| How dry is "OAB-dry"? Perspectives from patients and physician experts. | |
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MedLine Citation:
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PMID: 22999694 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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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:
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Type: Journal Article; Research Support, American Recovery and Reinvestment Act; Research Support, N.I.H., Extramural Date: 2012-09-19 |
Journal Detail:
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Title: The Journal of urology Volume: 188 ISSN: 1527-3792 ISO Abbreviation: J. Urol. Publication Date: 2012 Nov |
Date Detail:
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Created Date: 2012-10-12 Completed Date: 2012-12-31 Revised Date: 2013-04-12 |
Medline Journal Info:
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Nlm Unique ID: 0376374 Medline TA: J Urol Country: United States |
Other Details:
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Languages: eng Pagination: 1811-5 Citation Subset: AIM; IM |
Copyright Information:
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Copyright © 2012 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved. |
Affiliation:
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Division of Urology, Cedars-Sinai Medical Center, Beverly Hills, California 90211, USA. angerj@cshs.org |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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:
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1 K23 DK080227-02/DK/NIDDK NIH HHS; 5K23DK080227-03/DK/NIDDK NIH HHS; K23 DK080227/DK/NIDDK NIH HHS |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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