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Differences in Advanced Therapeutic Modalities for Overactive Bladder in the United States by Race
Clemens An1, Pranjal Agrawal2, Aurora Grutman2
1The Robert Larner M.D. College of Medicine at the University of Vermont, Burlington, VT.
Urology
|October 2, 2024
Summary
Black women with overactive bladder (OAB) receive fewer prescriptions for medical and minimally invasive therapies compared to White women. These disparities in OAB treatment prescriptions highlight potential prescribing inequities.
Area of Science:
- Urology
- Health Disparities
- Pharmacotherapy
Background:
- Overactive bladder (OAB) affects millions of women, with various treatment options available.
- Racial and ethnic disparities in healthcare access and outcomes are well-documented.
- Understanding racial influences on OAB treatment prescription patterns is crucial for equitable care.
Purpose of the Study:
- To investigate the impact of race on the prescription patterns of therapies for overactive bladder (OAB).
Main Methods:
- Utilized the TriNetX Diamond network to identify adult females diagnosed with OAB.
- Applied propensity-score matching and Cox proportional hazards regression to compare treatment cohorts.
- Analyzed treatment rates by race across geographic locations.
Main Results:
- Identified over 2.6 million adult females with OAB; 767,159 White and 108,464 Black.
- White patients (20.4%) received OAB treatment more frequently than Black patients (16.6%).
- White patients consistently showed higher prescription rates for OAB therapies compared to Black patients across all analyzed zip codes, even after matching.
Conclusions:
- Black women experience significantly lower prescription rates for medical and minimally invasive OAB therapies.
- Racial disparities in OAB treatment appear to stem from prescribing practices rather than diagnostic differences.
- Further research is essential to elucidate and address these prescribing disparities in OAB management.
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