Real-world assessment and characteristics of men with benign prostatic hyperplasia (BPH) in primary care and urology clinics in Spain.

To describe the real-world demographic and clinical characteristics of patients with lower urinary tract symptoms (LUTS) due to benign prostatic hyperplasia (BPH) in Spain.

This observational, retrospective, multicentre study conducted in primary care and urology clinics in Spain included men aged ≥50 years diagnosed (≤8 years prior to study visit) with LUTS due to BPH.

The primary endpoint was demographic and clinical characteristics; secondary endpoints included disease progression and diagnostic tests across both healthcare settings.

670 patients were included (primary care: n=435; urology: n=235). Most patients had moderate/severe LUTS (74.6%) and prostate volume >30 cc (81.7%), with no differences between settings. More patients had prostate-specific antigen (PSA) ≥1.5 ng/mL in primary care (74.5%) versus urology (67.7%). Progression criteria were prevalent (48.9%). Clinical criteria were more commonly used than the International Prostate Symptom Score (IPSS) to evaluate LUTS at diagnosis (primary care: clinical criteria 73.0%; IPSS, 26.9%; urology: clinical criteria 76.5%; IPSS 23.4%). Proportion of patients with moderate/severe LUTS at diagnosis was lower using clinical criteria than IPSS, and the proportion of patients with 'worsening' LUTS (diagnosis to study visit) was higher when using clinical criteria versus IPSS. In both healthcare settings, the most commonly used diagnostic tests were general and urological clinical history and PSA.

Demographic and clinical characteristics of patients with BPH in Spain were similar in primary care and urology; however, assessment criteria to evaluate LUTS severity differ and are not completely aligned with clinical guideline recommendations. Increased use of recommended assessments may enhance optimal BPH management.

International journal of clinical practice. 2020 Jul 01 [Epub ahead of print]

José María Molero, Bernardino Miñana, Juan Manuel Palacios-Moreno, Miguel Téllez Martínez-Fornes, David Lorite Mingot, Alfonso Agra Rolán, Ágata Carreño, Rafael Cuervo Pinto

Centro de Salud San Andrés, Madrid, Spain., Urology Department, University Clinic of Navarra, Pamplona, Spain., Classic and Established Products, GlaxoSmithKline, Tres Cantos, Spain., Urology, Severo Ochoa University Hospital, Madrid, Spain., Medical Department, GlaxoSmithKline, Tres Cantos, Spain., Health Economics and Outcomes Research - Real World Insights (HEOR-RWI), IQVIA, Madrid, Spain.