PREVALENCE OF INTERSTITIAL CYSTITIS SYMPTOMS IN A MANAGED CARE POPULATION
2005; Lippincott Williams & Wilkins; Volume: 174; Issue: 2 Linguagem: Inglês
10.1097/01.ju.0000165170.43617.be
ISSN1527-3792
AutoresJ. Quentin Clemens, Richard T. Meenan, Maureen C. O’Keeffe Rosetti, Sheila O. Brown, Sara Y. Gao, Elizabeth A. Calhoun,
Tópico(s)Pelvic floor disorders treatments
ResumoNo AccessJournal of UrologyAdult Urology: Infection/Inflammation1 Aug 2005PREVALENCE OF INTERSTITIAL CYSTITIS SYMPTOMS IN A MANAGED CARE POPULATION J. QUENTIN CLEMENS, RICHARD T. MEENAN, MAUREEN C. O'KEEFFE ROSETTI, SHEILA O. BROWN, SARA Y. GAO, and ELIZABETH A. CALHOUN J. QUENTIN CLEMENSJ. QUENTIN CLEMENS , RICHARD T. MEENANRICHARD T. MEENAN , MAUREEN C. O'KEEFFE ROSETTIMAUREEN C. O'KEEFFE ROSETTI , SHEILA O. BROWNSHEILA O. BROWN , SARA Y. GAOSARA Y. GAO , and ELIZABETH A. CALHOUNELIZABETH A. CALHOUN View All Author Informationhttps://doi.org/10.1097/01.ju.0000165170.43617.beAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We calculated the prevalence of symptoms typically associated with interstitial cystitis (IC) in men and women in a managed care population in the Pacific Northwest. Materials and Methods: International Classification of Diseases-9 based queries of the Kaiser Permanente Northwest, Portland, Oregon database were used to identify subjects with IC exclusion criteria, who were excluded from further analysis. A total of 10,000 questionnaires, including 5,000 for women and 5,000 for men, were mailed to subjects with codes indicating bladder symptoms and to those with none of the codes. The questionnaires included questions about the presence of IC symptoms and the O'Leary-Sant interstitial cystitis questionnaire. IC symptoms were defined in 2 ways, that is as 1) pelvic pain at least 3 months in duration plus urgency or frequency at least 3 months in duration and 2) the same criteria plus pain increasing as the bladder fills and/or pain relieved by urination. Results: The prevalence of IC symptoms according to definitions 1 and 2 was 11.2% and 6.2% in women, and 4.6% and 2.3% in men, respectively. Symptoms were long-standing (duration greater than 1 year in 80% of cases) and bothersome (severity score 5 or greater in greater than 50%). Mean O'Leary-Sant interstitial cystitis questionnaire scores were 15.94 in subjects with definition 1 IC symptoms, 18.97 in those with definition 2 IC symptoms and 6.69 in those with no IC symptoms (p <0.001). Symptoms were most common and most severe in subjects previously diagnosed with IC. Conclusions: The prevalence of IC symptoms is 30 to 50-fold higher in women and 60 to 100-fold higher in men than the prevalence of a coded physician diagnosis of IC in the same population. Although these findings are not conclusive, they imply that IC may be significantly under diagnosed. References 1 Executive Committee Summary. Interstitial Cystitis Epidemiology Task Force Meeting. National Institute of Diabetes and Digestive and Kidney Diseases, October 29, 2003. Bethesda: National Institutes of Health2004. 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Link, Google Scholar Department of Urology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, and Center for Health Research, Kaiser Permanente Northwest Division (RTM, MCOR, SYG), Portland, Oregon© 2005 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byJarman A, Janes J, Shorter B, Moldwin R, De Hoedt A, Barbour K, Kim J, Freedland S and Anger J (2022) Food Sensitivities in a Diverse Nationwide Cohort of Veterans With Interstitial Cystitis/Bladder Pain SyndromeJournal of Urology, VOL. 209, NO. 1, (216-224), Online publication date: 1-Jan-2023.Lai H, Krieger J, Pontari