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[Screening test for overactive bladder in a newly developed comprehensive geriatric assessment initiative]
Minoru Sakai1, Tomotaka Akai, Yusuke Takata
1Department of Geriatric Medicine, Hachioji Medical Center, Tokyo Medical University.
Nihon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics
|August 28, 2013
Summary
A simple two-question screening tool can effectively identify overactive bladder (OAB) in elderly patients. Combining questions about nocturia and nighttime incontinence improves OAB assessment in geriatric care.
Area of Science:
- Geriatric Medicine
- Urology
- Clinical Assessment
Context:
- Overactive bladder (OAB) significantly impacts the quality of life for elderly individuals.
- Comprehensive geriatric assessment (CGA) is crucial for managing OAB in older adults.
- Current CGA methods for OAB assessment can be time-consuming.
Purpose:
- To develop and evaluate a concise, two-question screening instrument for overactive bladder (OAB) in the elderly.
- To assess the utility of this instrument as part of a geriatric assessment.
- To improve the efficiency of OAB screening in older populations.
Summary:
- A study involving 123 elderly patients (mean age 83.2 years) utilized two questions on nocturia (Q1) and nighttime incontinence (Q2) to screen for OAB.
- The combination of Q1 and Q2 demonstrated improved sensitivity and specificity for OAB diagnosis compared to Q1 alone, with a positive predictive value of 65.2%.
- Patients experiencing nocturia often had cerebrovascular disease, impaired daily activities, and were treated with diuretics.
Impact:
- The developed two-question tool offers a practical and efficient method for screening overactive bladder in elderly patients.
- This screening tool can aid in the timely identification of OAB, facilitating prompt management within geriatric care settings.
- Improved OAB assessment through this tool can lead to better quality of life for older adults suffering from lower urinary tract symptoms.
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