The Association of Baseline Characteristics of Male Patients Presented With LUTS and Long Term Clinical Outcomes
18 februari 2021 uppdaterad 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.
Studieöversikt
Status
Avslutad
Betingelser
Intervention / Behandling
Detaljerad beskrivning
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.
Studietyp
Observationell
Inskrivning (Faktisk)
246
Kontakter och platser
Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.
Studieorter
-
-
-
Shatin, Hong Kong
- Prince of Wales Hospital
-
-
Deltagandekriterier
Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.
Urvalskriterier
Åldrar som är berättigade till studier
35 år till 90 år (Vuxen, Äldre vuxen)
Tar emot friska volontärer
Nej
Kön som är behöriga för studier
Manlig
Testmetod
Icke-sannolikhetsprov
Studera befolkning
Male patients who presented with lower urinary tract symptom to our centre and assessed in the nurse-led pre-assessment clinic
Beskrivning
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
Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.
Hur är studien utformad?
Designdetaljer
Kohorter och interventioner
Grupp / Kohort |
Intervention / Behandling |
|---|---|
|
LUTS/Nocturia
Patients with LUTS / Nocturia
|
Det finns ingen intervention i denna studie
|
Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
The overall prevalence of adverse cardiovascular events (MACE) in male patients presented with lower urinary tract symptoms (LUTS)
Tidsram: 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)
Tidsram: 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)
Tidsram: Through study completion, an average of 2 years
|
It is assessed by medical record
|
Through study completion, an average of 2 years
|
Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
Correlation between nocturia and Central arterial stiffness (CAS)
Tidsram: 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
|
|
Incidence of acute retention of urine
Tidsram: Through study completion, an average of 2 years
|
It is assessed by medical record
|
Through study completion, an average of 2 years
|
|
Incidence of requirement of surgical intervention
Tidsram: Through study completion, an average of 2 years
|
It is assessed by medical record
|
Through study completion, an average of 2 years
|
|
Overall mortality
Tidsram: Through study completion, an average of 2 years
|
It is assessed by medical record
|
Through study completion, an average of 2 years
|
Samarbetspartners och utredare
Det är här du hittar personer och organisationer som är involverade i denna studie.
Sponsor
Publikationer och användbara länkar
Den som ansvarar för att lägga in information om studien tillhandahåller frivilligt dessa publikationer. Dessa kan handla om allt som har med studien att göra.
Allmänna publikationer
- 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.
Studieavstämningsdatum
Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.
Studera stora datum
Studiestart (Faktisk)
2 oktober 2019
Primärt slutförande (Faktisk)
7 december 2020
Avslutad studie (Faktisk)
7 december 2020
Studieregistreringsdatum
Först inskickad
16 februari 2021
Först inskickad som uppfyllde QC-kriterierna
18 februari 2021
Första postat (Faktisk)
21 februari 2021
Uppdateringar av studier
Senaste uppdatering publicerad (Faktisk)
21 februari 2021
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
18 februari 2021
Senast verifierad
1 februari 2021
Mer information
Termer relaterade till denna studie
Ytterligare relevanta MeSH-villkor
Andra studie-ID-nummer
- CRE-2019.400
Läkemedels- och apparatinformation, studiedokument
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Nej
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Nej
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