Prostate symptoms in general practice: Seriousness and inconvenience

Wille-Gussenhoven, M. J. E.; Bock, Geertruida H. de; Beer-Buijs, M. J. M. De; Burgers, S. M. T.; Buurman, C. M. M.; Evenaar, M.; Springer, M. P.

doi:10.3109/02813439709043428

Cited by 8 publications

(9 citation statements)

References 6 publications

(1 reference statement)

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“…Nycturia was the most prominent symptom causing discomfort. Nycturia has also been noted in other studies [18,19] but its pivotal role as particularly annoying problem is relatively new. Men in this group did not wait to see their doctor, had less prior knowledge and did not expect a referral to a urologist.…”

Section: Discussionmentioning

confidence: 70%

Why do men suffering from LUTS seek primary medical care? A qualitative study

Lammers

Wijnhoven

Teunissen

et al. 2015

Evaluation Clinical Practice

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Section: Discussionmentioning

confidence: 70%

Why do men suffering from LUTS seek primary medical care? A qualitative study

Lammers

Wijnhoven

Teunissen

et al. 2015

Evaluation Clinical Practice

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“…Corner et al found that symptoms of lung cancer, even when severe and disruptive, are often interpreted as normal and not recognised as being serious or warranting medical attention [26]. Studies of urinary symptoms have consistently found that only about half of those with severe or bothersome urinary symptoms consult a doctor [27,28] with lack of awareness [29] or lack of concern [28,29] about symptoms the key reasons for failure to consult with these symptoms. Recent qualitative research has suggested several other reasons to account for people not consulting about high impact symptoms including fear or denial about the seriousness of the symptoms, barriers to accessing healthcare services, a sense of being unworthy of medical care, a perceived lack of effectiveness of healthcare services and medicines, the need to prioritise health problems and the need for independence [26,30-33].…”

Section: Discussionmentioning

confidence: 99%

Incongruous consultation behaviour: results from a UK-wide population survey

2012

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BackgroundSymptom characteristics are strong drivers of care seeking. Despite this, incongruous consultation behaviour occurs and has implications for both individuals and health-care services. The aim of this study was to determine how frequently incongruous consultation behaviour occurs, to examine whether it is more common for certain types of symptoms and to identify the factors associated with being an incongruous consulter.MethodsAn age and sex stratified random sample of 8,000 adults was drawn from twenty UK general practices. A postal questionnaire was used to collect detailed information on the presence and characteristics of 25 physical and psychological symptoms, actions taken to manage the symptoms, general health, attitudes to symptom management and demographic/socio-economic details. Two types of incongruous consultation behaviour were examined: i) consultation with a GP for symptoms self-rated as low impact and ii) no consultation with a GP for symptoms self-rated as high impact.ResultsA fifth of all symptoms experienced resulted in consultation behaviour which was incongruous based on respondents' own rating of the symptoms' impact. Low impact consultations were not common, although symptoms indicative of a potentially serious condition resulted in a higher proportion of low impact consultations. High impact non-consultations were more common, although there was no clear pattern in the type of associated symptoms. Just under half of those experiencing symptoms in the previous two weeks were categorised as an incongruous consulter (low impact consulter: 8.3%, high impact non-consulter: 37.1%). Employment status, having a chronic condition, poor health, and feeling that reassurance or advice from a health professional is important were associated with being a low impact consulter. Younger age, employment status, being an ex-smoker, poor health and feeling that not wasting the GPs time is important were associated with being a high impact non-consulter.ConclusionsThis is one of the first studies to examine incongruous consultation behaviour for a range of symptoms. High impact non-consultations were common and may have important health implications, particularly for symptoms indicative of serious disease. More research is now needed to examine incongruous consultation behaviour and its impact on both the public's health and health service use.

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“…LUTS can have a significant effect on men's life in terms of the degree of bother, worry, interference with daily living and psychological well-being [6,7]. Nevertheless, many men with LUTS do not consult a physician [4,[8][9][10][11][12][13][14][15][16][17] so they lack the medical attention that could alleviate their symptoms and worries. Only if a patient perceives his symptoms as a problem will he consult a physician.…”

Section: Introductionmentioning

confidence: 99%

Lower urinary tract symptoms: social influence is more important than symptoms in seeking medical care

Wolters¹,

Wensing²,

Weel

et al. 2002

BJU International

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Objective To determine associations among lower urinary tract symptoms (LUTS), symptom severity, subjective beliefs and social influences when seeking primary medical care in men aged ≥ 50 years. returned. Two groups of men with an IPSS of > 7 were compared: those who consulted their GP in the previous 2 years because of voiding problems (268 cases) and the controls (272) who did not visit a GP for these symptoms. Cases more often thought a physician could improve their condition (OR 2.85), appeared to be more often advised by others to seek medical care (OR 6.36) and thought more often that this advice influenced their decision (OR 13.95). They also had more frequently received information from the media (OR 2.66) which affected their attendance (OR 12.52). In a multiple regression analysis, advice from others or information from the media were stronger predictors of seeking care than the influence of symptoms on daily life, the IPSS or the BS. Conclusion Social influences, i.e. advice from others or the media, were more important factors in the decision to seek medical care than symptom severity. Subjects and methods

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Prostate symptoms in general practice: Seriousness and inconvenience

Cited by 8 publications

References 6 publications

Why do men suffering from LUTS seek primary medical care? A qualitative study

Why do men suffering from LUTS seek primary medical care? A qualitative study

Incongruous consultation behaviour: results from a UK-wide population survey

Lower urinary tract symptoms: social influence is more important than symptoms in seeking medical care

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