| Overactive bladder in women: symptom impact and treatment expectations. | |
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MedLine Citation:
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PMID: 16197660 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: The objectives of this survey were to understand (1) the effects of overactive bladder (OAB) and urinary incontinence (UI) on women's lives and to understand (2) women's needs and expectations of health care providers and treatment related to these disorders. METHODS: Women (N = 1046) with self-reported symptoms of UI completed a survey via electronic mail about the impact of urinary symptoms, health care provider interactions, treatment practices and expectations, and co-morbid conditions. RESULTS: The majority of women rated urinary symptoms such as frequency (61%), urgency (80%), nocturia (72%), and UI (69%-88% by type of incontinence) as moderately or extremely bothersome. Over half of women with UI (55%) had not sought medical treatment, but instead used a variety of non-medical coping mechanisms for symptom management. More than one third of women (37%) would prefer that their health care provider initiate discussion about urinary symptoms. Approximately half of the women with UI in this survey desired a greater than 70% reduction in incontinence episodes in order to consider treatment effective. CONCLUSION: Women are making an effort to cope with disruptive symptoms of OAB. However, a communication gap between health care providers and patients with urinary symptoms may be a barrier to appropriate medical therapy. Health care providers should routinely query patients about urinary symptoms. In addition to choosing a medical treatment that can produce a meaningful reduction in symptoms, health care providers should set expectations for patients and monitor patient satisfaction with the prescribed treatment regimen. |
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Authors:
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Scott MacDiarmid; Matt Rosenberg |
Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Current medical research and opinion Volume: 21 ISSN: 0300-7995 ISO Abbreviation: Curr Med Res Opin Publication Date: 2005 Sep |
Date Detail:
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Created Date: 2005-10-03 Completed Date: 2005-10-28 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0351014 Medline TA: Curr Med Res Opin Country: England |
Other Details:
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Languages: eng Pagination: 1413-21 Citation Subset: IM |
Affiliation:
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Department of Urology, Wake Forest University School of Medicine, Winston-Salem, NC 27157, USA. smacdiar@wfubmc.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Double-Blind Method Female Health Care Surveys Humans Middle Aged Patient Satisfaction* Physician-Patient Relations Quality of Life / psychology* Questionnaires Risk Factors Sickness Impact Profile* United States / epidemiology Urinary Incontinence / drug therapy*, ethnology, physiopathology* Women's Health Services |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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