Assessment of treatment-seeking behavior and healthcare utilization in an international cohort of subjects with overactive bladder.
Abstract Objective: To assess the association between incontinence severity, treatment-seeking behavior, and healthcare resource utilization (HRU) among participants with overactive bladder (OAB) in eight countries. Research design and methods: A cross-sectional online survey of subjects >=18 years...
| Publicado en: | Current Medical Research & Opinion Vol. 30; no. 8; pp. 1557 - 1565 |
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| Autores principales: | , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Taylor & Francis Ltd
Aug2014
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103835533&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 103835533 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03007995 DFY jtl: Current Medical Research & Opinion issn: 03007995 maglogo: N pubinfo: dt: Aug2014 vid: 30 iid: 8 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 103835533 2012656735 10.1185/03007995.2014.918028 NLM24762033 103835533 ppf: 1557 ppct: 8 formats: tig: atl: Assessment of treatment-seeking behavior and healthcare utilization in an international cohort of subjects with overactive bladder. aug: au: Jimenez-Cidre, Miguel Costa, Pierre Ng-Mak, Daisy Sahai, Arun Degboe, Arnold Smith, Christopher Patrick Tsai, Kathleen Herschorn, Sender affil: Hospital Universitario Ramon y Cajal , Madrid, Spain. sug: subj: Health Services Utilization Patient Attitudes Overactive Bladder Therapy Adolescence Adult Aged Aged, 80 and Over Australia Prospective Studies Cross Sectional Studies Europe Female Surveys Health Services Statistics and Numerical Data Human Linear Regression Male Middle Age North America Self Report Severity of Illness Indices Overactive Bladder Complications Overactive Bladder Diagnosis Urinary Incontinence Etiology Young Adult Adolescent: 13-18 years Adult: 19-44 years Aged: 65+ years Aged, 80 & over Middle Aged: 45-64 years Female Male ab: Abstract Objective: To assess the association between incontinence severity, treatment-seeking behavior, and healthcare resource utilization (HRU) among participants with overactive bladder (OAB) in eight countries. Research design and methods: A cross-sectional online survey of subjects >=18 years old in Australia, Europe, and North America, who had a past OAB diagnosis and/or experienced >=1 urinary incontinence (UI) episode in the preceding 12 months, were eligible to participate. Subjects contacted for the survey were primarily from a voluntary medication monitoring registry, MediGuard. Predominantly stress incontinence subjects were excluded. Incontinence severity was assessed by the number of UI episodes over 3 days and grouped as 0 ('dry'), 1-2, 3-4, and >=5 UI episodes/day. Subject demographics, employment status, comorbidities, treatment-seeking behavior (past OAB diagnosis; spoken to healthcare provider [HCP]), and HRU (diagnostic tests; HCP visits in 6 months before screening) were analyzed by incontinence severity. Results: Overall, 1341 subjects with OAB (mean age 54.5 years; 70.7% female) were surveyed; 20.2%, 47.7%, 18.8%, and 13.3% of subjects reported 0, 1-2, 3-4, and >=5 UI episodes/day, respectively. Employment status and comorbidities were significantly (p < 0.05) associated with incontinence severity. The two measures of treatment-seeking behavior were significantly (p < 0.05) associated with incontinence severity groups; the proportion of subjects with a past diagnosis of OAB were 35.8%, 44.8%, 52.4%, and 64.0% in the 0, 1-2, 3-4, and >=5 UI episodes/day groups, respectively; and 59.0%, 63.6%, 65.9%, and 78.1% of subjects in the respective UI severity groups talked to a HCP about their OAB symptoms. Multivariate linear regression analyses showed a positive and consistent association between incontinence severity and HRU; subjects reported a mean of 2.7, 4.1, 4.4, and 7.7 diagnostic tests overall (p < 0.001), and a mean of 1.4, 2.2, 2.7, and 4.0 HCP visits in the 0, 1-2, 3-4, and >=5 UI episodes/day groups, respectively (p < 0.001). A potential limitation of the study is the cross-sectional survey methodology which limits the ability to draw causal inferences from the results. Additionally, since this is a web-based survey it is possible respondents who have access to/are familiar with technology were more likely to be enrolled. Conclusions: Incontinence severity was positively associated with both treatment-seeking behavior and HRU among subjects with OAB. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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