Although this study did not consider placebo effect and has high IPSS baseline scores , this study clarifies that low-dose tamsulosin has generally positive effect and safety in treatment of LUTS and could be a suitable option as an initial treatment , especially for patients with low body mass index , as is typical of Asian people
PURPOSE In Asian countries , low-dose tamsulosin ( 0.2 mg ) is used widely but this dose has been less popular than 0.4 mg tamsulosin or other types of alpha blockers .
The aim of this study was to investigate the efficacy and safety of low-dose tamsulosin by systematic review and meta- analysis .
Patient Reactions to a Program Designed to Facilitate Patient Participation in Treatment Decisions for Benign Prostatic Hyperplasia
Patients often want considerable information about their conditions , and enhanced patient participation might reduce unwanted practice variation and improve medical decisions . The authors assessed how men with benign prostatic hyperplasia reacted to an educational program design ed to facilitate participation in decisionmaking , and how strongly ratings of their symptom state and the prospect of complications predicted their treatment choice . A prospect i ve cohort study was conducted in three hospital-based urology practice s : two in prepaid group practice s , and one Veterans Administration clinic . Four hundred twenty-one men with symptomatic benign prostatic hyperplasia without prior prostatectomy or benign prostatic hyperplasia complications were enrolled , and 373 provided usable ratings . Subjects participated in an interactive videodisc-based shared decisionmaking program about benign prostatic hyperplasia and its treatment options , prostatectomy , and “ watchful waiting . ” They rated the length , clarity , balance , and value of the program and were followed for 3 months to determine if they underwent surgery . Patients rated the program as generally clear , informative , and balanced . Across all three sites , 77 % of patients were very positive and 16 % were generally positive about the program 's usefulness in making a treatment decision . Logistic models predicting choice of surgical treatment documented the independent importance of negative ratings of the current symptom state ( odds ratio 7.0 , 95 % confidence interval 2.9–16.6 ) , as well as the prospect of postoperative sexual dysfunction ( odds ratio 0.20 , 95 % confidence interval 0.08–0.48 ) in decisionmaking . Patients rated the Shared Decisionmaking Program very positively and made decisions consistent with their assessed preferences . These results suggest that patients can be helped to participate in treatment decisions , and support a r and omized trial of the Shared Decisionmaking Program
Although this study did not consider placebo effect and has high IPSS baseline scores , this study clarifies that low-dose tamsulosin has generally positive effect and safety in treatment of LUTS and could be a suitable option as an initial treatment , especially for patients with low body mass index , as is typical of Asian people
PURPOSE In Asian countries , low-dose tamsulosin ( 0.2 mg ) is used widely but this dose has been less popular than 0.4 mg tamsulosin or other types of alpha blockers .
The aim of this study was to investigate the efficacy and safety of low-dose tamsulosin by systematic review and meta- analysis .