Non-Moderated Poster Session

12:30 PM - 1:30 PM

A big data analysis of the association between lower urinary tract symptoms and fractures in older men.

Assistant Professor Jung Ki Jo (1), Clinical assistant Professor Kyu Shil Kim (1), Professor Hong Sang Moon (1)

(1) Hanyang University, Seoul, South Korea

AIMS

Lower urinary tract symptoms (LUTS) have been associated with falls and fracture predominantly in women. It is less clear if LUTS are risk of fracture in men. We evaluated the relation between LUTS and fracture in men.

METHODS

We conducted a big data analysis on the association between LUTS and fractures in community-dwelling older men. Elderly patients (≥ 65 years old) in 2013, 2014, 2015, 2016 were included from the Health Insurance Review and Assessment Service-Aged Patient Sample (HIRA-APS). We used 2013, 2014, 2015, 2016 HIRA-APS, respectively. We classified four groups: alpha-blocker (group A), alpha-blocker + 5 ARI, alpha-blocker + β3-agonist (group B) or antimuscarinic agents (group C) and control group. We excluded previous fracture event before medications.

RESULTS

Only alpha-blocker group was observed least event of fracture in total cohort every years (p <0.001). And patients with large prostate volume were similar or worse pattern of fracture event compared with control (p = 0.36, 1, 1, 0.008, respectively). Moreover, patients with storage symptoms were shown worst results of fracture (p = 0.003, 0.38, 0.002, 1, respectively).

CONCLUSIONS

Lower urinary tract storage symptoms might be associated with fracture in older men. It could be associated with falls. The circumstances of falls in men with LUTS need to be investigated to reduce falls and fracture.

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