National Trend of Uroflowmetry, Urodynamic Study and Cystoscopy Considering the Change in the Population Structure in Korea from 2010 to 2015.
Background
Although lower urinary tract symptoms (LUTS) show a higher prevalence with age, few studies have reported the trend of these examination tools including uroflowmetry, urodynamic study and cystoscopy.


Methods
We evaluated the trend of performance of uroflowmetry, urodynamic study and cystoscopy by using National Health Insurance Data from 2010 to 2015. Primary outcome findings included cumulative number of patients per year, cumulative age-standardized patient rate per year and per age group, and correlation between the number of patients per year and the percentage of population per year in each age group.


Results
The overall trend for frequency of uroflowmetry and cystoscopy showed an increasing pattern (P < 0.001, respectively) while the trend for frequency of urodynamic study showed a decreasing pattern (P < 0.001). After age standardization, the overall trend showed similar results. Correlation between the number of patients per year and the percentage of population per year showed a positive correlation in the 50s age group and the above 70s age group (P = 0.003 and < 0.01, respectively) on uroflowmetry and in the above 70s age group (P < 0.01) on cystoscopy. Urodynamic study showed negative correlations in the 50s age group and the above 60s age group (P = 0.001 and 0.01, respectively).


Conclusion
National trend for frequency of uroflowmetry, urodynamic study and cystoscopy showed a different trend. The increasing trend of uroflowmetry and cystoscopy was related with growth of the aged population. However, urodynamic study showed a decreasing trend regardless of the age group.
['Baek|Min Jung|MJ|https://orcid.org/0000-0001-5279-9115', 'Park|Suyeon|S|https://orcid.org/0000-0002-6391-557X', 'Kim|Ki Hyun|KH|https://orcid.org/0000-0001-6403-7150', 'Kim|Yune Hyoun|YH|https://orcid.org/0000-0001-9313-2966', 'Kim|Woo Ki|WK|https://orcid.org/0000-0003-2051-0721', 'Sun|Hwa Yeon|HY|https://orcid.org/0000-0002-0671-1263', 'Kim|Jae Heon|JH|https://orcid.org/0000-0002-4490-3610']
D000328:Adult D000367:Age Factors D000368:Aged D003558:Cystoscopy D016208:Databases, Factual D006801:Humans D059411:Lower Urinary Tract Symptoms D008297:Male D008875:Middle Aged D011470:Prostatic Hyperplasia D056910:Republic of Korea D014563:Urodynamics
Urodynamic Study Cystoscopy Lower Uinary Tact Smptoms Prostatic Hperplasia Urinary Icontinence