Trends in Age-Specific Prevalence of Lower Urinary Tract Dysfunction: A Nationwide Population-Based Cohort Study

Purpose To elucidate the longitudinal changes in the prevalence of lower urinary tract dysfunction (LUTD) according to age over the past 10 years. Materials and Methods The changes in the proportion of prevalence for LUTD, including benign prostatic hyperplasia (BPH) and urinary incontinence (UI) am...

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Main Authors: Young Hwan Kim, Se Hwa Hong, Tae Wook Kang, Hyun Chul Chung, Tae Hyoung Kim, Sae Chul Kim, Sang Baek Koh, Jae Hung Jung
Format: Article
Language:English
Published: Korean Association of Urogenital Tract Infection and Inflammation 2023-12-01
Series:Urogenital Tract Infection
Subjects:
Online Access:http://euti.org/upload/pdf/uti-18-3-101.pdf
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author Young Hwan Kim
Se Hwa Hong
Tae Wook Kang
Hyun Chul Chung
Tae Hyoung Kim
Sae Chul Kim
Sang Baek Koh
Jae Hung Jung
author_facet Young Hwan Kim
Se Hwa Hong
Tae Wook Kang
Hyun Chul Chung
Tae Hyoung Kim
Sae Chul Kim
Sang Baek Koh
Jae Hung Jung
author_sort Young Hwan Kim
collection DOAJ
description Purpose To elucidate the longitudinal changes in the prevalence of lower urinary tract dysfunction (LUTD) according to age over the past 10 years. Materials and Methods The changes in the proportion of prevalence for LUTD, including benign prostatic hyperplasia (BPH) and urinary incontinence (UI) among South Koreans from 2009 to 2018, were analyzed using the National Health Information Database established by the Korean National Health Insurance Service. All conditions were defined according to the corresponding Korean Standard Classification of Diseases-8 for diagnosis and surgical procedures and Health Insurance Review & Assessment Service codes for drugs. Results The 60-69, 70-79, and over 80 age groups accounted for more than 60% of the LUTD cases from 2009 to 2018, while significant increases in the crude prevalence of LUTD were observed over a 10-year period in all age groups (p for trend <0.05). In age groups over 60 years, LUTD was more prevalent in men than women, but there was no statistically significant difference in proportion (p>0.05). The changes in the prevalence and prevalence proportion exhibited similar trends in BPH, UI, and LUTD. Conclusions LUTD was more prevalent in the elderly aged over 60 years old than in younger adults. Therefore, this study suggests the development of nationwide healthcare policies to manage LUTD in the elderly population of South Korea, which is expected to become the world’s most aged population.
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spelling doaj-art-c3fd8a454d26403fac675567c996da9d2025-08-20T02:47:33ZengKorean Association of Urogenital Tract Infection and InflammationUrogenital Tract Infection2465-82432465-85102023-12-0118310110610.14777/uti.2023.18.3.101407Trends in Age-Specific Prevalence of Lower Urinary Tract Dysfunction: A Nationwide Population-Based Cohort StudyYoung Hwan Kim0Se Hwa Hong1Tae Wook Kang2Hyun Chul Chung3Tae Hyoung Kim4Sae Chul Kim5Sang Baek Koh6Jae Hung Jung7Department of Urology, Yonsei University Wonju College of Medicine, Wonju, KoreaDepartment of Medical Informatics and Biostatistics, Yonsei University Wonju College of Medicine, Wonju, KoreaDepartment of Urology, Yonsei University Wonju College of Medicine, Wonju, KoreaDepartment of Urology, Yonsei University Wonju College of Medicine, Wonju, KoreaDepartment of Urology, Chung-Ang University College of Medicine, Seoul, KoreaDepartment of Urology, Myongji Hospital, Seoul, KoreaDepartment of Preventive Medicine, Yonsei University Wonju College of Medicine, Wonju, KoreaDepartment of Urology, Yonsei University Wonju College of Medicine, Wonju, KoreaPurpose To elucidate the longitudinal changes in the prevalence of lower urinary tract dysfunction (LUTD) according to age over the past 10 years. Materials and Methods The changes in the proportion of prevalence for LUTD, including benign prostatic hyperplasia (BPH) and urinary incontinence (UI) among South Koreans from 2009 to 2018, were analyzed using the National Health Information Database established by the Korean National Health Insurance Service. All conditions were defined according to the corresponding Korean Standard Classification of Diseases-8 for diagnosis and surgical procedures and Health Insurance Review & Assessment Service codes for drugs. Results The 60-69, 70-79, and over 80 age groups accounted for more than 60% of the LUTD cases from 2009 to 2018, while significant increases in the crude prevalence of LUTD were observed over a 10-year period in all age groups (p for trend <0.05). In age groups over 60 years, LUTD was more prevalent in men than women, but there was no statistically significant difference in proportion (p>0.05). The changes in the prevalence and prevalence proportion exhibited similar trends in BPH, UI, and LUTD. Conclusions LUTD was more prevalent in the elderly aged over 60 years old than in younger adults. Therefore, this study suggests the development of nationwide healthcare policies to manage LUTD in the elderly population of South Korea, which is expected to become the world’s most aged population.http://euti.org/upload/pdf/uti-18-3-101.pdfepidemiologylower urinary tract symptomsprostatic hyperplasiaurinary incontinence
spellingShingle Young Hwan Kim
Se Hwa Hong
Tae Wook Kang
Hyun Chul Chung
Tae Hyoung Kim
Sae Chul Kim
Sang Baek Koh
Jae Hung Jung
Trends in Age-Specific Prevalence of Lower Urinary Tract Dysfunction: A Nationwide Population-Based Cohort Study
Urogenital Tract Infection
epidemiology
lower urinary tract symptoms
prostatic hyperplasia
urinary incontinence
title Trends in Age-Specific Prevalence of Lower Urinary Tract Dysfunction: A Nationwide Population-Based Cohort Study
title_full Trends in Age-Specific Prevalence of Lower Urinary Tract Dysfunction: A Nationwide Population-Based Cohort Study
title_fullStr Trends in Age-Specific Prevalence of Lower Urinary Tract Dysfunction: A Nationwide Population-Based Cohort Study
title_full_unstemmed Trends in Age-Specific Prevalence of Lower Urinary Tract Dysfunction: A Nationwide Population-Based Cohort Study
title_short Trends in Age-Specific Prevalence of Lower Urinary Tract Dysfunction: A Nationwide Population-Based Cohort Study
title_sort trends in age specific prevalence of lower urinary tract dysfunction a nationwide population based cohort study
topic epidemiology
lower urinary tract symptoms
prostatic hyperplasia
urinary incontinence
url http://euti.org/upload/pdf/uti-18-3-101.pdf
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