetsprøve
Studiepopulasjon
Male patients who presented with lower urinary tract symptom to our centre and assessed in the nurse-led pre-assessment clinic
Beskrivelse
Inclusion Criteria:
- Men aged between 35 and 90 years old with LUTS/nocturia and received assessment at urology centre.
Exclusion Criteria:
- Men having history of prostatic surgery, prostate cancer, active urinary tract infection, aortic aneurysm, marked cardiac arrhythmia and severe peripheral vascular disease
Studieplan
Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.
Hvordan er studiet utformet?
Designdetaljer
Kohorter og intervensjoner
Gruppe / Kohort |
Intervensjon / Behandling |
|---|---|
|
LUTS/Nocturia
Patients with LUTS / Nocturia
|
Det er ingen intervensjon i denne studien
|
Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
The overall prevalence of adverse cardiovascular events (MACE) in male patients presented with lower urinary tract symptoms (LUTS)
Tidsramme: Through study completion, an average of 2 years
|
Major adverse cardiovascular events such as myocardial infraction, ischemic heart disease, heart failure, coronary angioplasty etc. in male patients with LUTS.
It is assessed by medical record
|
Through study completion, an average of 2 years
|
|
The overall prevalence of diabetes in male patients presented with lower urinary tract symptoms (LUTS)
Tidsramme: Through study completion, an average of 2 years
|
It is assessed by medical record
|
Through study completion, an average of 2 years
|
|
The overall prevalence of dyslipidaemia in male patients presented with lower urinary tract symptoms (LUTS)
Tidsramme: Through study completion, an average of 2 years
|
It is assessed by medical record
|
Through study completion, an average of 2 years
|
Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Correlation between nocturia and Central arterial stiffness (CAS)
Tidsramme: Baseline
|
Nocturia is assessed by International Prostate Symptom Score Question 7, high value means worser nocturia; CAS is assessed by brachial-ankle PWV (baPWV), the value >1800cm/sec is highly associated with development of MACE
|
Baseline
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Incidence of acute retention of urine
Tidsramme: Through study completion, an average of 2 years
|
It is assessed by medical record
|
Through study completion, an average of 2 years
|
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Incidence of requirement of surgical intervention
Tidsramme: Through study completion, an average of 2 years
|
It is assessed by medical record
|
Through study completion, an average of 2 years
|
|
Overall mortality
Tidsramme: Through study completion, an average of 2 years
|
It is assessed by medical record
|
Through study completion, an average of 2 years
|
Samarbeidspartnere og etterforskere
Det er her du vil finne personer og organisasjoner som er involvert i denne studien.
Sponsor
Publikasjoner og nyttige lenker
Den som er ansvarlig for å legge inn informasjon om studien leverer frivillig disse publikasjonene. Disse kan handle om alt relatert til studiet.
Generelle publikasjoner
- Ng CF, Wong A, Li ML, Chan SY, Mak SK, Wong WS. The prevalence of cardiovascular risk factors in male patients who have lower urinary tract symptoms. Hong Kong Med J. 2007 Dec;13(6):421-6.
- Yee CH, Yip JSY, Cheng NMY, Kwan CH, Li KM, Teoh JYC, Chiu PKF, Wong JH, Chan ESY, Chan CK, Hou SSM, Ng CF. The cardiovascular risk factors in men with lower urinary tract symptoms. World J Urol. 2019 Apr;37(4):727-733. doi: 10.1007/s00345-018-2432-2. Epub 2018 Aug 6.
- Teoh JY, Chan CK, Wang MH, Leung CH, Chan ES, Chiu PK, Yee CH, Wong HM, Hou SS, Ng CF. Transurethral resection of prostate for acute urinary retention is linked to shorter survival in younger men. Asian J Androl. 2019 Sep-Oct;21(5):468-472. doi: 10.4103/aja.aja_101_18.
- Everaert K, Anderson P, Wood R, Andersson FL, Holm-Larsen T. Nocturia is more bothersome than daytime LUTS: Results from an Observational, Real-life Practice Database including 8659 European and American LUTS patients. Int J Clin Pract. 2018 Jun;72(6):e13091. doi: 10.1111/ijcp.13091. Epub 2018 May 16.
Studierekorddatoer
Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.
Studer hoveddatoer
Studiestart (Faktiske)
2. oktober 2019
Primær fullføring (Faktiske)
7. desember 2020
Studiet fullført (Faktiske)
7. desember 2020
Datoer for studieregistrering
Først innsendt
16. februar 2021
Først innsendt som oppfylte QC-kriteriene
18. februar 2021
Først lagt ut (Faktiske)
21. februar 2021
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
21. februar 2021
Siste oppdatering sendt inn som oppfylte QC-kriteriene
18. februar 2021
Sist bekreftet
1. februar 2021
Mer informasjon
Begreper knyttet til denne studien
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
- CRE-2019.400
Legemiddel- og utstyrsinformasjon, studiedokumenter
Studerer et amerikansk FDA-regulert medikamentprodukt
Nei
Studerer et amerikansk FDA-regulert enhetsprodukt
Nei
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