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Published in: International Urogynecology Journal 12/2017

Open Access 01-12-2017 | Original Article

Development of a core set of outcome measures for OAB treatment

Authors: Caroline Foust-Wright, Stephanie Wissig, Caleb Stowell, Elizabeth Olson, Anita Anderson, Jennifer Anger, Linda Cardozo, Nikki Cotterill, Elizabeth Ann Gormley, Philip Toozs-Hobson, John Heesakkers, Peter Herbison, Kate Moore, Jessica McKinney, Abraham Morse, Samantha Pulliam, George Szonyi, Adrian Wagg, Ian Milsom

Published in: International Urogynecology Journal | Issue 12/2017

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Abstract

Introduction and hypothesis

Standardized measures enable the comparison of outcomes across providers and treatments giving valuable information for improving care quality and efficacy. The aim of this project was to define a minimum standard set of outcome measures and case-mix factors for evaluating the care of patients with overactive bladder (OAB).

Methods

The International Consortium for Health Outcomes Measurement (ICHOM) convened an international working group (WG) of leading clinicians and patients to engage in a structured method for developing a core outcome set. Consensus was determined by a modified Delphi process, and discussions were supported by both literature review and patient input.

Results

The standard set measures outcomes of care for adults seeking treatment for OAB, excluding residents of long-term care facilities. The WG focused on treatment outcomes identified as most important key outcome domains to patients: symptom burden and bother, physical functioning, emotional health, impact of symptoms and treatment on quality of life, and success of treatment. Demographic information and case-mix factors that may affect these outcomes were also included.

