The Impact of Patient Demographics and Clinical Characteristics on Urinary Incontinence

Yıl 2024, Cilt: 7 Sayı: 3, 74 - 79, 03.01.2025

Bahtiyar Çiftci , Teymur Bornaun

https://doi.org/10.33713/egetbd.1582438

Öz

OBJECTIVE: This study investigates how patient demographics and clinical characteristics influence treatment outcomes in urinary incontinence, aiming to identify key factors that impact patient perceptions of improvement.
MATERIALS AND METHODS: We retrospectively reviewed the records of 251 patients treated for stress urinary incontinence (SUI) at a tertiary care center. Patient characteristics, including age, body mass index (BMI), parity, and education level, were analyzed in relation to treatment outcomes using the Patient Global Impression of Improvement (PGI-I) scores. Statistical methods, specifically Spearman’s correlation, were employed to examine potential associations between these variables and PGI-I scores.
RESULTS: Analysis revealed no significant correlations between traditionally emphasized demographic factors, such as age and BMI, and PGI-I scores, suggesting that commonly considered characteristics may not directly influence patient satisfaction with treatment. The findings challenge assumptions that higher education or parity necessarily correlate with better or worse treatment outcomes, pointing to a need for a broader approach to patient assessment.
CONCLUSION: This study underscores the importance of a holistic, patient-centered approach to urinary incontinence treatment, considering a wider array of factors beyond demographic profiles. These insights call for further research to explore the complex variables affecting patient-reported outcomes in urogynecology and to enhance individualized care strategies.

Anahtar Kelimeler

Urinary Incontinence, Patient Demographics, Treatment Outcomes, PGI-I, Patient-Centered Care

Hasta Demografik ve Klinik Özelliklerinin İnkontinans Üzerindeki Etkisi

Öz

AMAÇ: Bu çalışma, hastaların demografik ve klinik özelliklerinin idrar kaçırma tedavi sonuçlarına olan etkisini inceleyerek, iyileşme algısını etkileyen temel faktörleri belirlemeyi amaçlamaktadır.
GEREÇ VE YÖNTEM: Bir üçüncü basamak sağlık merkezinde stres üriner inkontinans (SÜİ) tedavisi gören 251 hastanın kayıtları retrospektif olarak incelendi. Hastaların yaş, vücut kitle indeksi (VKİ), doğum sayısı ve eğitim düzeyi gibi özellikleri, tedavi sonuçlarıyla ilişkili olarak Hasta Küresel İyileşme İzlenimi (HKİİ) skorları üzerinden analiz edildi. Bu değişkenler ile HKİİ skorları arasındaki olası ilişkiler, Spearman korelasyon yöntemi ile değerlendirildi.
BULGULAR: Analiz, yaş ve VKİ gibi demografik faktörlerin HKİİ skorlarıyla anlamlı bir ilişki göstermediğini ortaya koyarak, yaygın olarak kabul edilen bu özelliklerin hasta memnuniyeti üzerindeki etkisini sorgulamaktadır. Yüksek eğitim veya doğum sayısının tedavi sonuçlarıyla doğrudan ilişkili olmadığı gözlenmiştir.
SONUÇ: Bu çalışma, idrar kaçırma tedavisinde daha geniş kapsamlı, hasta odaklı bir yaklaşımın önemini vurgulamaktadır. Bulgular, ürojinekolojide hasta bildirimi sonuçlarını etkileyen değişkenlerin daha fazla araştırılması gerektiğini ve bireyselleştirilmiş bakım stratejilerini geliştirme ihtiyacını ortaya koymaktadır.

Anahtar Kelimeler

İdrar Kaçırma, Hasta Demografik Özellikleri, Tedavi Sonuçları, HKİİ, Hasta Odaklı Bakım

