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Re: Lower Urinary Tract Symptoms and Incident Falls in Community Dwelling Older Men: The Concord Health and Ageing in Men Project
EURURO-7375; No. of Pages 1 EUROPEAN UROLOGY XXX (2017) XXX–XXX
available at www.sciencedirect.com journal homepage: www.europeanurology.com
Words of Wisdom Re: Lower Urinary Tract Symptoms and Incident Falls in Community Dwelling Older Men: The Concord Health and Ageing in Men Project Noguchi N, Chan L, Cumming RG, et al
we must protect these vulnerable patients. Patients come to us seeking guidance, knowing we have their best interest at heart, and a failure to screen for falls would be a grave disservice.
J Urol 2016;196:1694–9
Conflicts of interest: The authors have nothing to disclose.
Experts’ summary: In the study by Noguchi et al [1], the authors conducted a prospective cohort study of men above the age of 70 yr of age. total of 1090 men were selected from the New South Wales electoral roll. Urinary symptoms were assessed using the International Prostate Symptom Score and the Incontinence Consultation on Incontinence Questionnaire. The authors found increased storage symptoms, with or without urgency incontinence, were associated with falls.
References [1] Noguchi N, Chan L, Cumming RG, et al. Lower urinary tract symptoms and incident falls in community dwelling older men: The Concord Health and Ageing in Men Project. J Urol 2016;196:1694–9. [2] Gorina Y, Schappert S, Bercovitz A, Elgaddal N, Kramarow E. Prevalence of incontinence among older americans. Vital Health Stat 2014;3:1–33. [3] Brown JS, Vittinghoff E, Wyman JF, et al. Urinary incontinence: does it increase risk for falls and fractures? Study of Osteoporotic Frac-
Experts’ comments: Male lower urinary tract symptoms (LUTS) is prevalent among the elderly population with over 40% of those reporting urinary leakage [2]. In addition to a diminished quality of life, LUTS, specifically storage symptoms, ncreases the risk of falling and fractures [3]. In this population, falls are the leading cause of injury and death [4]. Suffering a fall or fracture increases one’s morbidity, with approximately 33% of patients not surviving beyond 1 yr [5]. As leaders in men’s health, we must take action on the potential complications of LUTS and assess fall risk. We must ask about the patient’s history and risk of falls to initiate a comprehensive plan of care. Standard of care metrics do not account for this association with LUTS and
tures Research Group. J Am Geriatr Soc 2000;48:721–5. [4] Web-based Injury Statistics Query and Reporting System. 2017 https://www.cdc.gov/injury/wisqars/. [5] Reeves P, Irwin D, Kelleher C, et al. The current and future burden and cost of overactive bladder in five European countries. Eur Urol 2006;50:1050–7. Dominique Thomas, Bilal Chughtai* Department of Urology, Weill Cornell Medicine, New York-Presbyterian, New York, NY, USA *Corresponding author. Weill Cornell Medicine, Department of Urology, Department of Obstetrics and Gynecology, 425 East 61st Street, 12th Floor, New York, NY 10065, USA. E-mail address: [email protected] (B. Chughtai).
http://dx.doi.org/10.1016/j.eururo.2017.05.008 0302-2838/# 2017 European Association of Urology. Published by Elsevier B.V. All rights reserved.
available at www.sciencedirect.com journal homepage: www.europeanurology.com
Words of Wisdom Re: Lower Urinary Tract Symptoms and Incident Falls in Community Dwelling Older Men: The Concord Health and Ageing in Men Project Noguchi N, Chan L, Cumming RG, et al
we must protect these vulnerable patients. Patients come to us seeking guidance, knowing we have their best interest at heart, and a failure to screen for falls would be a grave disservice.
J Urol 2016;196:1694–9
Conflicts of interest: The authors have nothing to disclose.
Experts’ summary: In the study by Noguchi et al [1], the authors conducted a prospective cohort study of men above the age of 70 yr of age. total of 1090 men were selected from the New South Wales electoral roll. Urinary symptoms were assessed using the International Prostate Symptom Score and the Incontinence Consultation on Incontinence Questionnaire. The authors found increased storage symptoms, with or without urgency incontinence, were associated with falls.
References [1] Noguchi N, Chan L, Cumming RG, et al. Lower urinary tract symptoms and incident falls in community dwelling older men: The Concord Health and Ageing in Men Project. J Urol 2016;196:1694–9. [2] Gorina Y, Schappert S, Bercovitz A, Elgaddal N, Kramarow E. Prevalence of incontinence among older americans. Vital Health Stat 2014;3:1–33. [3] Brown JS, Vittinghoff E, Wyman JF, et al. Urinary incontinence: does it increase risk for falls and fractures? Study of Osteoporotic Frac-
Experts’ comments: Male lower urinary tract symptoms (LUTS) is prevalent among the elderly population with over 40% of those reporting urinary leakage [2]. In addition to a diminished quality of life, LUTS, specifically storage symptoms, ncreases the risk of falling and fractures [3]. In this population, falls are the leading cause of injury and death [4]. Suffering a fall or fracture increases one’s morbidity, with approximately 33% of patients not surviving beyond 1 yr [5]. As leaders in men’s health, we must take action on the potential complications of LUTS and assess fall risk. We must ask about the patient’s history and risk of falls to initiate a comprehensive plan of care. Standard of care metrics do not account for this association with LUTS and
tures Research Group. J Am Geriatr Soc 2000;48:721–5. [4] Web-based Injury Statistics Query and Reporting System. 2017 https://www.cdc.gov/injury/wisqars/. [5] Reeves P, Irwin D, Kelleher C, et al. The current and future burden and cost of overactive bladder in five European countries. Eur Urol 2006;50:1050–7. Dominique Thomas, Bilal Chughtai* Department of Urology, Weill Cornell Medicine, New York-Presbyterian, New York, NY, USA *Corresponding author. Weill Cornell Medicine, Department of Urology, Department of Obstetrics and Gynecology, 425 East 61st Street, 12th Floor, New York, NY 10065, USA. E-mail address: [email protected] (B. Chughtai).
http://dx.doi.org/10.1016/j.eururo.2017.05.008 0302-2838/# 2017 European Association of Urology. Published by Elsevier B.V. All rights reserved.