Year: 2020
Type: article
Abstract: You have accessJournal of UrologyLate-Breaking Abstracts (LBA1)1 Apr 2020LBA01-02 1990 TO NOW: CRITICAL GLOBAL TRENDS IN LUTS/BPH Bryn Launer*, Kevin McVary, William Ricke, and Granville Lloyd Bryn Launer*Bryn Launer* More articles by this author , Kevin McVaryKevin McVary More articles by this author , William RickeWilliam Ricke More articles by this author , and Granville LloydGranville Lloyd More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000000946.02AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Introduction: Lower urinary tract symptoms attributed to benign prostatic hyperplasia (LUTS/BPH) is a globally prevalent chronic disease causing significant morbidity and quality of life impairment among men. Current understanding of trends in BPH related quality of life (QoL) is limited to studies predominantly focused on North American and European older men. Using the Global Burden of Disease (GBD) database, we sought to quantify this impact from a more universal viewpoint and in the context of recent trends in the urologic workforce. Methods: Using GBD database updates available in January 2020, 1171 worldwide registries and health systems from 1990-2017 were reviewed for BPH disease codes. Calculation of years lived with disease (YLD) were compared with other urological disease. YLD were calculated by a standardized method using the assigned disability weight for LUTS/BPH of 0.067 and other diseases as appropriate. GBD-defined socio-demographic index (SDI; composite averages of income/capita, educational attainment, and fertility rate measures) was used to assess impact of BPH by SDI quintile. We utilized recent data regarding the urologic workforce from the US Dept of Health & Human Services. Results: Results are summarized and global numbers and trends noted with other urologic disease for comparison (Fig 1). When global data was stratified by SDI quintiles, a much lower impact of BPH was found in the bottom three quintiles (Fig 2) although this subset represents 66.9% of 2017 world population. While LUTS/BPH YLDs has increased globally by 70%, recent USHHS data predicts a profound shortage of urologists by 2030 in the US alone. Conclusions: LUTS/BPH exerts a burden that far exceeds any other urologic disease and is rising acutely. As the population ages and lower SDI men enjoy increased life expectancy and decreased competing mortalities, an accelerating wave of LUTS/BPH is expected. These epidemiologic trends have great implications for resources in the context of today’s imminent shortage of urologic workforce. Source of Funding: None © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 203Issue Supplement 4April 2020Page: e1019-e1020 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.MetricsAuthor Information Bryn Launer* More articles by this author Kevin McVary More articles by this author William Ricke More articles by this author Granville Lloyd More articles by this author Expand All Advertisement PDF downloadLoading ...
Source: The Journal of Urology
Language: English
Subfield: Urology
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W3021293858