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[Symptoms severity profile and expectations in hyperactive bladder patients - VHEXPECTA Study.]

David Manuel Castro-Diaz1, Bárbara Padilla-Fernández1, Maria José Correa Corchete2

  • 1Servicio de Urología. Hospital Universitario de Canarias. Santa Cruz de Tenerife. España.

Archivos Espanoles De Urologia
|July 8, 2020
PubMed
Summary
This summary is machine-generated.

Patient expectations for Overactive Bladder (OAB) treatment are linked to symptom severity and quality of life. Higher expectations correlate with better health-related quality of life (HRQL) in OAB patients.

Keywords:
AdherenceAdherenciaCalidad de vidaExpectationsExpectativasOveractive bladderQuality of liveVejiga hiperactiva

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Area of Science:

  • Urology
  • Patient-Reported Outcomes
  • Health Services Research

Background:

  • Overactive Bladder (OAB) significantly impacts patients' lives, affecting their daily activities and overall well-being.
  • Understanding patient expectations is crucial for managing OAB symptoms and improving treatment adherence.
  • Health-Related Quality of Life (HRQoL) is a key metric in assessing the burden of chronic conditions like OAB.

Purpose of the Study:

  • To evaluate the severity of Overactive Bladder (OAB) symptoms.
  • To assess patient expectations regarding symptom management and treatment outcomes.
  • To determine the impact of OAB on Health-Related Quality of Life (HRQoL).

Main Methods:

  • A multicenter, non-interventional, cross-sectional study involving 1,107 adult female patients with OAB in Spain.
  • Data collected using validated questionnaires: Bladder Symptom Assessment Questionnaire (B-SAQ), OAB questionnaire-Short Form (OABq-SF), and a patient expectation questionnaire.
  • Statistical analyses included Chi-Square and Kruskal-Wallis tests to examine associations between expectations, symptom severity, prior treatments, and HRQoL.

Main Results:

  • 58.7% of patients experienced moderate to severe OAB based on B-SAQ scores, with urinary urgency being the most frequent symptom (93.3%).
  • Patients without prior treatment reported higher expectations of a permanent cure compared to previously treated patients.
  • A decrease in positive treatment response expectations was observed with increasing OAB symptom severity, and higher expectations correlated with better HRQoL.

Conclusions:

  • Patient expectations concerning Overactive Bladder (OAB) and treatment outcomes are significantly associated with symptom severity.
  • Higher patient expectations are linked to improved Health-Related Quality of Life (HRQoL) in individuals with OAB.
  • These findings highlight the importance of aligning patient expectations with realistic treatment goals to enhance overall patient management and outcomes.