To evaluate and identify baseline factors associated with change in health-related quality of life (HRQOL) among patients with interstitial cystitis/bladder pain syndrome (IC/BPS) and chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS).
A total of 191 men and 233 women with IC/BPS or CP/CPPS (collectively referred to as urologic chronic pelvic pain syndrome, or UCPPS) were followed for 12 months with bimonthly completion of the Short Form 12 (SF-12) to assess general mental and physical HRQOL, and with biweekly assessment of condition-specific HRQOL using the Genitourinary Pain Index. A functional clustering algorithm was used to classify participants as improved, stable, or worsened for each HRQOL measure. Ordinal logistic regression was used to determine baseline factors associated with change.
Physical HRQOL improved in 22% of the participants, mental HRQOL improved in 25%, and condition-specific HRQOL improved in 47%. Better baseline physical HRQOL, older age, and the presence of non-urologic symptoms were associated with lower likelihood of improvement in physical HRQOL. Better baseline mental HRQOL, female sex, and greater baseline depression and stress were associated with lower likelihood of improvement in mental HRQOL. Better baseline condition-specific HRQOL and more severe baseline UCPPS pain symptoms were associated with lower likelihood of improvement in condition-specific HRQOL.
While several non-UCPPS factors influenced the trajectory of general HRQOL over time, only condition-specific baseline HRQOL and UCPPS symptoms were associated with UCPPS-specific HRQOL change. Significant differences in how UCPPS impacts various aspects of HRQOL suggest a multidisciplinary approach to assessment and treatment of these patients.
The Journal of urology. 2020 Apr 14 [Epub ahead of print]
J Q Clemens, A J Stephens-Shields, C Newcomb, L V Rodriguez, H H Lai, C S Bradley, B D Naliboff, J W Griffith, B J Taple, P Gupta, N Afari, S E Harte, E Strachan, W Guo, J R Landis
Department of Urology, Michigan Medicine, Ann Arbor, Michigan., Department of Biostatistics, Epidemiology & Informatics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania., Center for Clinical Epidemiology & Biostatistics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania., Departments of Urology & Obstetrics and Gynecology, University of Southern California, Los Angeles, California., Division of Urologic Surgery, Department of Surgery, and Department of Anesthesiology, Washington University School of Medicine, St Louis, Missouri., Departments of Obstetrics & Gynecology, Carver College of Medicine, University of Iowa, Iowa City, Iowa., Department of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, California., Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, Illinois., Department of Psychiatry, University of California, San Diego & Virginia San Diego Healthcare System, San Diego, California., Chronic Pain and Fatigue Research Center, Department of Anesthesiology, University of Michigan, Ann Arbor, Michigan., Department of Psychiatry & Behavioral Sciences, Advance Community Health, University of Washington, Seattle, Washington.