scholarly journals Health related quality of life and productivity of women with overactive bladder

2012 ◽  
Vol 153 (27) ◽  
pp. 1068-1076 ◽  
Author(s):  
Márta Péntek ◽  
László Gulácsi ◽  
Attila Majoros ◽  
Csaba Piróth ◽  
Levente Rubliczky ◽  
...  

The objektive of the research was to assess the health related quality of life and productivity of women with overactive bladder. Methods: A cross-sectional survey was performed in 5 outpatient centers. General health status (EQ-5D), disease-specific quality of life (King’s Health Questionnaire) and productivity (Work Productivity and Activity Impairment) were assessed. Results: Sixty-one women with mean age of 57.7 (SD = 11.6) years have had symptoms for 6.6 (SD = 6.2) years and 57 (93%) had incontinence. The EQ-5D (mean 0.668, SD = 0.314) was not significantly lower than that of the average population (p>0.05). The impact of incontinence and physical limitation (mean 70.5 and 68.9, respectively) were significant, the King’s Health Questionnaire-utility was 0.932 (SD = 0.029). Productivity scores of involved patients were: absenteeism 0.04% (SD = 0.11), presenteeism 43.64% (SD = 28.54), overall work impairment 40.97% (SD = 26.91), and other activities 47.72% (SD = 27.24). Conclusions: Applicability of the EQ-5D and King’s Health Questionnaire as utility measures in overactive bladder deserve further research. Presenteeism should be considered in the evaluation of the therapy. Orv. Hetil., 2012, 153, 1068–1076.

2004 ◽  
Vol 7 (4) ◽  
pp. 455-463 ◽  
Author(s):  
Karin S. Coyne ◽  
Chris Payne ◽  
Samir K. Bhattacharyya ◽  
Dennis A. Revicki ◽  
Christine Thompson ◽  
...  

10.36469/9816 ◽  
2016 ◽  
Vol 4 (2) ◽  
pp. 127-140 ◽  
Author(s):  
Natalia Hawken ◽  
Zalmai Hakimi ◽  
Samuel Aballéa ◽  
Jameel Nazir ◽  
Isaac A. O. Odeyemi ◽  
...  

Background: Overactive bladder (OAB) is a symptom-defined disorder. A range of instruments are available for assessing OAB symptom bother, urinary urgency and the effects of symptoms on health-related quality of life (HRQoL), but few have been specifically designed and validated for this condition. HRQoL instruments should capture the concepts that are most relevant to patients. To our knowledge, there is no existing published conceptual framework for OAB. Objectives: We performed a qualitative study to explore the impact of symptoms of OAB on affected patients and to develop a conceptual framework for OAB. Methods: Patients diagnosed with OAB living in the United Kingdom were interviewed on the telephone by a trained psychologist using an interview discussion guide. Interview transcripts were analyzed thematically by two psychologists. Data collection and analysis was completed when data saturation, i.e. when little or no new information was obtained, was achieved. Results: A total of 30 patients were interviewed. Fifteen patients (50%) had urge incontinence (i.e. OAB-wet). Interview data showed that OAB affected role functioning, sleep quality, social functioning, and emotional/mental functioning. In addition, patients often adopted non-medical coping strategies to manage their symptoms (e.g. planning activities). Factors which affected more than 50% of patients were going for a short walk, waking up at night, travelling/holidays, socializing/going out, embarrassment/shame, need to plan activities, and restriction of places visited. More patients with OAB-wet reported impairment of social and emotional/mental functioning than patients with OAB-dry. A conceptual framework for adults with OAB depicting the relationships between OAB concepts (or outcomes) was developed. Conclusions: OAB has a profound effect on patient HRQoL and negatively affects a broad range of functions, including daily and work activities, leisure and social activities, psychological well-being, and sleep capacity. The conceptual framework emerging from this study supports the utilization of existing disease-specific HRQoL instruments, but identifies that work-related effects, which are relevant for OAB patients, are missing from currently available measures.


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