Scottsdale, Arizona (UroToday.com) In this pilot study Dr. Bilal Chughtai and team assessed the feasibility of an incontinence education program targeting older community-dwelling individuals.
There was men and women over age 60 were recruited from community centers. Individuals with the previous diagnosis of overactive bladder (OAB) were excluded. Eligible participants underwent an education program covering standardized continence-promotion strategies. The primary outcome was changed in OAB-q SF symptom score. Secondary outcomes were changed in general and condition-specific quality of life scores as measured by the SF-12 and OAB-q SF health related quality of life (HRQL), respectively. Measurements were taken at baseline,1 week, 3 months, and 6 months post-intervention. Data was analyzed using a linear mixed-effects model for repeated measures.
There were 51 individuals participated in this study. Significant improvements in symptom bother (-3.3, p = 0.037) and total HRQL (+3.0, p = 0.031) were observed post-intervention for the overall cohort. Mean HRQL subscale scores all improved significantly. The majority of significant effects were observed at 3 months post-intervention. The general quality of life measures did not change significantly.
The authors concluded there were statistically significant improvements in symptom bother and bladder-specific quality of life measures were observed following an OAB education program in community-dwelling older adults. The program was low-cost and simple to implement. Further studies are needed to provide evidence of efficacy and optimize program design.
Presented by: Hudson Pierce, Medical Student, Weill Cornell Medicine-New York Presbyterian, Department of Urology, New York, New York
Bilal Chughtai, MD, Associate Professor of Urology and an Associate Professor of Urology in Obstetrics and Gynecology at Weill Cornell Medicine, Associate Attending Urologist at NewYork-Presbyterian Hospital
Co-authors: Tirsit Asfaw2, Andrew Abram1
1. Weill Cornell Medicine-New York Presbyterian, Department of Urology, New York, NY
2. Weill Cornell Medicine-New York Presbyterian, Department of Obstetrics and Gynecology, New York, N
Written by: Bilal Farhan, MD, Assistant Professor, Division of Urology, University of Texas, Medical Branch, Texas; @BilalfarhanMD, at the Society of Urodynamics, Female Pelvic Medicine & Urogenital Reconstruction Winter Meeting, SUFU 2020, February 25 - February 29, 2020, Scottsdale, Arizona