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Understanding the Pursuit of Third-Line Therapies for Overactive Bladder: A Mixed Methods Study
Javier D Gonzalez1, Leigh Martin1, Blake Osmundsen2
1From the Oregon Health and Science University.
Urogynecology (Philadelphia, Pa.)
|March 14, 2024
Summary
Millions of women with overactive bladder (OAB) face long delays in accessing effective third-line treatments. Understanding patient care pathways and barriers is crucial for improving OAB management.
Area of Science:
- Urogynecology
- Pelvic Reconstructive Surgery
- Women's Health
Background:
- Overactive bladder (OAB) significantly impacts women's quality of life.
- Third-line OAB therapies are effective but underutilized.
- Long delays exist between OAB diagnosis and accessing advanced treatments.
Purpose of the Study:
- Identify factors influencing the time to third-line OAB therapy.
- Explore demographic, clinical, and treatment-related variables.
- Understand patient-reported barriers to care progression.
Main Methods:
- Mixed-methods approach combining retrospective cohort study and qualitative interviews.
- Analysis of 85 participants' treatment timelines.
- Key informant interviews to explore treatment barriers.
Main Results:
- Nearly half (49.5%) of participants waited over 36 months for third-line OAB therapy.
- No significant demographic, clinical, or treatment differences identified between early and delayed treatment groups.
- Qualitative data revealed key facilitators and obstacles to accessing advanced OAB care.
Conclusions:
- Significant delays in accessing third-line OAB treatments are common.
- Predictive value of standard variables for treatment pursuit is limited.
- Addressing identified facilitators and obstacles can optimize OAB care pathways.
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