The Difference in Mode of Administration of International Prostate Symptom Score (IPSS) in Patients with Lower Urinary Tract Symptoms.
10.4111/kju.2007.48.3.291
- Author:
Kyoung Bin CHA
1
;
Chul Young OH
;
Kyung Hwa CHOI
;
Ho Song YU
;
Sang Yol MAH
Author Information
1. Department of Urology, Inje Korea Hospital, Inje, Korea. mahsy@yumc.yonsei.ac.kr
- Publication Type:Original Article
- Keywords:
Urinary tract;
Symptoms;
Prostate;
Administration
- MeSH:
Humans;
Lower Urinary Tract Symptoms*;
Nocturia;
Office Visits;
Prostate*;
Quality of Life;
Questionnaires;
Rivers;
Urinary Tract
- From:Korean Journal of Urology
2007;48(3):291-296
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The International Prostate Symptom Score (IPSS) is generally self- administrated; however, it is doubtful that the self-administrated IPSS score correctly reflects patients' symptoms; therefore, the difference in the IPSS self-administrated score and physician-interviewed patients was studied. MATERIALS AND METHODS: A total of 202 patients completed two IPSS questionnaires during the same office visit, one by self-administration and the other by physician-interview, at two medical centers, one located in an urban area and the other in a rural area. The mean total symptom score and the score for each question, and the quality of life score were compared between the two modes of administration. A multi-logistical regression analysis was performed to identify differences due to the effects of age, the order of administration, location and educational level. RESULTS: The mean total symptom score and quality of life score were higher in the self-administrated than physician-interviewed group (14.16 vs. 13.07, p=0.001, 3.27 vs. 3.2, p=0.090). The residual sense (2.03 vs. 1.97, p=0.20), frequency (2.07 vs. 1.97, p=0.026), interruption (1.83 vs. 1.61, p=0.002), urgency (1.89 vs. 1.55, p=0.001), weak stream (2.74 vs. 2.60, p=0.042), hesitancy (1.77 vs. 1.59, p=0.005) and nocturia (1.82 vs. 1.77, p=0.12) were also higher in the self-administrated group. The multi- logistical regression analysis revealed statistically significant differences in relation to age and location. CONCLUSIONS: The self-administrated IPSS score was higher than the physician-interview score, especially in relation to an older age and an urban location. Therefore, active intervention should be considered during the administration of the IPSS, especially for old aged patients living in urban areas.
