Trends in the use of antimuscarinics and alpha-adrenergic blockers in women with lower urinary tract symptoms in Taiwan: A nationwide, population-based study, 2007-2012


Autoři: Yu-Hua Lin aff001;  Wei-Yi Huang aff004;  Chi-Chih Chang aff006;  Yu-Fen Chen aff005;  Ling-Ying Wu aff008;  Hong-Chiang Chang aff009;  Kuo-How Huang aff009
Působiště autorů: Divisions of Urology, Department of Surgery, Cardinal Tien Hospital, Taipei, Taiwan aff001;  Department of Chemistry, Fu Jen Catholic University, New Taipei City, Taiwan aff002;  Graduate Institute of Biochemical and Pharmaceutical Science, Fu Jen Catholic University, New Taipei City, Taiwan aff003;  Department of Healthcare and Medical Care, Veterans Affairs Council, Taipei, Taiwan aff004;  Institute of Health and Welfare Policy, National Yang-Ming University, Taipei, Taiwan aff005;  The Interdisciplinary Nanoscience Centre, Aarhus University, Aarhus, Denmark aff006;  Department of Nursing, Kang-Ning Junior College of Medical Care and Management, Taipei, Taiwan aff007;  Graduate Institute of European Studies, Tamkang University, Taipei, Taiwan aff008;  Department of Urology, National Taiwan University Hospital, Taipei, Taiwan aff009
Vyšlo v časopise: PLoS ONE 14(10)
Kategorie: Research Article
doi: 10.1371/journal.pone.0220615

Souhrn

Background

We aim to examine the trend in the use of antimuscarinics and off-label alpha-adrenergic blockers for treatment of lower urinary tract symptoms (LUTS) in a Taiwanese Women Cohort between 2007 and 2012.

Methods

This population-based National Health Insurance Research Database (NHIRD) was used to examine the trends in the use of antimuscarinics or off-label alpha-adrenergic blockers in Taiwan. A sample of 1,000,000 individuals randomly drawn from the whole population of 23 million individuals who were registered in the NHI in 2005. From 2007 through 2012, women aged over 18 years whose claim record contained prescriptions of either of the two drugs for treatment of any of the LUTS-related diagnoses were identified and analyzed. The annual usage of the two drug classes were calculated by defined daily dose (DDD).

Results

From 2007–2012, there was a 0.80 fold (69676.8 to 125104.3) increase in DDD of antimuscarinics in our cohort. The overall healthcare seeking prevalence of LUTS was 7.33% in 2007 and 12.38% in 2012, in a rising trend. The prevalence of antimuscarinics-treated LUTS in our cohort increased from 2.53 in 2007 to 3.41 per 1000 women in 2012. The prevalence of LUTS treated by antimuscarinics increased especially for those older than 60 years during the study period.

Conclusions

This 6-year observational study provided the epidemiologic information of clinically significant LUTS of Asian female population. Moreover, there was a rising trend in the use of antimuscarinics and off-label alpha-adrenergic blockers in the population-based cohort.

Klíčová slova:

Bladder – Drug therapy – Health insurance – Incontinence – Questionnaires – Renal system – Taiwan – Alpha-adrenergic antagonist therapy


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