The Patient Acceptable Symptom State in Female Urinary Incontinence

Copyright © 2021 American Urogynecologic Society. All rights reserved..

OBJECTIVE: The objective of this study is to characterize an acceptable health state, using the patient acceptable symptom state (PASS) question, in adult women with urinary incontinence.

METHODS: This is a prospective multicenter cohort study determining PASS thresholds from condition-specific measures using an electronic research platform in English-speaking women seeking nonsurgical treatment of urinary incontinence between March 2019 and May 2020. Exclusions included pregnancy, isolated overactive bladder, and pelvic organ prolapse greater than stage II. The cohort was described and then grouped based on achievement of PASS. The PASS thresholds were determined using the 75th percentile and univariate regression methods. Multivariable regression modeling was used to understand the influence of covariates on PASS achievement.

RESULTS: The study was completed by 100 (80%) of the 125 enrolled subjects. Of these, 45% (n = 45) achieved PASS after a median of 7 weeks of treatment (range, 6-13 weeks). The corresponding questionnaire score for PASS was estimated to be 6 for the Incontinence Severity Index, 3 for the Patient Global Impression of Severity and Improvement, 37.5 using the Urinary Distress Inventory 6, and 33.3 using the Incontinence Impact Questionnaire 7. Increasing age was independently associated with achieving PASS after adjusting for treatment adherence and outcomes scores (adjusted odds ratio, 1.05 [95% confidence interval, 1.01-1.10]; P = 0.02).

CONCLUSIONS: PASS was achieved in 45% of women after conservative treatment of urinary incontinence. PASS offers a new perspective for analysis and interpretation of outcome measures used in pelvic floor disorders and can serve as a reference for future research and clinical care pathways.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:28

Enthalten in:

Female pelvic medicine & reconstructive surgery - 28(2022), 1 vom: 01. Jan., Seite 33-39

Sprache:

Englisch

Beteiligte Personen:

Sanderson, Derrick J [VerfasserIn]
Zavez, Alexis [VerfasserIn]
Meekins, A Rebecca [VerfasserIn]
Eddib, Abeer [VerfasserIn]
Lee, Toy G [VerfasserIn]
Barber, Matthew D [VerfasserIn]
Duecy, Erin [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
Multicenter Study
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 02.02.2022

Date Revised 02.02.2022

published: Print

Citation Status MEDLINE

doi:

10.1097/SPV.0000000000001055

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM325595569