Prevalence of probable overactive bladder in a private obstetrics and gynecology group practice

Finkelstein, K. D.; Glosner, Scott; Sanchez, Robert J.; Uddin, Neeti

doi:10.1185/030079908x280644

Cited by 13 publications

(5 citation statements)

References 40 publications

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“…While similar rates of LUTS have been found across racial/ethnic groups,8–10 UI has been shown to be more prevalent among white women compared with African‐American (AA) and Asian women,7, 11 and data on the prevalence of UI for Hispanic women in relation to other racial/ethnic groups are mixed 7, 12. OAB did not differ by racial/ethnic group in a gynecology practice of AA, Hispanic, and white women,13 nor was racial/ethnic group a correlate of OAB in men from a urology clinic 14. However, a secondary analysis of Epidemiology of Lower Urinary Tract Symptoms (EpiLUTS), a large, population‐representative study of adults age 40 and over in the United States (US), Sweden, and United Kingdom (UK), found that the prevalence of OAB was highest among AA men and women and that Asian women were less likely to report OAB as compared to other racial/ethnic groups 15.…”

Section: Introductionmentioning

confidence: 65%

The prevalence of lower urinary tract symptoms (LUTS) and overactive bladder (OAB) by racial/ethnic group and age: Results from OAB‐POLL

Coyne¹,

Sexton²,

Bell³

et al. 2012

Neurourology and Urodynamics

212

184

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Aims To estimate the prevalence of LUTS and OAB in a large, ethnically diverse US study. Methods This cross‐sectional, population‐representative survey was conducted via the Internet in the US among 10,000 men and women aged 18–70 (2,000 African‐Americans [AA], 2,000 Hispanics, 6,000 whites). The LUTS tool assessed how often participants experienced LUTS during the past 4 weeks on a five‐point Likert scale. OAB was defined by the presence of urinary urgency ≥ “sometimes” or ≥ “often,” and/or the presence of urgency urinary incontinence (UUI). Descriptive statistics were used to evaluate group differences. Logistic regression analyses were conducted to examine the impact of racial/ethnic group on OAB. Results Response rate, 56.7%. Prevalent LUTS included terminal dribble and nocturia across gender, post‐micturition leaking (men), and stress incontinence (women). Prevalence of OAB ≥ “sometimes” and ≥ “often” were 17% and 8% in men and 30% and 20% in women—with significantly higher rates among AA men and women. A similar trend was found for UUI among men (AA, 10%; Hispanic and whites, 6%), while AA and white women had higher prevalence of UUI (19%) as compared to Hispanic women (16%). In logistic regression analyses, AA and Hispanic men and women were significantly more likely than whites to have OAB despite having lower prevalence of self‐reported comorbid conditions and risk factors. Conclusions LUTS and OAB are highly prevalent in both men and women and increase with advancing age. Further, racial/ethnic group is a robust predictor of OAB in men and women. Neurourol. Urodynam. 32: 230–237, 2013. © 2012 Wiley Periodicals, Inc.

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Section: Introductionmentioning

confidence: 65%

The prevalence of lower urinary tract symptoms (LUTS) and overactive bladder (OAB) by racial/ethnic group and age: Results from OAB‐POLL

Coyne¹,

Sexton²,

Bell³

et al. 2012

Neurourology and Urodynamics

212

184

View full text Add to dashboard Cite

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“…63 Another study also showed a relationship between nocturia and anxiety in women (OR = 2.11). 76 Many studies have reported that nocturia is a highly bothersome symptom or it has a strong impact on QOL among various LUTS, 12,22,[64][65][66][67][125][126][127][128] although several studies have contradicted an association between nocturia and deterioration of QOL. 45,68 The present author and other investigators have shown that the impact on QOL of nocturia becomes insignificant after correcting for sleep problems, showing that the effect of nocturia on QOL is mediated by sleep problems.…”

Section: Depression Qol and Psychological Factorsmentioning

confidence: 99%

Correlates for nocturia: A review of epidemiological studies

Yoshimura

2012

Int J of Urology

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Abbreviations & AcronymsAbstract: Traditionally, nocturia was considered to be one of the symptoms of prostatism. However, this symptom has unusual characteristics compared with other lower urinary tract symptoms; for example, there is only a mild benefit for nocturia from treatment for benign prostatic hyperplasia. In the past decade, nocturia has been investigated as a separate symptom in epidemiological studies. These types of studies have shown various correlates for nocturia other than benign prostatic hyperplasia, as well as the prevalence of this symptom. These correlates include age, race/ethnicity, medical problems (such as hypertension, diabetes and stroke) psychological aspects, tasting habits, quality of life and even mortality. The cause-and-effect associations are not always obvious between nocturia and its correlates. In the present article, the author attempts to comprehensively review the correlates for nocturia shown by epidemiological studies.

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“…Although the NOBLE and EPIC studies found only slight gender differences in OAB prevalence, UUI is disproportionately more common in women (3). Furthermore, the prevalence of OAB does not differ significantly between ethnic and racial groups in clinic‐based populations (8); however, there is some evidence that UUI is more prevalent among black women in population‐based studies (9–11).…”

Section: Introductionmentioning

confidence: 99%

Practical aspects of lifestyle modifications and behavioural interventions in the treatment of overactive bladder and urgency urinary incontinence

Wyman

Burgio

Newman

2009

International Journal of Clinical Practice

180

158

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Behavioural interventions are effective treatments for overactive bladder (OAB) and urgency urinary incontinence (UUI). They are in part aimed at improving symptoms with patient education on healthy bladder habits and lifestyle modifications, including the establishment of normal voiding intervals, elimination of bladder irritants from the diet, management of fluid intake, weight control, management of bowel regularity and smoking cessation. Behavioural interventions also include specific training techniques aimed at re-establishing normal voiding intervals and continence. Training techniques include bladder training, which includes a progressive voiding schedule together with relaxation and distraction for urgency suppression, and multicomponent behavioural training, which, in conjunction with pelvic floor muscle (PFM) exercises, includes PFM contraction to control urgency and increase the interval between voids. Guidelines for the conservative treatment of OAB and UUI have been published by several organisations and the physiological basis and evidence for the effectiveness of behavioural interventions, including lifestyle modifications, in the treatment of OAB and UUI have been described. However, many primary care clinicians may have a limited awareness of the evidence supporting the often straight-forward treatment recommendations and guidance for incorporating behavioural interventions into busy primary care practices, because most of this information has appeared in the specialty literature. The purpose of this review is to provide an overview of behavioural interventions for OAB and UUI that can be incorporated with minimal time and effort into the treatment armamentarium of all clinicians that care for patients with bladder problems. Practical supporting materials that will facilitate the use of these interventions in the clinic are included; these can be used to help patients understand lifestyle choices and voiding behaviours that may improve function in patients experiencing OAB symptoms and/or UUI as well as promote healthy bladder behaviours and perhaps even prevent future bladder problems. Interventions for stress urinary incontinence are beyond the scope of this review.

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Prevalence of probable overactive bladder in a private obstetrics and gynecology group practice

Cited by 13 publications

References 40 publications

The prevalence of lower urinary tract symptoms (LUTS) and overactive bladder (OAB) by racial/ethnic group and age: Results from OAB‐POLL

The prevalence of lower urinary tract symptoms (LUTS) and overactive bladder (OAB) by racial/ethnic group and age: Results from OAB‐POLL

Correlates for nocturia: A review of epidemiological studies

Practical aspects of lifestyle modifications and behavioural interventions in the treatment of overactive bladder and urgency urinary incontinence

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