Survey Assessment of Continuation of and Satisfaction with Pharmacological Treatment for Urinary Incontinence

Jul 1, 2008, 00:00
10.1111/j.1524-4733.2007.00295.x
https://www.valueinhealthjournal.com/article/S1098-3015(10)60550-5/fulltext
Title : Survey Assessment of Continuation of and Satisfaction with Pharmacological Treatment for Urinary Incontinence
Citation : https://www.valueinhealthjournal.com/action/showCitFormats?pii=S1098-3015(10)60550-5&doi=10.1111/j.1524-4733.2007.00295.x
First page :
Section Title :
Open access? : No
Section Order : 19

Purpose

To evaluate treatment satisfaction and compliance with pharmacologic therapy in urinary incontinence patients.

Materials and Methods

An online survey was returned by 1447 individuals from a nationwide panel of adults who had previously reported treatment for incontinence symptoms and agreed to participate in survey research. Data on demographics, incontinence severity, treatment compliance, and satisfaction were obtained. Logistic regression was used to estimate crude and adjusted odds ratios (ORs) and 95% confidence intervals (CIs) for characteristics associated with pharmacologic treatment dissatisfaction and discontinuation.

Results

The sample was predominantly female (87%) and white (93%) with a mean age of 56 years. On average, patients urinated 10 times/day and experienced 16 wetting accidents in the week preceding survey. Overall, 25% reported being somewhat or very dissatisfied with treatment. Those who reported a severe effect of incontinence on their lives were most likely to be dissatisfied (OR = 2.82, 95% CI = 1.89–4.23). Discontinuation of drug treatment was reported by 45% of study subjects, with major reasons being poor efficacy (in 41.3% of discontinuations), side effects (22.4%), and cost (18.7%). Predictors for discontinuation included young age (OR = 1.8, 95% CI = 1.2–2.8), experiencing symptoms for 10 or more years (OR = 1.5, 95% CI = 1.1–2.0), and experiencing more than 16 wetting accidents in the last week (OR = 1.6, 95% CI = 1.3–2.1).

Conclusions

This online survey of self-selected incontinence patients indicated that almost half of those who have received drug treatment for incontinence had discontinued primarily because of lack of efficacy, side effects, and cost concerns. Our findings suggest a substantial degree of unmet need from current therapy among those with incontinence.

Categories :
  • Health State Utilities
  • Patient-Centered Research
  • Retrospective Databases: Electronic Medical and Health Records, Admin Claims
  • Stated Preference & Patient Satisfaction
  • Study Approaches
Tags :
  • compliance
  • Drug Therapy
  • survey
  • treatment efficacy
  • urinary incontinence
Regions :
  • North America
ViH Article Tags :