Overactive Bladder: the Patient Perspective

被引:0
|
作者
Edmonds, Victoria S. [1 ]
Khan, Aqsa A. [1 ]
机构
[1] Mayo Clin, Dept Urol, 5777 E Mayo Blvd, Phoenix, AZ 85054 USA
关键词
Overactive bladder; Health-related quality of life; Antimuscarinics; Sexual function; IMPACT;
D O I
10.1007/s11884-023-00727-1
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Purposeof ReviewGiven that the diagnosis and management of overactive bladder (OAB) is directed by symptomatology, the patient perspective is critical to understanding the disease and efficacy of available treatments. We present a narrative review of literature published in the last 5 years surrounding the patient perspective of OAB.Recent FindingsOAB has a negative effect on health-related quality of life (HRQoL). Management of OAB generates significant cost to the patient, including physician visits, incontinence pads, treatment of urinary tract infections, and management of skin infections and irritation. Patients with OAB suffer in terms of work productivity, food insecurity, and financial strain, and these effects are more profound in patients of lower socioeconomic status and education level. Recent literature investigating the effect of beta 3-adrenergic agonists on patient quality of life demonstrated similar improvements when compared with anticholinergics and potentially greater tolerability in terms of adverse effects. In terms of third-line therapies, sacral neuromodulation (SNM) has been shown to have significant improvement in HRQoL and urinary symptoms while avoiding the need for frequent office visits.SummaryOAB can have a detrimental effect on HRQoL, sexual function, work productivity, and can generate significant cost to the patient. Recent literature demonstrates that existing treatments show promise in terms of improving HRQoL. Patients prefer oral medications over injectable or more invasive therapies; however, a majority of patients who fail medications are willing to trial third-line therapies. Continued investigation of the patient perspective on OAB will be paramount to continue improvement in patient care.
引用
收藏
页码:89 / 94
页数:6
相关论文
共 50 条
  • [1] Overactive Bladder: the Patient Perspective
    Victoria S. Edmonds
    Aqsa A. Khan
    [J]. Current Bladder Dysfunction Reports, 2024, 19 : 89 - 94
  • [2] The overactive bladder: A nursing perspective
    Newman, DK
    Giovannini, D
    [J]. AMERICAN JOURNAL OF NURSING, 2002, 102 (06) : 36 - 45
  • [3] The patient perspective on overactive bladder: a mixed-methods needs assessment
    Filipetto, Frank A.
    Fulda, Kimberly G.
    Holthusen, Amy E.
    McKeithen, Thomas M.
    McFadden, Pam
    [J]. BMC FAMILY PRACTICE, 2014, 15
  • [4] The patient perspective on overactive bladder: a mixed-methods needs assessment
    Frank A Filipetto
    Kimberly G Fulda
    Amy E Holthusen
    Thomas M McKeithen
    Pam McFadden
    [J]. BMC Family Practice, 15
  • [5] The recalcitrant overactive bladder patient
    Ghoniem, GM
    [J]. GERIATRICS, 2002, 57 : 23 - 29
  • [6] Overactive bladder in the male patient: Bladder, outlet, or both?
    Abdel-Aziz K.F.
    Lemack G.E.
    [J]. Current Urology Reports, 2002, 3 (6) : 445 - 451
  • [7] Patient Satisfaction on Overactive Bladder Treatment
    Tay K.
    Khan A.
    [J]. Current Bladder Dysfunction Reports, 2017, 12 (1) : 58 - 65
  • [8] Treatment of Overactive Bladder in the Frail Patient
    Vincent, Sage
    Tokarski, Anthony
    Murphy, Alana
    [J]. CURRENT BLADDER DYSFUNCTION REPORTS, 2020, 15 (04) : 386 - 392
  • [9] Treatment of Overactive Bladder in the Frail Patient
    Sage Vincent
    Anthony Tokarski
    Alana Murphy
    [J]. Current Bladder Dysfunction Reports, 2020, 15 : 386 - 392
  • [10] Patient persistency with medications for overactive bladder
    Chui, MA
    Williamson, T
    Arciniega, J
    Thompson, C
    Benecke, H
    [J]. VALUE IN HEALTH, 2004, 7 (03) : 366 - 366