Document Detail


How dry is "OAB-dry"? Perspectives from patients and physician experts.
MedLine Citation:
PMID:  22999694     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: Overactive bladder is subtyped into overactive bladder-wet and overactive bladder-dry, based on the presence or absence, respectively, of urgency incontinence. To better understand patient and physician perspectives on symptoms among women with overactive bladder-wet and overactive bladder-dry, we performed patient focus groups and interviews with experts in urinary incontinence.
MATERIALS AND METHODS: Five focus groups totaling 33 patients with overactive bladder symptoms, including 3 groups of overactive bladder-wet and 2 groups of overactive bladder-dry patients, were conducted. Topics addressed patient perceptions of overactive bladder symptoms, treatments and outcomes. A total of 12 expert interviews were then done in which experts were asked to describe their views on overactive bladder-wet and overactive bladder-dry. Focus groups and expert interviews were transcribed verbatim. Qualitative data analysis was performed using grounded theory methodology, as described by Charmaz.
RESULTS: During the focus groups sessions, women screened as overactive bladder-dry shared the knowledge that they would probably leak if no toilet were available. This knowledge was based on a history of leakage episodes in the past. Those few patients with no history of leakage had a clinical picture more consistent with painful bladder syndrome than overactive bladder. Physician expert interviews revealed the belief that many patients labeled as overactive bladder-dry may actually be mild overactive bladder-wet.
CONCLUSIONS: Qualitative data from focus groups and interviews with experts suggest that a spectrum exists between very mild overactive bladder-wet and severe overactive bladder-wet. Scientific investigations are needed to determine whether urgency without fear of leakage constitutes a unique clinical entity.
Authors:
Jennifer T Anger; Thuy X Le; Helen A Nissim; Lisa Rogo-Gupta; Rezoana Rashid; Ajay Behniwal; Ariana L Smith; Mark S Litwin; Larissa V Rodriguez; Alan J Wein; Sally L Maliski
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Publication Detail:
Type:  Journal Article; Research Support, American Recovery and Reinvestment Act; Research Support, N.I.H., Extramural     Date:  2012-09-19
Journal Detail:
Title:  The Journal of urology     Volume:  188     ISSN:  1527-3792     ISO Abbreviation:  J. Urol.     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-10-12     Completed Date:  2012-12-31     Revised Date:  2013-07-11    
Medline Journal Info:
Nlm Unique ID:  0376374     Medline TA:  J Urol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1811-5     Citation Subset:  AIM; IM    
Copyright Information:
Copyright © 2012 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.
Affiliation:
Division of Urology, Cedars-Sinai Medical Center, Beverly Hills, California 90211, USA. angerj@cshs.org
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Female
Focus Groups
Humans
Middle Aged
Patients
Physicians
Questionnaires
Severity of Illness Index
Urinary Bladder, Overactive / classification*,  diagnosis*
Urinary Incontinence / classification*,  diagnosis*
Grant Support
ID/Acronym/Agency:
1 K23 DK080227-02/DK/NIDDK NIH HHS; 5K23DK080227-03/DK/NIDDK NIH HHS; K23 DK080227/DK/NIDDK NIH HHS
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