Incidence of physician-diagnosed interstitial cystitis in Olmsted County: A community-based study

Rosebud O Roberts, E. J. Bergstralh, S. E. Bass, D. J. Lightner, M. M. Lieber, S. J. Jacobsen

Research output: Contribution to journalArticle

34 Citations (Scopus)

Abstract

OBJECTIVE: To obtain community-based information about the incidence of interstitial cystitis, a chronic disabling condition of the bladder where knowledge is limited because there are no definitive diagnostic criteria. PATIENTS AND METHODS: All residents of Olmsted County, MN, USA who had received a physician-assigned diagnosis of interstitial cystitis between 1976 and 1996 were identified through the resources of the Rochester Epidemiology Project. The clinical findings at diagnosis and during the follow-up were ascertained from the community medical records for each study subject. RESULTS: In all, 16 women and four men received a diagnosis of interstitial cystitis during the study period. The overall age- and sex-adjusted (95% confidence interval) incidence rate was 1.1 (0.6-1.5) per 100 000 population. The age-adjusted incidence rates were 1.6 per 100 000 in women and 0.6 per 100 000 in men (P = 0.04). The median (range) age at initial diagnosis was 44.5 (27-76) years in women and 71.5 (23-79) years in men (P = 0.26). The median number of episodes of care-seeking for symptoms before the diagnosis was one for women and 4.5 for men (P = 0.03). The median duration from the onset of symptoms until the first diagnosis was 0.06 and 2.2 years in women and men, respectively (P = 0.2). CONCLUSIONS: These findings suggest that the incidence of interstitial cystitis in the community is extremely low. Although the gender difference may be real, the trend toward a later diagnosis in men than in women suggests a potential for missed diagnosis in men. This might explain some of the gender difference in the incidence of interstitial cystitis in men and women.

Original languageEnglish (US)
Pages (from-to)181-185
Number of pages5
JournalBJU International
Volume91
Issue number3
DOIs
StatePublished - Feb 2003

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Interstitial Cystitis
Physicians
Incidence
Episode of Care
Delayed Diagnosis
Medical Records
Epidemiology
Urinary Bladder
Confidence Intervals

Keywords

  • Cumulative incidence
  • Diagnosis
  • Epidemiology
  • Incidence
  • Interstitial cystitis

ASJC Scopus subject areas

  • Urology

Cite this

Roberts, R. O., Bergstralh, E. J., Bass, S. E., Lightner, D. J., Lieber, M. M., & Jacobsen, S. J. (2003). Incidence of physician-diagnosed interstitial cystitis in Olmsted County: A community-based study. BJU International, 91(3), 181-185. https://doi.org/10.1046/j.1464-410X.2003.04060.x

Incidence of physician-diagnosed interstitial cystitis in Olmsted County : A community-based study. / Roberts, Rosebud O; Bergstralh, E. J.; Bass, S. E.; Lightner, D. J.; Lieber, M. M.; Jacobsen, S. J.

In: BJU International, Vol. 91, No. 3, 02.2003, p. 181-185.

Research output: Contribution to journalArticle

Roberts, RO, Bergstralh, EJ, Bass, SE, Lightner, DJ, Lieber, MM & Jacobsen, SJ 2003, 'Incidence of physician-diagnosed interstitial cystitis in Olmsted County: A community-based study', BJU International, vol. 91, no. 3, pp. 181-185. https://doi.org/10.1046/j.1464-410X.2003.04060.x
Roberts, Rosebud O ; Bergstralh, E. J. ; Bass, S. E. ; Lightner, D. J. ; Lieber, M. M. ; Jacobsen, S. J. / Incidence of physician-diagnosed interstitial cystitis in Olmsted County : A community-based study. In: BJU International. 2003 ; Vol. 91, No. 3. pp. 181-185.
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abstract = "OBJECTIVE: To obtain community-based information about the incidence of interstitial cystitis, a chronic disabling condition of the bladder where knowledge is limited because there are no definitive diagnostic criteria. PATIENTS AND METHODS: All residents of Olmsted County, MN, USA who had received a physician-assigned diagnosis of interstitial cystitis between 1976 and 1996 were identified through the resources of the Rochester Epidemiology Project. The clinical findings at diagnosis and during the follow-up were ascertained from the community medical records for each study subject. RESULTS: In all, 16 women and four men received a diagnosis of interstitial cystitis during the study period. The overall age- and sex-adjusted (95{\%} confidence interval) incidence rate was 1.1 (0.6-1.5) per 100 000 population. The age-adjusted incidence rates were 1.6 per 100 000 in women and 0.6 per 100 000 in men (P = 0.04). The median (range) age at initial diagnosis was 44.5 (27-76) years in women and 71.5 (23-79) years in men (P = 0.26). The median number of episodes of care-seeking for symptoms before the diagnosis was one for women and 4.5 for men (P = 0.03). The median duration from the onset of symptoms until the first diagnosis was 0.06 and 2.2 years in women and men, respectively (P = 0.2). CONCLUSIONS: These findings suggest that the incidence of interstitial cystitis in the community is extremely low. Although the gender difference may be real, the trend toward a later diagnosis in men than in women suggests a potential for missed diagnosis in men. This might explain some of the gender difference in the incidence of interstitial cystitis in men and women.",
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