M, Buchwald D, Hou X and Landis J (2015) Painful Bladder Filling and Painful Urgency are Distinct Characteristics in Men and Women with Urological Chronic Pelvic Pain Syndromes: A MAPP Research Network StudyJournal of Urology, VOL. 194, NO. 6, (1634-1641), Online publication date: 1-Dec-2015.Suskind A, Berry S, Ewing B, Elliott M, Suttorp M and Clemens J (2012) The Prevalence and Overlap of Interstitial Cystitis/Bladder Pain Syndrome and Chronic Prostatitis/Chronic Pelvic Pain Syndrome in Men: Results of the RAND Interstitial Cystitis Epidemiology Male StudyJournal of Urology, VOL. 189, NO. 1, (141-145), Online publication date: 1-Jan-2013.Konkle K, Berry S, Elliott M, Hilton L, Suttorp M, Clauw D and Clemens J (2011) Comparison of an Interstitial Cystitis/Bladder Pain Syndrome Clinical Cohort With Symptomatic Community Women From the RAND Interstitial Cystitis Epidemiology StudyJournal of Urology, VOL. 187, NO. 2, (508-512), Online publication date: 1-Feb-2012.Berry S, Elliott M, Suttorp M, Bogart L, Stoto M, Eggers P, Nyberg L and Clemens J (2011) Prevalence of Symptoms of Bladder Pain Syndrome/Interstitial Cystitis Among Adult Females in the United StatesJournal of Urology, VOL. 186, NO. 2, (540-544), Online publication date: 1-Aug-2011.Clemens J (2010) Afferent Neurourology: An Epidemiological PerspectiveJournal of Urology, VOL. 184, NO. 2, (432-439), Online publication date: 1-Aug-2010.Berry S, Bogart L, Pham C, Liu K, Nyberg L, Stoto M, Suttorp M and Clemens J (2010) Development, Validation and Testing of an Epidemiological Case Definition of Interstitial Cystitis/Painful Bladder SyndromeJournal of Urology, VOL. 183, NO. 5, (1848-1852), Online publication date: 1-May-2010.Link C, Pulliam S, Hanno P, Hall S, Eggers P, Kusek J and McKinlay J (2008) Prevalence and Psychosocial Correlates of Symptoms Suggestive of Painful Bladder Syndrome: Results From the Boston Area Community Health SurveyJournal of Urology, VOL. 180, NO. 2, (599-606), Online publication date: 1-Aug-2008.Clemens J, Meenan R, O'Keeffe Rosetti M, Kimes T and Calhoun E (2008) Case-Control Study of Medical Comorbidities in Women With Interstitial CystitisJournal of Urology, VOL. 179, NO. 6, (2222-2225), Online publication date: 1-Jun-2008.Payne C, Joyce G, Wise M and Clemens J (2018) Interstitial Cystitis and Painful Bladder SyndromeJournal of Urology, VOL. 177, NO. 6, (2042-2049), Online publication date: 1-Jun-2007.Clemens J, Link C, Eggers P, Kusek J, Nyberg L and McKinlay J (2018) Prevalence of Painful Bladder Symptoms and Effect on Quality of Life in Black, Hispanic and White Men and WomenJournal of Urology, VOL. 177, NO. 4, (1390-1394), Online publication date: 1-Apr-2007.Clemens J, Meenan R, O’Keeffe-Rosetti M, Gao S, Brown S and Calhoun E (2018) Prevalence of Prostatitis-Like Symptoms in a Managed Care PopulationJournal of Urology, VOL. 176, NO. 2, (593-596), Online publication date: 1-Aug-2006.Kushner L and Moldwin R (2018) Efficiency of Questionnaires Used to Screen for Interstitial CystitisJournal of Urology, VOL. 176, NO. 2, (587-592), Online publication date: 1-Aug-2006. Volume 174Issue 2August 2005Page: 576-580 Advertisement Copyright & Permissions© 2005 by American Urological Association, Inc.Keywordspainepidemiologycystitis, interstitialquestionnairesbladderMetricsAuthor Information J. QUENTIN CLEMENS More articles by this author RICHARD T. MEENAN More articles by this author MAUREEN C. O'KEEFFE ROSETTI More articles by this author SHEILA O. BROWN More articles by this author SARA Y. GAO More articles by this author ELIZABETH A. CALHOUN More articles by this author Expand All Advertisement PDF downloadLoading ...
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