Nocturia is the Lower Urinary Tract Symptom With Greatest Impact on Quality of Life of Men From a Community Setting (original) (raw)
Related papers
Urology, 2008
OBJECTIVES Nocturia, waking at night to void, is a common symptom in both men and women. The nocturia quality-of-life instrument, International Consultation on Incontinence Modular Questionnaire-Nocturia Quality of Life (ICIQ-Nqol), is the only current available, validated, symptom-specific tool for patients with nocturia. Because the ICIQ-Nqol was developed exclusively in men, the validity of its use in women is unknown. METHODS Qualitative analyses of patient transcripts from the Atlanta (7 men and 17 women) and Piedmont (20 men and 23 women) groups at 5 sites (Florida, Georgia, Washington State, North Carolina, and Maryland) were used to assess the content validity of the ICIQ-Nqol. The Atlanta participants underwent 1:1 semistructured interviews emphasizing Kleinman's Explanatory Model. The Piedmont subjects participated in 6 focus groups and used a developed guide. Content review of the transcripts was used to derive items and themes. RESULTS A total of 48 items and 13 thematic areas from the Atlanta and 64 items and 12 thematic areas from the Piedmont groups were derived from the transcripts using qualitative analysis. The ICIQ-Nqol before final item consolidation covered every thematic area generated by the Atlanta and Piedmont groups. The Piedmont and Atlanta participant pool generated only 2 themes-"fear of falling at night" and "nocturia makes me feel old"-that were not present in the final 12-item ICIQ-Nqol. CONCLUSIONS The ICIQ-Nqol appears to have strong content validity for the experiences of both men and women with nocturia. Supplementing the ICIQ-Nqol with questions about a fear of falling and the effect of nocturia on age self-concept might provide more complete information about the effect of nocturia on the quality of life of older adults.
Urology, 2006
Objectives. To evaluate factors predicting the effect of nocturia in a community-based cohort of adults using a nocturia-specific quality-of-life (N-QOL) questionnaire. Methods. From October 2004 to February 2005, adults aged 40 years old or older living in Matsu, Taiwan and reporting nocturia of one episode or more per night were interviewed with a 12-item N-QOL questionnaire consisting of Sleep/Energy and Bother/Concern subscales. Univariate analyses were used to analyze the effects of demographic characteristics, frequency and duration of nocturia, and sleeping characteristics on the N-QOL score. Multiple linear regression analysis was used to identify factors predicting the N-QOL score. Results. A total of 663 adults completed this study (mean age 59.4 years). The average N-QOL scores (a lower score indicates worse QOL) were 91.4 Ϯ 11.2, 83.7 Ϯ 13.2, 77.6 Ϯ 16.8, and 67.6 Ϯ 21.2 for nocturia episodes of 1, 2, 3, and 4 or more per night, respectively (P Ͻ0.001). Men reported significantly lower N-QOL (85.6 Ϯ 15.1 versus 88.9 Ϯ 13.1, P ϭ 0.003) and Bother/Concern subscale scores (42.0 Ϯ 8.4 versus 44.0 Ϯ 7.4, P Ͻ0.001), but not Energy/Sleep subscale scores (43.6 Ϯ 7.8 versus 44.4 Ϯ 7.3, P ϭ 0.158) than women. On multiple linear regression analysis, increasing nocturia episodes (regression coefficient Ϫ6.2, 95% confidence interval Ϫ7.4 to Ϫ5.0), male sex (regression coefficient Ϫ3.5, 95% confidence interval Ϫ5.4 to Ϫ1.5), and degree of sleeping disturbance after nocturia (regression coefficient Ϫ4.5, 95% confidence interval Ϫ5.6 to Ϫ3.4) independently predicted a significantly lower N-QOL score. Conclusions. The results of our study have confirmed that nocturia has a more significant QOL impact when the patient has two or more episodes per night. Moreover, men experienced a greater impact from nocturia than women, particularly in the Bother/Concern domain. UROLOGY 67: 713-718, 2006.
