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01-03-2011 | Original Article

Correlates and predictors of patient satisfaction with drug therapy and combined drug therapy and behavioral training for urgency urinary incontinence in women

Authors: Patricia S. Goode, Kathryn L. Burgio, Stephen R. Kraus, Kimberly Kenton, Heather J. Litman, Holly E. Richter, for the Urinary Incontinence Treatment Network

Published in: International Urogynecology Journal | Issue 3/2011

Abstract

Introduction and hypothesis

The goal was to identify correlates of patient satisfaction with drug and behavioral treatments for urge-predominant incontinence, which may help tailor treatments to improve satisfaction.

Methods

Planned secondary analysis of a multi-center, clinical trial randomizing 307 women to 10 weeks of tolterodine alone or combined with behavioral training. Satisfaction was measured using the Patient Satisfaction Question (PSQ). Potential correlates included baseline demographics, incontinence characteristics and prior treatments, history and physical parameters, expectations of treatment success, and outcome variables including the Global Perception of Improvement (GPI) and Urogenital Distress Inventory (UDI).

Results

After multivariable analysis, every 10-point increase in UDI change score increased odds of satisfaction by 11% (OR 1.11; 1.04–1.19). Odds of satisfaction increased among women reporting “much better” on the GPI (OR 13.8; 4.94–38.60).

Conclusions

Treatment satisfaction for women with urge-predominant incontinence was associated with patient-related outcomes reflecting impression of improvement and bother from incontinence-related symptoms.

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Richter HE, Burgio KL, Goode PS, Borello-France D, Bradley CS, Brubaker L, Handa VL, Fine PM, Visco AG, Zyczynski HM, Wei JT, Weber AM (2007) Non-surgical management of stress urinary incontinence: Ambulatory Treatments for Leakage Associated with Stress (ATLAS) Trial. Clin Trials 4:92–101CrossRefPubMed

Brubaker L, Richter HE, Visco AG et al (2008) Refractory idiopathic urge incontinence and botulinum A injection. J Urol 180:217–222CrossRefPubMed

Burgio KL, Goode PS, Richter HE, Locher JL, Roth DL (2006) Global ratings of patient satisfaction and perceptions of improvement with treatment for urinary incontinence: validation of three global patient ratings. Neurourol Urodyn 25:411–417CrossRefPubMed

Kraus S, Burgio K, Goode P, Richter H, for the Urinary Incontinence Treatment Network (2007) Design of the behavioral enhances drug reduction of incontinence (BE-DRI) study. Contemp Clin Trials 28(1):48–58CrossRef

Burgio KL, Kraus SR, Menefee S, for the Urinary Incontinence Treatment Network et al (2008) Behavioral therapy to enable women with urge incontinence to discontinue drug treatment. Ann Int Med 149:161–169PubMed

Richter HE, Burgio KL, Chai TC et al (2009) Predictors of outcomes in the treatment of urge urinary incontinence in women. Int Urogynecol J 20:489–497CrossRef

Herzog AR, Diokno AC, Brown MB, Normolle DP, Brock BM (1990) Two-year incidence, remission, and change patterns of urinary incontinence in noninstitutionalized older adults. J Gerontol Med Sci 45:M67–M74

Burgio KL, Locher JL, Goode PS, Hardin JM, McDowell BJ, Dombrowski M et al (1998) Behavioral vs. drug treatment for urge urinary incontinence in older women: a randomized controlled trial. JAMA 280:1995–2000CrossRefPubMed

Burgio KL, Pearce KL, Lucco A (1989) Staying dry: a practical guide to bladder control. The Johns Hopkins University Press, Baltimore

10.

Bowden A, Colman S, Sabounjian L et al. (2003) Psychometric validation of an urgency severity scale (IUSS) for patients with overactive bladder. International Continence Society, Abstract #119

11.

Shumaker SA, Wyman JF, Uebersax JS, McClish D, Fantl JA (1994) Health-related quality of life measures for women with urinary incontinence: the incontinence impact questionnaire and the urogenital distress inventory. Qual Life Res 3:291–306CrossRefPubMed

12.

Coyne KS, Matza LS, Thompson C, Jumadilova Z, Bavendam T (2007) The responsiveness of the OAB-q among OAB patient subgroups. Neurourol Urodyn 26:196–203CrossRefPubMed

13.

Ware JE, Kosinski M, Keller SD (1996) A 12-item short-form health survey: construction of scales and preliminary tests of reliability and validity. Med Care 34:220–233CrossRefPubMed

14.

Furlong W, Feeny D, Torrance GW et al. (1998) Multiplicative multi-attribute utility function for the health utilities index mark 3 (HUI3) system: a technical report. McMaster University Centre for Health Economics and Policy Analysis

15.

Rubin DB (1987) Multiple imputation for nonresponse in surveys. Wiley, New YorkCrossRef

16.

Barber MD, Spino C, Janz NK et al (2009) The minimally important differences for the urinary scales of the pelvic floor distress inventory and the pelvic floor impact questionnaire. Am J Obstet Gynecol 200:580.e1–580.e7CrossRef

17.

Ford RC, Bach SA, Fottler MD (1997) Methods of measuring patient satisfaction in health care organizations. Health Care Manage Rev 22:74–89PubMed

18.

Linder-Pelz SU (1982) Toward a theory of patient satisfaction. Soc Sci Med 16:577–582CrossRefPubMed

19.

Dawn AG, Lee PP (2004) Patient expectations for medical and surgical care: a review of the literature and applications to ophthalmology. Surv Ophthalmol 49:513–524PubMed

20.

Mancuso CA, Salvati EA, Elkadry EA, Kenton KS, FitzGerald MP, Shott S, Brubaker L (2003) Patient-selected goals: a new perspective on surgical outcome. Am J Obstet Gynecol 189:1551–1557, discussion 1557-8CrossRef

21.

Hullfish KL, Bovbjerg VE, Gibson J, Steers WD (2002) Patient-centered goals for pelvic floor dysfunction surgery: what is success, and is it achieved? Am J Obstet Gynecol 187:88–92CrossRefPubMed

22.

Kenton K, Pham T, Mueller E et al (2007) Patient preparedness: an important predictor of surgical outcome. Am J Obstet Gynecol 197(654):e1–e6

23.

Barber MD, Brubaker L, Nygaard I, Wheeler TL 2nd, Schaffer J, Chen Z, Spino C, Pelvic Floor Disorders Network (2009) Defining success after surgery for pelvic organ prolapse. Obstet Gynecol 114(3):600–609CrossRefPubMed

24.

Yalcin I, Peng G, Viktrup L, Bump RC (2010) Reductions in stress urinary incontinence episodes: what is clinically important for women? Neurourol Urodyn 29:344–347PubMed

25.

Coyne KS, Sexton CC, Irwin DE et al (2008) The impact of overactive bladder, incontinence, and other lower urinary tract symptoms on quality of life, work productivity, sexuality and emotional well-being in men and women: results from the EPIC study. BJU Int 101:1388–1395CrossRefPubMed

Title: Correlates and predictors of patient satisfaction with drug therapy and combined drug therapy and behavioral training for urgency urinary incontinence in women
Authors: Patricia S. Goode
Kathryn L. Burgio
Stephen R. Kraus
Kimberly Kenton
Heather J. Litman
Holly E. Richter
for the Urinary Incontinence Treatment Network
Publication date: 01-03-2011
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 3/2011
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-010-1287-x

At a glance: The STEP trials

Springer Medicine

Correlates and predictors of patient satisfaction with drug therapy and combined drug therapy and behavioral training for urgency urinary incontinence in women

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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