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Patients' Preferences and Expectations in Overactive Bladder: A Systematic Review.
Antonio Cicione1, Riccardo Lombardo1, Vincenzo Umbaca2
1Urology Unit, Ospedale Sant'Andrea, 'Sapienza' University of Rome, 00191 Rome, Italy.
Journal of Clinical Medicine
|January 21, 2023
Summary
Patients with overactive bladder (OAB) prioritize affordable, cognition-sparing medications that reduce daytime urinary frequency and incontinence. Alternative treatments like neuromodulation and Botox are considered when medications fail.
Area of Science:
- Urology
- Patient-centered care
Background:
- Overactive bladder (OAB) significantly impacts patients' quality of life.
- Understanding patient preferences is crucial for effective OAB management.
Purpose of the Study:
- To review current knowledge on patient preferences and expectations for overactive bladder (OAB).
- To identify patient-centered priorities in OAB treatment.
Main Methods:
- Systematic review following PRISMA guidelines.
- Searched PubMed/Medline, Embase, and Scopus databases.
- Keywords included overactive bladder, urinary incontinence, patient perspectives, expectations, and preferences.
Main Results:
- 10 relevant studies were identified from 1349 initially retrieved.
- Most studies focused on medication preferences (antimuscarinics).
- Patients consider alternative treatments (neuromodulation, Botox) if medications fail; no data on diagnosis or surgery preferences were found.
Conclusions:
- Patients with OAB desire cost-effective medications with no cognitive side effects.
- Reducing daytime urinary frequency and incontinence episodes are key patient goals.
- Current research lacks patient perspectives on OAB diagnosis and surgical management.
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