Development and validation of a quality-of-life measure for men with nocturia
Urology, 2004
Objectives. To develop and assess the psychometric properties of a short self-report nocturia-specific Quality-of-Life (QOL) questionnaire. Methods. The Nocturia Quality-of-Life questionnaire (N-QOL) was developed using focus group interviews with men experiencing nocturia. To refine it further and psychometrically validate the questionnaire, 107 men with nocturia (from four urology clinics in the United Kingdom) completed the pilot N-QOL, along with measures of health status and sleep quality. To assess reproducibility, men from one clinic completed the pilot N-QOL again at 1 week. Results. After standard item reduction analyses, 18 items were dropped from the pilot questionnaire. The psychometric properties of the remaining 13-item instrument were tested in accordance with standard criteria. Factor analysis identified two subscales, sleep/energy and bother/concern, loading at 0.5 and greater. The N-QOL overall score and subscales proved to be internally consistent (alpha ϭ 0.84 to 0.90) and reproducible (intraclass correlation coefficient ϭ 0.74 to 0.82). N-QOL scores correlated with sleep quality (P Ͻ0.01) as measured by the Pittsburgh Sleep Quality Index and energy/vitality and social functioning (P Ͻ0.01) as measured by the SF-36 Health Survey, demonstrating good convergent validity. The N-QOL also demonstrated statistically significant differences between the scores of those experiencing one, two, and three or more episodes of nocturia on an average night, indicating excellent discriminant validity. Conclusions. These analyses provide support for the psychometric validity of the N-QOL for use in a male population with nocturia.
ABSTRACTObjectivesTo evaluated the accuracy of a single question on nocturia to identify men with moderate and severe LUTS.MethodsWe evaluated men aged ≥40 years who presented for medical evaluation at two different urological clinics. They completed the IPSS and the Nocturia Single Question Scale (NSQS). NSQS consists of a single question assessing nocturia frequency ranging from 0 to 4. The severity of LUTS using NSQS (index test) versus IPSS (reference standard) was assessed according to the recommendations of the Standards for Reporting of Diagnostic Accuracy Initiative.ResultsThe accuracy of the NSQS to discriminate patients with severe LUTS based on the ROC curve was 75% (CI 95% 73 – 82%; p<0.001).ConclusionPatients without nocturia or a single void/night (NSQS <2) have low probability, while NSQS ≥ 3 has a high probability of having moderate or severe LUTS. NSQS is an acceptable alternative to the IPSS, being a fast and simple tool to identify men according to LUTS’s se...
Effect of Nocturia on Quality of Life among Clients with Benign Prostatic Hyperplasia
Indian Journal of Community Medicine : Official Publication of Indian Association of Preventive & Social Medicine, 2021
Benign Prostatic Hyperplasia (BPH) and its associated symptom nocturia have a significant impact on quality of life (QoL). It occurs predominantly in men as age increases. Zhang et al. [1] observed that nocturia significantly impacted the QoL when the patient had 2 or more episodes each night. Despite its negative impact on the QoL, the middle adulthood group has rarely been considered. Therefore the aim of this study was to assess the QoL among adult clients with BPH based on the severity of nocturia. In this study, it was seen that patients with BPH had low QoL, and the severity of nocturia had a significant perfect correlation with their QoL. Interrupted sleep associated with night‑time voiding could lead to tiredness during the day, reduced cognitive performance, and increased susceptibility for other ailments. Patients with LUTS/BPH view nocturia as a very bothersome affliction, thus impairing their QoL. Therefore, an appropriate treatment for LUTS/BPH that minimizes these symptoms is necessary. Enhancing sleep quality by alleviating the symptoms of nocturia can result in a better QoL for the patient
Predictive Values of Nocturia and Its Voiding Frequency on the Aging Males’ Symptoms
Background: The link between nocturia and aging male symptoms (AMS) has not been scientifically established. This study aimed to measure the degree of severity of AMS that impact on the health-related quality-of-life (HRQoL) in adult males living with nocturia, and to determine the predictive values of nocturnal factors on AMS. Methods: It is an extended analysis of new data collected by using the Hong Kong Traditional AMS (HK-AMS) scale and Cantonese version of the Pittsburgh Sleep Quality Index (PSQI) in a recently published cross-sectional population-based survey. Results: Of the 781 respondents that have completed the set of questionnaires, 68% and 61% of men living with nocturia reported clinically significant (at moderate-to-severe levels) somato-vegetative and sexual AMS, whereas the prevalence and severity were increased with advancing nighttime voiding frequency. The nocturia-specific QoL (NQoL) score and nocturnal frequency were found to be significant predictive factors f...
Urology, 2015
To evaluate published evidence on nocturia in men and derive expert recommendations. The International Consultations on Urological Diseases-Société Internationale d'Urologie convened a Consultation of experts on male lower urinary tract symptoms. The Consultation assigned standardized levels of evidence and grades of recommendation to various studies of nocturia epidemiology, pathophysiology, assessment, and treatment. Evidence review and consensus recommendations were made in the areas of epidemiology, pathophysiology, assessment, and treatment. The review presents a condensed summary of the International Consultations on Urological Diseases-Société Internationale d'Urologie evaluation of nocturia, which offers contemporaneous expert consensus on this topic, with an assessment algorithm emphasizing the potential contribution of systemic conditions to the symptom.