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하부요로증상을 호소하는 환자의 증상 평가에서 국제전립선증상점수의 시행 방법에 따른 차이

Other Titles
 The Difference in Mode of Administration of International Prostate Symptom Score(IPSS) in Patients with Lower Urinary Tract Symptoms 
 차경빈  ;  오철영  ;  마상열  ;  유호송  ;  최경화 
 KOREAN JOURNAL OF UROLOGY, Vol.48(3) : 291-296, 2007 
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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 multilogistical 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.
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1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers
Yonsei Authors
Mah, Sang Yol(마상열)
Oh, Chul Young(오철영)
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