Evidence map›Paper›PMID 30043660›Full record

ArticleScandinavian journal of primary health care2018

Urological symptoms among 23,240 men in the general danish population - concerns about symptoms, their persistence and influence on primary care contacts.

Majken Solvang, Sandra Elnegaard, Dorte Ejg Jarbøl

Abstract read
In one paragraph

Article in Scandinavian journal of primary health care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Self-management of male urinary symptoms: qualitative findings from a primary care trial.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026
    Trial
  3. Lower urinary tract symptoms in men: the TRIUMPH cluster RCT.Health technology assessment (Winchester, England) · 2024
    Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Managing lower urinary tract symptoms in primary care: qualitative study of GPs' and patients' experiences.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021
    Article
  9. Article
  10. Article
  11. Article
  12. Challenges in early diagnosis of cancer: the fast track.Scandinavian journal of primary health care · 2020
    Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Majken Solvanga University of Southern Denmark.
Sandra Elnegaardb Research Unit of General Practice, University of Southern Denmar.
Dorte Ejg Jarbølb Research Unit of General Practice, University of Southern Denmar.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo analyse possible associations between men's likelihood of contacting a general practitioner (GP) for urological symptoms and the persistence of the symptoms, the influence on daily activities and the level of concern about the symptoms.

designWeb-based nationwide cross-sectional questionnaire study.

settingThe general population in Denmark. SUBJECTS: 48,910 randomly selected men aged 20+ years.

main outcome measuresUrological symptom prevalence and odds ratios for GP contact with urological symptoms in regard to concern for the symptom, influence on daily activities and the persistence of the symptom.

resultsSome 23,240 men responded to the questionnaire, yielding a response rate of 49.8%. The prevalence of at least one urological symptom was 59.9%. Among men experiencing at least one urological symptom almost one-fourth reported contact to general practice regarding the symptom. Approximately half of the symptoms reported to be extremely concerning were discussed with a GP.

conclusionIncreased symptom concern, influence on daily activities and long-term persistence increased the likelihood of contacting a GP with urological symptoms. This research points out that guidelines for PSA testing might be challenged by the high prevalence of urological symptoms. Key points  The decision process of whether to contact the general practitioner (GP) is influenced by different factors, but contradictory results has been found in triggers and barriers for help-seeking with urological symptoms.   • Increased symptom concern, influence on daily activities and long-term persistence consistently increased the likelihood of contacting a general practitioner with urological symptoms in men.   • Only 50% of the symptoms reported to be extremely concerning were however discussed with the GP.   • Guidelines for PSA testing might be challenged by the high prevalence of urological symptoms.

Indexed as

Decision MakingGeneral PracticePatient Acceptance of Health CarePrimary Health CareActivities of Daily LivingAdultAgedAged, 80 and overCross-Sectional StudiesDenmarkEmotionsGeneral PractitionersHumansMaleMale Urogenital DiseasesMiddle AgedProstate-Specific Antigengeneral practiceHelp-seeking behaviourpatient acceptance of health caresymptom assessmenturinary incontinenceurination

Identifiers

PMID30043660
PMCPMC6381536

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.