Volume 30, Issue 7 pp. 1309-1314
Original Clinical Article

Correlation between improvements in overactive bladder symptom score and health-related quality of life questionnaires in overactive bladder patients treated with an antimuscarinic drug

Yasue Kubota

Corresponding Author

Yasue Kubota

Department of Nephro-urology, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan

Department of Nephro-urology, Nagoya City University Graduate School of Medical Sciences, 1, Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya 467-8601, Japan.Search for more papers by this author
Yoshiyuki Kojima

Yoshiyuki Kojima

Department of Nephro-urology, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan

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Yasuhiro Shibata

Yasuhiro Shibata

Department of Nephro-urology, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan

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Makoto Imura

Makoto Imura

Department of Nephro-urology, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan

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Kenjiro Kohri

Kenjiro Kohri

Department of Nephro-urology, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan

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Shoichi Sasaki

Shoichi Sasaki

Department of Nephro-urology, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan

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First published: 10 May 2011
Citations: 14

Roger Dmochowski led the review process.

Conflict of interest: none.

Abstract

Aims

To evaluate the relationship between treatment-related changes in Overactive Bladder Symptom Scores (OABSS) and health-related quality of life (HRQOL) questionnaires.

Methods

Ninety-five patients with OAB symptoms were enrolled. All patients completed the OABSS, International Prostate Symptom Score (IPSS)-Quality Of Life (QOL) index and King's Health Questionnaire (KHQ) at enrolment and then again 4, 8, and 12 weeks after treatment with propiverine hydrochloride 10 mg twice daily. We evaluated the relationship between treatment-related changes in the OABSS, IPSS-QOL, and KHQ.

Results

Statistically significant improvements were observed in all 4 OABSS subscales and total OABSS from baseline to 4 weeks with further improvements occurring at 12 weeks (all P < 0.01). The OABSS after antimuscarinic treatment correlated positively with both the IPSS-QOL index and KHQ domain scores. There was a moderate but statistically significant correlation between the change in total OABSS and 2 OABSS subscales (urinary urgency and urge incontinence) and improvement in the IPSS-QOL index (P < 0.01). Treatment-related changes in total OABSS were significantly correlated with changes in six KHQ domains. Moderate but statistically significant correlations were observed between the change in total OABSS and impact on life, physical limitations, emotions, and severity measures (r > 0.30, P < 0.05). Small but statistically significant correlations were observed between the change in total OABSS and role limitations or social limitations (P < 0.05).

Conclusions

Improvement in the OABSS correlated with improvements in HRQOL after treatment. The OABSS is a useful tool to evaluate OAB symptom severity after medical treatment. Neurourol. Urodynam. 30:1309–1314, 2011. © 2011 Wiley-Liss, Inc.

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