SUFU 2021: Barriers to Completion of Voiding Diary in Patients With Overactive Bladder

(UroToday.com) The primary aim of this study was to report the percent of patients completing a voiding diary. A secondary aim was to assess what factors may predict diary completion. This was a prospective cohort study of 93 patients undergoing workup for overactive bladder (OAB).

Patients were included if >18 years old and had OAB symptoms. Patients were excluded if they had the presence of neurogenic bladder, prior radiation, or if they were not English speaking. Patients were asked to complete a 3-day voiding diary and they were provided with written and oral instructions and a diary template. Of the 93 patients enrolled, 61 (65.6%) completed at least one day of a voiding diary: 7 (11.5%) completed 2 days and 51 (83.6%) completed all 3 days. A small number (2, 3.3%) returned diaries that could not be interpreted.

There were no significant differences seen in age, BMI, ethnicity, gender, or prior surgeries between those who did and did not complete the diary. There was no difference in the AUA-SI QoL score for those completing the diary and those who did not (5.1 vs 5.4) nor in OAB-q score (76.7 vs 79, p=0.86). These results of diary completion (65.6%) are impressive. The authors did not find any demographic differences between those who did and did not complete a diary. Based on this study, if asked, the majority of patients would complete at least a 1-day diary so clinicians needed to ask, as a diary can provide valuable information and direct treatment options.

Presented by: Alice Drain, MD; Nirit Rosenblum, MD; Victor Nitti, MD; Benjamin Brucker, MD, NYU Langone Health New York City, NY

Written by: Diane K. Newman, DNP, CRNP, FAAN, BCB-PMD, Nurse Practioner and Co-Director, Penn Center for Continence and Pelvic Health Adjunct Professor of Urology in Surgery during the 2021 Society of Urodynamics, Female Pelvic Medicine & Urogenital Reconstruction (SUFU) Winter Meeting


References:  

  1. Jimenez-Cidre, M.A., et al., The 3-day bladder diary is a feasible, reliable, and valid tool to evaluate the lower urinary tract symptoms in women. Neurourol Urodyn, 2015. 34(2): p. 128-32. 4. van Melick E, G.H., Eckhardt MD, van Venrooij P, Boon TA. One 24-hour frequency-volume chart in a woman with objective urinary motor urge incontinence is sufficient. Urology, 2001. 58(2): p. 188–92.

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