Conclusions

The standardized outcome set for evaluating clinical care is appropriate for use by all health providers caring for patients with OAB, regardless of specialty or geographic location, and provides key data for quality improvement activities and research.
Appendix
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Literature
1.
go back to reference Abrams P, Cardozo L, Fall M, et al. The standardisation of terminology in lower urinary tract function: Report from the Standardisation Subcommittee of the International Continence Society. Joint publication: Neurourol Urodyn. 2002;21(2):167–178, Urology. 2003;61:37–49. Abrams P, Cardozo L, Fall M, et al. The standardisation of terminology in lower urinary tract function: Report from the Standardisation Subcommittee of the International Continence Society. Joint publication: Neurourol Urodyn. 2002;21(2):167–178, Urology. 2003;61:37–49.
2.
go back to reference Haylen BT, de Ridder D, Freeman RM, et al. An international Urogynecological association (IUGA)/international continence society (ICS) joint report on the terminology for female pelvic floor dysfunction. Neurourol Urodyn. 2010;29(1):4–20. https://doi.org/10.1002/nau.20798.PubMed Haylen BT, de Ridder D, Freeman RM, et al. An international Urogynecological association (IUGA)/international continence society (ICS) joint report on the terminology for female pelvic floor dysfunction. Neurourol Urodyn. 2010;29(1):4–20. https://​doi.​org/​10.​1002/​nau.​20798.PubMed
3.
go back to reference Irwin DE, Milsom I, Hunskaar S, et al. Population-based survey of urinary incontinence, overactive bladder, and other lower urinary tract symptoms in five countries: results of the EPIC study. Eur Urol. 2006;50:1306–14.CrossRefPubMed Irwin DE, Milsom I, Hunskaar S, et al. Population-based survey of urinary incontinence, overactive bladder, and other lower urinary tract symptoms in five countries: results of the EPIC study. Eur Urol. 2006;50:1306–14.CrossRefPubMed
5.
go back to reference Stewart WF, Van Rooyen JB, Cundiff GW, et al. Prevalence and burden of overactive bladder in the United States. World J Urol. 2003;20:327–36.PubMed Stewart WF, Van Rooyen JB, Cundiff GW, et al. Prevalence and burden of overactive bladder in the United States. World J Urol. 2003;20:327–36.PubMed
6.
go back to reference Irwin DE, Mungapen L, Milsom I, et al. The economic impact of overactive bladder syndrome in six western countries. BJU Int. 2009;103:202–9.CrossRefPubMed Irwin DE, Mungapen L, Milsom I, et al. The economic impact of overactive bladder syndrome in six western countries. BJU Int. 2009;103:202–9.CrossRefPubMed
7.
go back to reference Porter ME, Lee TH. The strategy that will fix health care. Harvard Bus Rev. 2013;91:50–70. Porter ME, Lee TH. The strategy that will fix health care. Harvard Bus Rev. 2013;91:50–70.
12.
go back to reference 5th International Consultation on Incontinence. Editors Abrams, Cardozo, Kouhry and Wein. Health Publications Ltd, Paris 2013. 5th International Consultation on Incontinence. Editors Abrams, Cardozo, Kouhry and Wein. Health Publications Ltd, Paris 2013.
13.
go back to reference Donovan J, Abrams P, Peters T, et al. The ICS-'BPH' study: the psychometric validity and reliability of the ICSmale questionnaire. BJU. 1996;77:554–62.CrossRefPubMed Donovan J, Abrams P, Peters T, et al. The ICS-'BPH' study: the psychometric validity and reliability of the ICSmale questionnaire. BJU. 1996;77:554–62.CrossRefPubMed
14.
go back to reference Jackson S, Donovan J, Brookes S, et al. The Bristol female lower urinary tract symptoms questionnaire: development and psychometric testing. BJU. 1996;77:805–12.CrossRefPubMed Jackson S, Donovan J, Brookes S, et al. The Bristol female lower urinary tract symptoms questionnaire: development and psychometric testing. BJU. 1996;77:805–12.CrossRefPubMed
15.
