Determining the prevalence of symptoms suggestive of overactive bladder (OAB) in a Spanish population and evaluate the impact of these symptoms on well-being and labour productivity in this population.
Primary health care, Madrid, Spain.
Males and females >30 years.
Classification by primary care physicians with the Overactive Bladder Awareness Tool abbreviated version (OAB-V3). Subjects with score ≥3 and a similarly balanced control population with score <3 were clinically investigated.
History, physical examination, urinalysis, sonography, general well-being scale and the questionnaires PPBC, OAB-q y WPAI-SHP.
A total 923 subjects were screened, of which 209 (22.6%), 35% males and 65% females, had probable OAB. Age distribution increased from 11.1% in 4th decade to 44.4% in 9th decade. Kappa coefficient between suspected OAB and definite diagnosis was .83. The area under ROC curve for diagnosis based on OAB-V3 questionnaire and the presence of perceived bother and coping strategies was 92%. Subjects classified by score ≥3 had worse well-being, higher PPBC score and worse parameters on total OAB-q and transformed scores for each OAB-q subscale (P<.0001). In these subjects labour productivity was not affected (P=.14) but the capacity to perform regular activities was (P<.0001).
OAB-V3 is a simple questionnaire to screen OAB with good predictive accuracy in a primary care setting and reveals important implications on health related quality of life issues.
Atencion primaria. 2017 Jul 24 [Epub ahead of print]
Javier C Angulo, María P Calderín, Yolanda Fernández, Miriam González, Esther Gómez, Maria B Herreros, Purificación Peñasco, Manuela Zapatero, Juan F Dorado
Servicio de Urología, Hospital Universitario de Getafe, Departamento Clínico, Facultad de Ciencias Biomédicas, Universidad Europea de Madrid, Laureate Universities, Getafe, Madrid, España. Electronic address: ., Centro de Salud Ciudades, Getafe, Madrid, España., Centro de Salud El Greco, Getafe, Madrid, España., Centro de Salud de Pinto, Pinto, Madrid, España., Centro de Salud Getafe Norte, Getafe, Madrid, España., Centro de Salud Parque Europa, Getafe, Madrid, España., Centro de Salud Sector III, Getafe, Madrid, España., Centro de Salud Juan de la Cierva, Getafe, Madrid, España., Pertica SL, Getafe, Madrid, España.