Is a Generic Quality of Life Instrument Helpful for Evaluating Women with Urinary Incontinence?

Oh, Seung‐June; Ku, Ja Hyeon

doi:10.1007/s11136-005-2487-6

Cited by 29 publications

(19 citation statements)

References 46 publications

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“…These women also had a more negative perception of the impact caused by UI when compared to the other groups (Table 4) which corroborates to the results observed in the literature 6,7,11,13,17,36 . This may be due to the fact that the women suffer from a combination of SUI (urine loss during activities that increase intra-abdominal pressure) and OB symptoms (urgency, urge-incontinence, nocturia and increased frequency).…”

Section: Quality Of Life Among Women With Urinary Incontinencesupporting

confidence: 90%

Comparação da qualidade de vida nos diferentes tipos de incontinência urinária feminina

Ac¹,

Haddad²,

Mes³

et al. 2009

Rev. bras. fisioter.

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Objectives: To compare the impact of the type of urinary incontinence on women's quality of life. Methods: A retrospective evaluation was conducted on the medical records of 77 incontinent women who underwent physical therapy treatment between February 2005 and October 2006. Based on the urodynamic test data, the women were classified into three groups: stress urinary incontinence (SUI), overactive bladder (OB) and mixed urinary incontinence (MUI). The subjects' history was taken, the women provided demographic data and they answered the King's Health Questionnaire, which is a specific questionnaire for assessing the quality of life among individuals with urinary incontinence. Results: Most of the patients (44%) had MUI. The patients affected by OB were significantly older than the patients in the other groups. The negative impact of incontinence on quality of life (General Health Perception domain) and lifestyle was significantly greater among the women affected by MUI than among the patients in the other groups. Conclusion: This study indicated that the negative impact of incontinence on quality of life was greater among patients with MUI.Key words: urinary incontinence; quality of life; women's health. Palavras-chave: incontinência urinária; qualidade de vida; saúde da mulher. Resumo

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Section: Quality Of Life Among Women With Urinary Incontinencesupporting

confidence: 90%

Comparação da qualidade de vida nos diferentes tipos de incontinência urinária feminina

Ac¹,

Haddad²,

Mes³

et al. 2009

Rev. bras. fisioter.

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“…Another study in Turkey by Ozerdogan et al [14] indicated that women's QOL had been negatively affected in all the domains, especially with regard to social functioning. Oh and Ku [32] reported that the scores obtained on the role-physical, vitality, mental health and bodily pain domains of the SF-36 scale were lower in women with UI. In addition, by means of an alternative explanation, as older age affects QOL in a negative way, it could be said that the age difference between continent and incontinent women could have affected our results.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Urinary Incontinence among Women and Its Impact on Quality of Life in a Semirural Area of Western Turkey

Tözün

Ayrancı

Ünsal

2009

Gynecol Obstet Invest

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Background/Aims: Urinary incontinence (UI) is a very common and bothersome condition among women, affecting up to 50% of women during their lifetime. Older women are disproportionately affected and often view UI as a normal part of aging, thus precluding contact with medical professionals. The aim of this study was to determine the frequency and risk factors of UI in women aged 20 years or older, as well as to examine its effects on women’s quality of life (QOL). Methods: The study was conducted on 1,585 women aged 20 years and over between January and March 2007. Data were obtained by a face-to-face interview, using a questionnaire consisting of questions pertaining to the women’s demographic characteristics, medical and obstetric history and UI. The Short Form-36 (SF-36) scale was used to assess the QOL of the women. Results: The prevalence of UI in this group of women was 49.5%. UI was significantly associated with advanced age (p < 0.05), lower education level (p ≤ 0.001), recurrent urinary tract infection (p < 0.001), chronic obstructive pulmonary disease (p < 0.001), diabetes mellitus (p ≤ 0.001), a history of nocturnal enuresis in childhood (p < 0.001), taking diuretics (p < 0.05) and body mass index (p < 0.001). When the QOL of the women with and without UI were evaluated, the scores for women without UI were higher than those with mild, moderate or severe UI (p < 0.001 for each). Women with UI of varying severity had lower mean domain scores on the SF-36 than women without UI (p < 0.001 for each). As the severity of UI increased, it was seen that the mean domain scores according to the scale showed a decrease (p < 0.001). Conclusion: It is concluded that UI is a common disorder among women in this region of Turkey and that it also negatively affects these women’s QOL, suggesting the need for more social and medical study in this area.

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“…Valuing states of health for economic evaluation has often been accomplished using generic preference-based instruments such as the EQ-5D, SF-6D and others. However, these instruments may produce substantially different values for the same health states, and their ability to discriminate between individuals whose health states are known to differ and to detect a known change in an individual's health state may be limited [34][35][36][37][38]. Deriving a condition-specific preference [15,32].…”

Section: Discussionmentioning

confidence: 99%

OnabotulinumtoxinA in the treatment of overactive bladder: a cost-effectiveness analysis versus best supportive care in England and Wales

Freemantle¹,

Khalaf

Loveman

et al. 2015

Eur J Health Econ

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The cost-effectiveness of onabotulinumtoxinA (BOTOX Ò ) 100 U ? best supportive care (BSC) was compared with BSC alone in the management of idiopathic overactive bladder in adult patients who are not adequately managed with anticholinergics. BSC included incontinence pads and, for a proportion of patients, anticholinergics and/or occasional clean intermittent catheterisation. A five-state Markov model was used to estimate total costs and outcomes over a 10-year period. The cohort was based on data from two placebo-controlled trials and a long-term extension study of onabotulinumtoxinA. After discontinuation of initial treatment, a proportion of patients progressed to downstream sacral nerve stimulation (SNS). Cost and resource use was estimated from a National Health Service perspective in England and Wales using relevant reference sources for 2012 or 2013. Results showed that onabotulinumtoxinA was associated with lower costs and greater health benefits than BSC in the base case, with probabilistic sensitivity analysis indicating an 89 % probability that the incremental cost-effectiveness ratio would fall below £20,000. OnabotulinumtoxinA remained dominant over BSC in all but two scenarios tested; it was also economically dominant when compared directly with SNS therapy. In conclusion, onabotulinumtoxinA appears to be a cost-effective treatment for overactive bladder compared with BSC alone.

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Is a Generic Quality of Life Instrument Helpful for Evaluating Women with Urinary Incontinence?

Abstract: Our findings show that the generic QOL instrument is not sensitive measure of QOL in women with UI.

Cited by 29 publications

References 46 publications

Comparação da qualidade de vida nos diferentes tipos de incontinência urinária feminina

Comparação da qualidade de vida nos diferentes tipos de incontinência urinária feminina

Prevalence of Urinary Incontinence among Women and Its Impact on Quality of Life in a Semirural Area of Western Turkey

OnabotulinumtoxinA in the treatment of overactive bladder: a cost-effectiveness analysis versus best supportive care in England and Wales

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