go back to reference Khullar V. Patient-reported outcomes and different approaches to urinary parameters in overactive bladder: what should we measure? Int Urogynecol J. 2012;23:179–92.CrossRefPubMed Khullar V. Patient-reported outcomes and different approaches to urinary parameters in overactive bladder: what should we measure? Int Urogynecol J. 2012;23:179–92.CrossRefPubMed
16.
go back to reference Coyne KS, Thompson CL, Lai JS, Sexton CC. An overactive bladder symptom and health-related quality of life short-form: validation of the OAB-q SF. Neurourol Urodyn. 2015;34(3):255–63.CrossRefPubMed Coyne KS, Thompson CL, Lai JS, Sexton CC. An overactive bladder symptom and health-related quality of life short-form: validation of the OAB-q SF. Neurourol Urodyn. 2015;34(3):255–63.CrossRefPubMed
17.
go back to reference Frankel S, Donovan J, Peters T, et al. Sexual dysfunction in men with lower urinary tract symptoms. J Clin Epidemiol. 1998;51(8):677–85.CrossRefPubMed Frankel S, Donovan J, Peters T, et al. Sexual dysfunction in men with lower urinary tract symptoms. J Clin Epidemiol. 1998;51(8):677–85.CrossRefPubMed
19.
go back to reference Sand PK, Miklos J, Ritter H, Appell R. A comparison of extended-release oxybutynin and tolterodine for treating overactive bladder in women. Int Urogynecol J Pelvic Floor Dysfunct. 2004;15(4):243–8.PubMed Sand PK, Miklos J, Ritter H, Appell R. A comparison of extended-release oxybutynin and tolterodine for treating overactive bladder in women. Int Urogynecol J Pelvic Floor Dysfunct. 2004;15(4):243–8.PubMed
20.
go back to reference Steers W, Corcos J, Foote J, Kralidis G. An investigation of dose titration with darifenacin, an M3-selective receptor antagonist. BJU Int. 2005;95(4):580–6.CrossRefPubMed Steers W, Corcos J, Foote J, Kralidis G. An investigation of dose titration with darifenacin, an M3-selective receptor antagonist. BJU Int. 2005;95(4):580–6.CrossRefPubMed
21.
go back to reference Layton D, Pearce G, Shakir S. Safety profile of tolterodine as used in general practice in England. Drug Saf. 2001;24(9):703–13.CrossRefPubMed Layton D, Pearce G, Shakir S. Safety profile of tolterodine as used in general practice in England. Drug Saf. 2001;24(9):703–13.CrossRefPubMed
22.
go back to reference Michel MC, Schneider T, Krege S, Goepel M. Does gender or age affect the efficacy and safety of tolterodine? J Urol. 2002;168(3):1027–31.CrossRefPubMed Michel MC, Schneider T, Krege S, Goepel M. Does gender or age affect the efficacy and safety of tolterodine? J Urol. 2002;168(3):1027–31.CrossRefPubMed
23.
go back to reference Zinner NR, Mattiasson A, Stanton SL. Efficacy, safety, and tolerability of extended-release once-daily tolterodine treatment for overactive bladder in older versus younger patients. J Am Geriatr Soc. 2002;50(5):799–807.CrossRefPubMed Zinner NR, Mattiasson A, Stanton SL. Efficacy, safety, and tolerability of extended-release once-daily tolterodine treatment for overactive bladder in older versus younger patients. J Am Geriatr Soc. 2002;50(5):799–807.CrossRefPubMed
24.
go back to reference Hill S, Elhilali M, Millard R, et al. Long-term darifenacin treatment for overactive bladder in patients aged 65 years and older. Curr Med Res Opin. 2007;23(11):2697–704.CrossRefPubMed Hill S, Elhilali M, Millard R, et al. Long-term darifenacin treatment for overactive bladder in patients aged 65 years and older. Curr Med Res Opin. 2007;23(11):2697–704.CrossRefPubMed
25.
go back to reference Elinoff V, Bavendam T, Glasser DB, et al. Symptom specific efficacy of tolterodine extended release in patients with overactive bladder: the IMPACT trial. Int J Clin Pract. 2006;60(6):745–51.CrossRefPubMed Elinoff V, Bavendam T, Glasser DB, et al. Symptom specific efficacy of tolterodine extended release in patients with overactive bladder: the IMPACT trial. Int J Clin Pract. 2006;60(6):745–51.CrossRefPubMed
26.
