Impact of LUTS on treatment‐related behaviors and quality of life: A population‐based study in Brazil

Soler, Roberto; Averbeck, Márcio Augusto; Koyama, Mitti Ayako Hara; Gomes, Cristiano Mendes

doi:10.1002/nau.24004

Cited by 15 publications

(17 citation statements)

References 30 publications

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“…The results are congruent with the research as the UDI-6 score was found to be predictive for urodynamic diagnoses, especially urinary incontinence and detrusor overactivity and obstruction, but not for the severity of incontinence [20]. Soler et al [21] demonstrated that in the presence of LUTS less than half the time or more, onequarter of respondents sought treatment but 6% fewer received treatment.…”

Section: Discussionsupporting

confidence: 78%

Predictors of urogenital distress and impaired quality of life in adult Egyptians with lower urinary tract symptoms

et al. 2021

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Background This study aims to assess the severity of lower urinary tract symptoms, and to assess predictors of impaired quality of life among Egyptian adults complain of lower urinary tract symptoms. Methods An observational cross-sectional research was done using an online anonymous poll survey. The survey was implemented through sharing on different social media applications. The survey was posted from June 1, 2020, to June 10, 2020. The overall communities of the Egyptian adults who satisfied the incorporation rules and consented to take an interest in the research were incorporated using convenience and snowball collecting methods (188 adults). A semi-structured questionnaire on socio-demographic characteristics and Arabic Urogenital Distress Inventory (UDI-6) and Incontinence Impact Questionnaire (IIQ-7) short forms were used. Results Approximately 220 Egyptian adults shared in the research but only 188 fulfilled inclusion and exclusion criteria. Approximately 92% of them had at least one symptom of lower urinary tract manifestations. Irritative symptoms presented in 65 (85.5%) of males and 102 (91.1%) of females. Stress symptoms presented in 44 (57.9%) of males and 63 (56.2%) of females with higher statistically significant mean of stress symptoms. Obstruction/discomfort symptoms presented in 51 (67.1%) of males, and 77 (68.8%) of females. Seeking help and duration of the urological problem were statistically significant independent positive predictors of UDI-6-total. The Irritative score, obstruction/discomfort score, and duration of the urological problem were statistically significant independent positive predictors of IIQ-7-total. Conclusions Urological problems are common and have an impact on the quality of life in various domains of physical activity, social relationships, travel, and emotional health.

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Section: Discussionsupporting

confidence: 78%

Predictors of urogenital distress and impaired quality of life in adult Egyptians with lower urinary tract symptoms

et al. 2021

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“…Collectively, these data suggest there is a substantial burden of OAB in Latin America, with some evidence to indicate its important impact on QoL and low rates of treatment-seeking behavior, especially among older people 15 . Moreover, a paper on the impact of LUTS on treatment-related behaviors and QoL showed that treatment seeking and treatment rates for LUTS are low 17 .…”

Section: Introductionmentioning

confidence: 99%

Impact of OAB symptoms on work, quality of life and treatment-seeking behavior in Brazil

Gomes

Averbeck

Koyama³

et al. 2020

Current Medical Research and Opinion

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Objective: To evaluate the effect of individual lower urinary tract symptoms (LUTS) and LUTS-specific bother on daily/leisure activities, work productivity and treatment behaviors and satisfaction in a Brazilian population reporting symptoms of the overactive bladder (OAB) syndrome. Methods: Secondary analysis of Brazil LUTS study data, including individuals 40 years old with a possible diagnosis of OAB, based on a score of 8 on the OAB-V8 questionnaire. Participants used a 5-point Likert scale to rate occurrence of LUTS during the previous month. Regression models were constructed to analyze association of symptom frequency and bother, controlled for demographics, comorbid conditions, habits and body mass index, to outcomes related to people's lives and treatment patterns. Results: This analysis included 5184 individuals (53% female), 24.4% of whom received a possible diagnosis of OAB. There was a greater likelihood of OAB symptoms in men reporting depression/anxiety (2.0 times), diabetes (1.8 times), or constipation (1.9 times) and women reporting depression/anxiety (2.6 times), constipation (1.7 times), and being overweight (1.4 times) or obese (1.8 times). Symptoms of all categories, including voiding, storage, and post-micturition, were associated with a negative impact on individuals' lives, quality of life and treatment-related outcomes. Treatment seeking for OAB was low among men and women overall (35.1 and 43.6%, respectively), with highest rates among individuals in the 60-69 age group. Conclusions: LUTS of all categories impacted all domains studied. These results highlight the importance of comprehensive LUTS assessment in OAB patients, including voiding, storage and post-micturition symptoms.

