Prevalence of Interstitial Cystitis Symptoms in a Managed Care Population

Clemens, J. Quentin; Meenan, Richard T.; Rosetti, Maureen C. O’Keeffe; Brown, Sheila O.; Gao, Sara Y.; Calhoun, Elizabeth A.

doi:10.1097/01.ju.0000165170.43617.be

Cited by 112 publications

(85 citation statements)

References 6 publications

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“…Research using symptom-based diagnostic criteria suggests that painful bladder syndrome is more common in women and middle aged people 5,6 . Gender disparities, once thought to be dramatic 7 , have diminished in recent studies 5 .…”

Section: Introductionmentioning

confidence: 99%

Prevalence and Psychosocial Correlates of Symptoms Suggestive of Painful Bladder Syndrome: Results From the Boston Area Community Health Survey

et al. 2008

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Purpose-The objective is to estimate the prevalence of symptoms suggestive of Painful Bladder Syndrome (PBS) defined as pain increasing as the bladder fills and/or pain relieved by urination for at least three months and its association with socio-demographics (gender, age, race/ethnicity, and socioeconomic status), lifestyle (smoking, alcohol consumption, physical activity) and psychosocial variables (sexual, physical, emotional abuse experienced as a child or as an adult, worry, trouble paying for basics, depression).Materials and Methods-The data used come from the Boston Area Community Health (BACH) survey, an epidemiologic study of 5506 randomly selected adults aged 30-79 of three race/ethnic groups (Black, Hispanic, White).Results-The overall prevalence of symptoms suggestive of PBS is two percent (1.3% in men and 2.6% in women) with increased prevalence in middle aged adults and those of lower socioeconomic status. Symptoms suggestive of PBS are more common in those who have experienced abuse, in those who are worried about someone close to them, and in those who are having trouble paying for basics. This pattern holds even after adjusting for depression.Conclusions-PBS is associated with a number of lifestyle and psychosocial correlates. This suggests that the management of patients with PBS (physical symptoms) may benefit from a multifaceted approach of combining medical and psychological, and cognitive treatment.

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Section: Introductionmentioning

confidence: 99%

Prevalence and Psychosocial Correlates of Symptoms Suggestive of Painful Bladder Syndrome: Results From the Boston Area Community Health Survey

et al. 2008

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“…Indeed, in the 1987 meeting which led to the NIDDK criteria, pain was a prominent part of the discussion (18) . More recently, a number of international meetings have endorsed this concept and in two recent epidemiologic studies pain was a necessary component of the case definition (19)(20) . So the concept of the painful bladder syndrome put forth by the ICS appears attractive.…”

Section: Discussionmentioning

confidence: 99%

“…Our experience also suggests that a proportion of patients who appear to have IC/PBS have pain which does not change with bladder filling or emptying. Indeed, Clemens, et al recently reported a prevalence study in which they used two definitions of IC/PBS: 1) ≥3 months of pelvic pain plus urgency or frequency and 2) the same criteria plus these items: increasing pain as the bladder fills and/ or pain relieved by urination (20) . Of 316 women meeting the first definition, only 178 (56%) met the second definition.…”

Section: Discussionmentioning

confidence: 99%

Using the International Continence Society’s definition of painful bladder syndrome

Warren

Meyer

Greenberg

et al. 2006

Urology

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Objectives-The case definition of interstitial cystitis (IC) is in flux. The International Continence Society (ICS) suggested a definition for the painful bladder syndrome (PBS), a concept embraced by many IC investigators, some of whom have used the name IC/PBS. In a study of recent onset IC/ PBS patients, we had two objectives: to determine 1) what proportion met the ICS definition and 2) how did those who met the definition differ from those who did not.Methods-Having recruited women who had recent onset IC/PBS for an ongoing case control study to identify its risk factors, we studied our first 138 eligible cases to identify those who met the ICS definition. We then compared those who met the definition to those who did not by variables acquired through interviews and medical records. The most liberal interpretation of the ICS definition did not include 47/138 (34%) of our cases. Comparing these to the 91 (66%) who did meet the ICS criteria, we found that 96/97 clinical variables, including many generally thought characteristic of IC/PBS, were not significantly different between the 2 groups. Results-The

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“…BPS is between two and five times more common in women than men. [7][8][9] A systematic review found the most commonly reported symptoms of BPS to be bladder/pelvic pain, urgency, frequency and nocturia. 10 A number of expert panels, including the ESSIC, 1 American Urological Association, 2 European Association of Urology 11 and International Consultation on Incontinence, 12 have published symptom-based diagnostic criteria for BPS.…”

Section: Definition and Epidemiologymentioning

confidence: 99%

Management of Bladder Pain Syndrome

2016

BJOG

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Prevalence of Interstitial Cystitis Symptoms in a Managed Care Population

Abstract: The prevalence of IC symptoms is 30 to 50-fold higher in women and 60 to 100-fold higher in men than the prevalence of a coded physician diagnosis of IC in the same population. Although these findings are not conclusive, they imply that IC may be significantly under diagnosed.

Cited by 112 publications

References 6 publications

Prevalence and Psychosocial Correlates of Symptoms Suggestive of Painful Bladder Syndrome: Results From the Boston Area Community Health Survey

Prevalence and Psychosocial Correlates of Symptoms Suggestive of Painful Bladder Syndrome: Results From the Boston Area Community Health Survey

Using the International Continence Society’s definition of painful bladder syndrome

Management of Bladder Pain Syndrome

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