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Related Concept Videos

Accessibility to Clinical Care for People who use Wheelchairs14:37

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In the United States, 25% of the general population suffers from one or another type of disability. Ambulatory disabilities, or mobility impairments, represent the most common subcategory, comprising 14% of the country's populace. Different mobility-assistive devices, ranging from canes to scooters, enable increased independence and improved quality of life for those suffering from...
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Related Experiment Video

Updated: Jan 20, 2026

Dynamic Navigation in Endodontics: Guided Access Cavity Preparation by Means of a Miniaturized Navigation System
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Patient navigation for overactive bladder improves access to care.

Matthew Rohloff1, Gregg Peifer2, Jannah H Thompson2

  • 1Metro Health Hospital: University of Michigan Health Department of Urological Surgery, 5900 Byron Center Avenue, Wyoming, MI, 49519, USA. Matthew.Rohloff@metrogr.org.

International Urogynecology Journal
|August 30, 2019
PubMed
Summary
This summary is machine-generated.

Implementing a patient navigation pathway significantly improves overactive bladder (OAB) treatment retention and third-line therapy use. This approach enhances patient communication and outcomes, boosting retention and therapy utilization for OAB management.

Keywords:
Care pathwayOveractive bladderPatient navigation

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Area of Science:

  • Urology
  • Healthcare Management
  • Patient Outcomes

Background:

  • Overactive bladder (OAB) patients often discontinue medication due to side effects, cost, and limited improvement.
  • Effective patient management strategies are crucial for improving treatment adherence and outcomes in OAB care.

Purpose of the Study:

  • To evaluate the impact of a patient navigation pathway on retention rates and the utilization of third-line therapies for overactive bladder (OAB).

Main Methods:

  • A 17-month quality improvement study compared patients with and without a navigation pathway.
  • Data on medication use, procedures, third-line therapy, and return visits were collected via an online database.
  • 535 patients were analyzed, divided into navigated (Group 1) and non-contact navigated (Group 2) cohorts.

Main Results:

  • Third-line therapy usage was 24% in the navigated group versus 11% in the non-contact navigated group.
  • Return visits for OAB management were higher in the navigated group (71%) compared to the non-contact navigated group (50%).
  • The navigated pathway demonstrated a 600% increase in third-line therapy usage compared to national averages.

Conclusions:

  • Patient navigation pathways significantly enhance retention and third-line therapy adoption for overactive bladder (OAB) patients.
  • Improved communication through navigation leads to better patient engagement and treatment progression.
  • This model offers a scalable solution to improve OAB management and patient outcomes.