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“…In Asia, an Internet survey with participants from South Korea, Taiwan, and China showed that 26% of respondents with any LUTS reported visiting healthcare professionals because of their LUTS [ 4 ]. The Brazil LUTS, a telephone interview conducted in five major cities of Brazil, documented that up to 30.6% of respondents with LUTS sought treatment [ 18 ]. Our observation of treatment seeking by 29.6% of adults in Poland who reported LUTS is broadly comparable with the foregoing population-based studies.…”

Section: Discussionmentioning

confidence: 99%

“…Corresponding findings have been reported in some previous studies [ 8 , 24 ]. Some experts account for this difference by noting that women usually start earlier than men with a routine of frequent healthcare visits [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

Relationship between Lower Urinary Tract Symptoms and Treatment-Related Behavior in an Eastern European Country: Findings from the LUTS POLAND Study

Przydacz

Dudek

Gołąbek

et al. 2021

IJERPH

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Background: The aim of this study was to investigate the effect of lower urinary tract symptoms (LUTS) on behavior related to treatment of Polish adults aged ≥ 40 years. Methods: We conducted a computer-assisted telephone survey with a study sample stratified by age, sex, and place of residence (type, size, urban versus rural) reflecting the entire Polish population. Participants rated the frequency and symptom-specific bother of individual LUTS and their effects on seeking and receiving treatment, treatment satisfaction, and treatment continuation. We adjusted multiple logistic regression models to analyze the simultaneous effects of predictor variables on each dependent variable. Results: Overall, 6005 participants completed the interview. One third (29.6–33.5%) of participants with LUTS were seeking treatment, and 24.0–26.4% received treatment. There was no difference in treatment seeking and receiving between urban and rural areas. Whereas storage and voiding symptoms were significantly related to treatment seeking by both men and women, treatment receiving correlated only with voiding symptoms in men and only with storage symptoms in women. Most respondents who received treatment were satisfied; treatment dissatisfaction was related to the presence of storage symptoms in both men and women. Only 50% of all participants continued their treatment; discontinuation of treatment was statistically more prevalent for women than for men. Conclusion: This investigation, the first population-representative study performed in Eastern Europe, revealed a low frequency of seeking treatment for LUTS. In addition, symptoms that inclined participants to seek treatment might not have been adequately addressed by the treatment they received. We also found a relatively high rate of treatment discontinuation. Clearly, there is a need for both improved patient education about LUTS treatment and a need for increased clinician awareness of the coexistence of different symptoms in men and women plus proactive evaluation by physicians for all types of LUTS and associated bother.

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Impact of LUTS on treatment‐related behaviors and quality of life: A population‐based study in Brazil

Cited by 15 publications

References 30 publications

Predictors of urogenital distress and impaired quality of life in adult Egyptians with lower urinary tract symptoms

Predictors of urogenital distress and impaired quality of life in adult Egyptians with lower urinary tract symptoms

Impact of OAB symptoms on work, quality of life and treatment-seeking behavior in Brazil

Relationship between Lower Urinary Tract Symptoms and Treatment-Related Behavior in an Eastern European Country: Findings from the LUTS POLAND Study

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