Kaynakça

• Minassian VA, Devore E, Hagan K, Grodstein F. Severity of urinary incontinence and effect on quality of life in women, by incontinence type. Obstet Gynecol. 2013;121(5):1083.
• Erekson E, Lane G, Mann J, Austin A, Carmichael D, Minassian VA, et al. Primary and specialty outpatient visits for older women with urinary incontinence: a comparison of nurses to the general population. Urogynecology. 2021;27(9):551-555.
• Akinlusi FM, Ottun TA, Oshodi YA, Seriki BO, Olalere FD, Kuye TO. Female Urinary Incontinence: Prevalence, risk factors and impact on the quality of life of gynecological clinic attendees in Lagos, Nigeria. Nepal J Obstet Gynaecol. 2020;15(1):31-38.
• Ko Y, Lin SJ, Salmon JW, Bron MS. The impact of urinary incontinence on quality of life of the elderly. Am J Manag Care. 2005;11(4 Suppl).
• Tulokas S, Mentula M, Härkki P, Brummer T, Jalkanen J, Kuittinen T, et al. Stress urinary incontinence after hysterectomy: a 10-year national follow-up study. Arch Gynecol Obstet. 2022;305(4):1089-1097.
• Del Priore G, Taylor SY, Esdaile BA, Masch R, Martas Y, Wirth J. Urinary incontinence in gynecological oncology patients. Int J Gynecol Cancer. 2005;15(5):911-914.
• Richter HE, Kenton K, Huang L, Nygaard I, Kraus S, Whitcomb E, et al. The impact of obesity on urinary incontinence symptoms, severity, urodynamic characteristics and quality of life. J Urol. 2010;183(2):622-628.
• Giugale LE, Moalli PA, Canavan TP, Meyn LA, Oliphant SS. Prevalence and predictors of urinary incontinence at 1 year postpartum. Urogynecology. 2021;27(2).
• Monz B, Chartier-Kastler E, Hampel C, Samsioe G, Hunskaar S, Espuna-Pons M, et al. Patient characteristics associated with quality of life in European women seeking treatment for urinary incontinence: results from PURE. Eur Urol. 2007;51(4):1073- 1082.
• Saboia DM, Firmiano MLV, Bezerra KDC, Vasconcelos Neto JA, Oriá MOB, Vasconcelos CTM. Impact of urinary incontinence types on women's quality of life. Rev Esc Enferm USP. 2017;51.
• Pan LC, Datar M, McKinney JL, Keyser LE, Goss TF, Pulliam SJ. Adherence to professional society guidelines among women with stress or mixed urinary incontinence. Neurourol Urodyn. 2022;41(6):1489-1497.
• Robinson D, Pearce KF, Preisser JS, Dugan E, Suggs PK, Cohen SJ. Relationship between patient reports of urinary incontinence symptoms and quality of life measures. Obstet Gynecol. 1998;91(2):224-228.
• Lukanović D, Kunič T, Batkoska M, Matjašič M, Barbič M. Effectiveness of magnetic stimulation in the treatment of urinary incontinence: a systematic review and results of our study. J Clin Med. 2021;10(21):5210.
• Kim EK, Muñoz JM, Hong CX, Agrawal S, Kreines FM, Harvie HS. Variation in diagnosis of urinary incontinence in women by provider and patient demographic factors. World J Urol. 2023;41(3):821-827.
• Sala F, Loggia M, Cardella G, Morgani C, Grossi G, Zullo MA, et al. TOT in combination with solifenacin or intravaginal prasterone in postmenopausal women with mixed urinary incontinence: A retrospective analysis in 112 patients. LUTS Low Urin Tract Symptoms. 2023;15(3):96-101.
• Asoglu MR, Selcuk S, Cam C, Cogendez E, Karateke A. Effects of urinary incontinence subtypes on women's quality of life (including sexual life) and psychosocial state. Eur J Obstet Gynecol Reprod Biol. 2014;176:187-190.
• Sullivan SA, Davidson ER, Bretschneider CE, Liberty AL, Geller EJ. Patient characteristics associated with treatment choice for pelvic organ prolapse and urinary incontinence. Int Urogynecol J. 2016;27:811-816.
• Bhosale SS, Gurram L, Chopra S, Daptardar A. 2022-RA-729- ESGO Strengthening of pelvic floor muscles for incontinence in cervical cancer. Int J Gynecol Cancer. 2022;32(Suppl 2).
• Seim A, Eriksen BC, Hunskaar S. A study of female urinary incontinence in general practice: demography, medical history, and clinical findings. Scand J Urol Nephrol. 1996;30(6):465-471.
• Seshan V, Francis F, Raghavan D, Arulappan J, Hashmi IA, Prince EJ, et al. Prevalence of Urinary Incontinence and its Relationship With Sociodemographic and Obstetrical Variables Among Omani Women. SAGE Open Nurs. 2023;9:23779608231173803.
• Cheng H, Gong F, Shen Y, OuYang P, Ni R, Gao H. A nomogram model predicting the risk of postpartum stress urinary incontinence in primiparas: a multicenter study. Taiwan J Obstet Gynecol. 2022;61(4):580-584.
• Jansen SM, Pellino K, Zhou Q, Brown HW, Heisler CA. Fecal Incontinence and the Risk of Urinary Tract Infection in Patients Presenting for Urogynecological Consultation. Urogynecology. 2023;29(7):641-645.
• Mülkoğlu C, Ersever EM, Çakıt BD. Evaluation of incontinence and lymphedema in gynecological cancer patients along with their impact on the quality of life. Support Care Cancer. 2023;31(7):437.
• Tincello D, Sculpher M, Tunn R, Quail D, Van Der Vaart H, Falconer C, et al. Patient characteristics impacting health state index scores, measured by the EQ‐5D of females with stress urinary incontinence symptoms. Value Health. 2010;13(1):112- 118.
• Ouslander JG, Zarit SH, Orr NK, Muira SA. Incontinence among elderly community‐dwelling dementia patients: characteristics, management, and impact on caregivers. J Am Geriatr Soc. 1990;38(4):440-445.