{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T02:46:06Z","timestamp":1792637166973,"version":"4.5.0"},"reference-count":36,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,11,21]],"date-time":"2020-11-21T00:00:00Z","timestamp":1605916800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To describe the trend in the impact of lower urinary tract symptoms attributed to benign prostatic hyperplasia (LUTS\/BPH) on a global scale using the Global Burden of Disease (GBD) database.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>Using the GBD database, worldwide data aggregated from registries and health systems from 1990 to 2017 were filtered for LUTS\/BPH diagnoses. Calculation of years lived with disability (YLD) were compared with other urological diseases. YLD were calculated by a standardized method using assigned disability weights. The GBD\u2010defined sociodemographic index (SDI) was used to assess impact of LUTS\/BPH by global SDI quintile.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Global Burden of Disease data over the 1990\u20132017 study period were summarized and global numbers and trends noted with other urological diseases for comparison. A total of 2\u00a0427\u00a0334 YLD were attributed to BPH in 2017 alone, almost three times more than those attributed to the next highest urological disease, prostate cancer (843\u00a0227 YLD). When stratified by SDI quintile, a much lower impact of BPH was found in the bottom three quintiles, despite this subset representing 66.9% of the 2017 world population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Lower urinary tract symptoms attributed to benign prostatic hyperplasia exert a rapidly rising human burden far exceeding other urological diseases. As the population ages and men in a lower SDI enjoy increased life expectancy and decreased competing mortalities, a continually accelerating wave of LUTS\/BPH can be forecast. These epidemiological trends have serious implications for the future allocation of resources and the global urological workforce.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bju.15286","type":"journal-article","created":{"date-parts":[[2020,12,4]],"date-time":"2020-12-04T12:20:38Z","timestamp":1607084438000},"page":"722-728","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":209,"title":["The rising worldwide impact of benign prostatic hyperplasia"],"prefix":"10.1111","volume":"127","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3802-8709","authenticated-orcid":false,"given":"Bryn M.","family":"Launer","sequence":"first","affiliation":[{"name":"University of Colorado Anschutz School of Medicine Aurora CO USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin T.","family":"McVary","sequence":"additional","affiliation":[{"name":"Department of Urology Stritch School of Medicine Center for Male Health Loyola University Medical Center Maywood IL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William A.","family":"Ricke","sequence":"additional","affiliation":[{"name":"Department of Urology George M. 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