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Unmet expectations and smoking prove key factors in quitting bladder medication
Date:5/13/2010

indings of the study included:

  • Bothersome OAB symptoms were reported more frequently by patients who had discontinued their medication: 10% more were "quite a bit more" bothered about needing to urinate at night, 13% more with urgency, 9% more with incontinence and 11% more with frequency.

  • More patients in the discontinued medication group had a medical diagnosis of OAB (10% more than the group who persisted), incontinence (8% more), bladder infection (6% more) and urinary retention (4% more).

  • There were no statistically significant differences in sex, age or race, household income, health insurance and prescription insurance between the two groups and relatively minor differences when it came to beliefs about OAB, including what was normal and how it could be treated.

  • A third of the people who had discontinued gave one reason for stopping, a third gave two reasons and a third gave three reasons.

A second paper in the May issue of BJUI focuses on the results of a six-month follow-up on the patients who were still taking their medication at the time of the above study, based on an 84% response rate.

This showed that 66% were still taking their medication, 18% had discontinued and 17% had switched medication in the intervening six months.

Researchers found that a number of factors increased the chances of patients discontinuing their OAB medication, including:

  • Being a current smoker (up 80%)
  • Having an enlarged prostate (up 74%) or a bladder infection (up 54%).
  • Believing that bladder medication caused severe side effects (up 111%) or not knowing whether it did or not (up 76%).
  • Being bothered "quite a bit more" by a sudden urge to urinate with little or no warning (up 54%).

However, being on multiple prescriptions or having had an episode of incontinence in the last week increased the odds of compliance. <
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Contact: Annette Whibley
wizard.media@virgin.net
Wiley-Blackwell
Source:Eurekalert

Page: 1 2 3

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