go back to reference Freeman R, Hill S, Millard R, et al. Reduced perception of urgency in treating overactive bladder with extended-release tolterodine. Obstet Gynecol. 2003;102(3):605–11.PubMed Freeman R, Hill S, Millard R, et al. Reduced perception of urgency in treating overactive bladder with extended-release tolterodine. Obstet Gynecol. 2003;102(3):605–11.PubMed
27.
go back to reference Zinner N, Gittelman M, Harris R, et al. Trospium chloride improves overactive bladder symptoms: a multicenter phase III trial. J Urol. 2004;171(6 Pt 1):2311–5.CrossRefPubMed Zinner N, Gittelman M, Harris R, et al. Trospium chloride improves overactive bladder symptoms: a multicenter phase III trial. J Urol. 2004;171(6 Pt 1):2311–5.CrossRefPubMed
28.
go back to reference Swift S, Garely A, Dimpfl T, Payne C. A new once-daily formulation of tolterodine provides superior efficacy and is well tolerated in women with overactive bladder. Int Urogynecol J Pelvic Floor Dysfunct. 2003;14(1):50–5.CrossRefPubMed Swift S, Garely A, Dimpfl T, Payne C. A new once-daily formulation of tolterodine provides superior efficacy and is well tolerated in women with overactive bladder. Int Urogynecol J Pelvic Floor Dysfunct. 2003;14(1):50–5.CrossRefPubMed
30.
go back to reference Matsumoto S, Hashizume K, Wada N, et al. Relationship between overactive bladder and irritable bowel syndrome: a large-scale internet survey in Japan using the overactive bladder symptom score and Rome III criteria. BJU Int. 2013;111(4):647–52.CrossRefPubMed Matsumoto S, Hashizume K, Wada N, et al. Relationship between overactive bladder and irritable bowel syndrome: a large-scale internet survey in Japan using the overactive bladder symptom score and Rome III criteria. BJU Int. 2013;111(4):647–52.CrossRefPubMed
31.
go back to reference Bulchandani S, Toozs-Hobson P, Parsons M, et al. Effect of anticholinergics on the overactive bladder and bowel domain of the electronic personal assessment questionnaire (ePAQ). Int Urogynecol J. 2015;26(4):533–7.CrossRefPubMed Bulchandani S, Toozs-Hobson P, Parsons M, et al. Effect of anticholinergics on the overactive bladder and bowel domain of the electronic personal assessment questionnaire (ePAQ). Int Urogynecol J. 2015;26(4):533–7.CrossRefPubMed
32.
go back to reference Salvatore S, Serati M, Ghezzi F, et al. Efficacy of tolterodine in women with detrusor overactivity and anterior vaginal wall prolapse: is it the same? BJOG. 2007;114(11):1436–8.CrossRefPubMed Salvatore S, Serati M, Ghezzi F, et al. Efficacy of tolterodine in women with detrusor overactivity and anterior vaginal wall prolapse: is it the same? BJOG. 2007;114(11):1436–8.CrossRefPubMed
33.
go back to reference Eckhardt MD, van Venrooij GE, Boon TA. Symptoms and quality of life versus age, prostate volume, and urodynamic parameters in 565 strictly selected men with lower urinary tract symptoms suggestive of benign prostatic hyperplasia. Urol. 2001;57(4):695–700.CrossRefPubMed Eckhardt MD, van Venrooij GE, Boon TA. Symptoms and quality of life versus age, prostate volume, and urodynamic parameters in 565 strictly selected men with lower urinary tract symptoms suggestive of benign prostatic hyperplasia. Urol. 2001;57(4):695–700.CrossRefPubMed
34.
go back to reference Seki N, Yuki K, Takei M, et al. Analysis of the prognostic factors for overactive bladder symptoms following surgical treatment in patients with benign prostatic obstruction. Neurourol Urodyn. 2009;28(3):197–201.CrossRefPubMed Seki N, Yuki K, Takei M, et al. Analysis of the prognostic factors for overactive bladder symptoms following surgical treatment in patients with benign prostatic obstruction. Neurourol Urodyn. 2009;28(3):197–201.CrossRefPubMed
35.
