Incidence of Lower Urinary Tract Symptoms in a Population-based Study of Men and Women

• Published in: Urology (Ridgewood, N.J.) N.J.), 2013-09, Vol.82 (3), p.560-564
• Main Authors: Maserejian, Nancy N, Chen, Shan, Chiu, Gretchen R, Wager, Carrie G, Kupelian, Varant, Araujo, Andre B, McKinlay, John B
• Format: Article
• Language: English
• Subjects: Adult; African Americans - statistics & numerical data; Age Factors; Aged; Biological and medical sciences; Boston - epidemiology; European Continental Ancestry Group - statistics & numerical data; Female; Follow-Up Studies; Hispanic Americans - statistics & numerical data; Humans; Incidence; Lower Urinary Tract Symptoms - epidemiology; Lower Urinary Tract Symptoms - ethnology; Male; Medical sciences; Middle Aged; Nephrology. Urinary tract diseases; Prospective Studies; Severity of Illness Index; Sex Factors; Urinary system involvement in other diseases. Miscellaneous; Urinary tract. Prostate gland; Urology
• ISSN: 0090-4295; 1527-9995
• DOI: 10.1016/j.urology.2013.05.009

Objective To report the incidence of lower urinary tract symptoms (LUTS) in a racially and ethnically and age-diverse U.S. population-based sample of men and women. Materials and Methods We conducted a prospective cohort study with 5 years of follow-up. A stratified 2-stage cluster random sampling method was used to recruit 5502 Boston residents aged 30-79 years of black, Hispanic, or white race or ethnicity. Of these, 4144 (1610 men and 2534 women) completed the follow-up protocol. The American Urological Association Symptom Index was used to define moderate-to-severe LUTS. Results Of the 3301 men and women with no or mild LUTS at baseline, the 5-year incidence of moderate-to-severe LUTS (American Urological Association Symptom Index ≥8) was 11.4% overall and was higher for women than for men (13.9% vs 8.5%, P  = .02). Although the incidence increased with age ( P