go back to reference De Boer TA, Kluivers KB, Withagen MI, et al. Predictive factors for overactive bladder symptoms after pelvic organ prolapse surgery. Int Urogynecol J. 2010;21(9):1143–9.CrossRefPubMedPubMedCentral De Boer TA, Kluivers KB, Withagen MI, et al. Predictive factors for overactive bladder symptoms after pelvic organ prolapse surgery. Int Urogynecol J. 2010;21(9):1143–9.CrossRefPubMedPubMedCentral
36.
go back to reference Chui A, Huang M, Wang C, Kuo H. Higher glycosylated hemoglobin levels increase the risk of overactive bladder syndrome in patients with type 2 diabetes mellitus. Int J of Urology. 2012;19(11):995–1001.CrossRef Chui A, Huang M, Wang C, Kuo H. Higher glycosylated hemoglobin levels increase the risk of overactive bladder syndrome in patients with type 2 diabetes mellitus. Int J of Urology. 2012;19(11):995–1001.CrossRef
37.
38.
go back to reference Bunn F, Kirby M, Pinkney E, et al. Is there a link between overactive bladder and the metabolic syndrome in women? A systematic review of observational studies. Int J Clin Pract. 2015;69(2):199–217.CrossRefPubMed Bunn F, Kirby M, Pinkney E, et al. Is there a link between overactive bladder and the metabolic syndrome in women? A systematic review of observational studies. Int J Clin Pract. 2015;69(2):199–217.CrossRefPubMed
39.
go back to reference Tai HC, Chung SD, Ho CH, et al. Metabolic syndrome components worsen lower urinary tract symptoms in women with type 2 diabetes. J Clin Endocrinol Metab. 2010;95(3):1143–50.CrossRefPubMed Tai HC, Chung SD, Ho CH, et al. Metabolic syndrome components worsen lower urinary tract symptoms in women with type 2 diabetes. J Clin Endocrinol Metab. 2010;95(3):1143–50.CrossRefPubMed
40.
go back to reference Karoli R, Bhat S, Fatima J, Priya S. A study of bladder dysfunction in women wit type 2 diabetes mellitus. Indian J Endocrinol Metab. 2014;18(4):552–7.CrossRefPubMedPubMedCentral Karoli R, Bhat S, Fatima J, Priya S. A study of bladder dysfunction in women wit type 2 diabetes mellitus. Indian J Endocrinol Metab. 2014;18(4):552–7.CrossRefPubMedPubMedCentral
41.
go back to reference Coyne KS, Sexton CC, Irwin DE, et al. 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. 2008;101:1388–95.CrossRefPubMed Coyne KS, Sexton CC, Irwin DE, et al. 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. 2008;101:1388–95.CrossRefPubMed
42.
go back to reference Bradley CS, Kennedy CM, Nygaard IE. Pelvic floor symptoms and lifestyle factors in older women. J Women's Health. 2005;14:128–36.CrossRef Bradley CS, Kennedy CM, Nygaard IE. Pelvic floor symptoms and lifestyle factors in older women. J Women's Health. 2005;14:128–36.CrossRef
43.
go back to reference Parazinni F, Chiaffarino F, Lavezzari M, et al. Risk factors for stress, urge or mixed urinary incontinence in Italy. BJOG. 2003;110:927–33.CrossRef Parazinni F, Chiaffarino F, Lavezzari M, et al. Risk factors for stress, urge or mixed urinary incontinence in Italy. BJOG. 2003;110:927–33.CrossRef
44.
go back to reference Tikkanen KA, Auvinen A, Tiitinen A, et al. Reproductive factors associated with nocturia and urinary urgency in women: a population-based study in Finland. Am J Obstet Gynecol. 2008;199(2):153.e1–12.CrossRef Tikkanen KA, Auvinen A, Tiitinen A, et al. Reproductive factors associated with nocturia and urinary urgency in women: a population-based study in Finland. Am J Obstet Gynecol. 2008;199(2):153.e1–12.CrossRef
45.
go back to reference Lawrence JM, Lukacz ES, Nager CW, et al. Prevalence and co-occurrence of pelvic floor disorders in community-dwelling women. Obstet Gynecol. 2008;111(3):678–85.CrossRefPubMed Lawrence JM, Lukacz ES, Nager CW, et al. Prevalence and co-occurrence of pelvic floor disorders in community-dwelling women. Obstet Gynecol. 2008;111(3):678–85.CrossRefPubMed
46.
go back to reference Chuang FC, Kuo HC. Prevalence of lower urinary tract symptoms in indigenous and non-indigenous women in eastern Taiwan. J Formos Med Assoc. 2010;109(3):228–36.CrossRefPubMed Chuang FC, Kuo HC. Prevalence of lower urinary tract symptoms in indigenous and non-indigenous women in eastern Taiwan. J Formos Med Assoc. 2010;109(3):228–36.CrossRefPubMed
47.
go back to reference Alling Möller L, Lose G, Jørgensen T. Risk factors for lower urinary tract symptoms in women 40 to 60 years of age. Obstet Gynecol. 2000;96:446–51.CrossRefPubMed Alling Möller L, Lose G, Jørgensen T. Risk factors for lower urinary tract symptoms in women 40 to 60 years of age. Obstet Gynecol. 2000;96:446–51.CrossRefPubMed
48.
go back to reference Handa VL, Harvey L, Fox HE, Kjerulff KH. Parity and route of delivery: does cesarean delivery reduce bladder symptoms later in life? Am J Obstet Gynecol. 2004;191(2):463–9.CrossRefPubMed Handa VL, Harvey L, Fox HE, Kjerulff KH. Parity and route of delivery: does cesarean delivery reduce bladder symptoms later in life? Am J Obstet Gynecol. 2004;191(2):463–9.CrossRefPubMed
49.
go back to reference Zhang W, Song Y, He X, et al. Prevalence and risk factors of overactive bladder syndrome in Fuzhou Chinese women. Neurourol Urodyn. 2006;25(7):717–21.CrossRefPubMed Zhang W, Song Y, He X, et al. Prevalence and risk factors of overactive bladder syndrome in Fuzhou Chinese women. Neurourol Urodyn. 2006;25(7):717–21.CrossRefPubMed
50.
go back to reference Robinson D, Cardozo L, Milsom I, et al. Oestrogens and overactive bladder. Neurourol Urodyn. 2014;33(7):1086–91.CrossRefPubMed Robinson D, Cardozo L, Milsom I, et al. Oestrogens and overactive bladder. Neurourol Urodyn. 2014;33(7):1086–91.CrossRefPubMed
51.
go back to reference Tseng LH, Wang AC, Chang YL, et al. Randomized comparison of tolterodine with vaginal estrogen cream versus tolterodine alone for the treating postmenopausal women with overactive bladder syndrome. Neurourol Urodyn. 2009;28(1):47–51.CrossRefPubMed Tseng LH, Wang AC, Chang YL, et al. Randomized comparison of tolterodine with vaginal estrogen cream versus tolterodine alone for the treating postmenopausal women with overactive bladder syndrome. Neurourol Urodyn. 2009;28(1):47–51.CrossRefPubMed
52.
go back to reference Cody JD, Jacobs ML, Richardson K, Moehrer B, Hextall A. Oestrogen therapy for urinary incontinence in post-menopausal women. The Cochrane database of systematic reviews. 2012;10:Cd001405. Cody JD, Jacobs ML, Richardson K, Moehrer B, Hextall A. Oestrogen therapy for urinary incontinence in post-menopausal women. The Cochrane database of systematic reviews. 2012;10:Cd001405.
53.
go back to reference Garely AD, Lucente V, Vapnek J, Smith N. Solifenacin for overactive bladder with incontinence: symptom bother and health-related quality of life outcomes. Ann Pharmacother. 2007;41(3):391–8.CrossRefPubMed Garely AD, Lucente V, Vapnek J, Smith N. Solifenacin for overactive bladder with incontinence: symptom bother and health-related quality of life outcomes. Ann Pharmacother. 2007;41(3):391–8.CrossRefPubMed
54.
go back to reference Landis JR, Kaplan S, Swift S, Versi E. Efficacy of antimuscarinic therapy for overactive bladder with varying degrees of incontinence severity. J Urol. 2004;171(2 Pt 1):752–6.CrossRefPubMed Landis JR, Kaplan S, Swift S, Versi E. Efficacy of antimuscarinic therapy for overactive bladder with varying degrees of incontinence severity. J Urol. 2004;171(2 Pt 1):752–6.CrossRefPubMed
Metadata
Title
Development of a core set of outcome measures for OAB treatment
Authors
Caroline Foust-Wright
Stephanie Wissig
Caleb Stowell
Elizabeth Olson
Anita Anderson
Jennifer Anger
Linda Cardozo
Nikki Cotterill
Elizabeth Ann Gormley
Philip Toozs-Hobson
John Heesakkers
Peter Herbison
Kate Moore
Jessica McKinney
Abraham Morse
Samantha Pulliam
George Szonyi
Adrian Wagg
Ian Milsom
Publication date
01-12-2017
Publisher
Springer London
Published in
International Urogynecology Journal / Issue 12/2017
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-017-3481-6

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