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The role of urgency, frequency, and nocturia in defining overactive bladder adaptive behavior
Author(s) -
Minassian Vatche,
Stewart Walter,
Hirsch Annemarie,
Kolodner Ken,
Fitzgerald Mary,
Burgio Kathryn,
Cundiff Geoffrey,
Blaivas Jerry,
Newman Diane,
Dilley Anne
Publication year - 2011
Publication title -
neurourology and urodynamics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 90
eISSN - 1520-6777
pISSN - 0733-2467
DOI - 10.1002/nau.20925
Subject(s) - nocturia , overactive bladder , medicine , urology , physical therapy , urinary system , alternative medicine , pathology
Aim To determine the relation between urgency alone, or in combination with frequency and nocturia, and adaptive behavior in overactive bladder (OAB) syndrome. Methods We used survey data from the General Longitudinal Overactive Bladder Evaluation (GLOBE) of primary care patients over 40. Participants (n = 2,752: 1,557 females; 1,195 males) completed the same survey at two time points, 6 months apart. Questions assessed OAB symptoms and adaptive behavior. We estimated correlation coefficients (R 2 ) between urgency, frequency, and nocturia symptom scores (alone and in combination) and adaptive behavior measures at baseline and change in symptom scores and behavioral measures from baseline to 6 months. Results At baseline, urgency was the dominant predictor of all behavioral measures for females (R 2 = 0.19–0.48) and males (R 2 = 0.15–0.39). Lower R 2 values were observed for the change in measures from baseline to 6 months, but again change in urgency was the strongest predictor of change in adaptive behavior (R 2 = 0.04–0.13 in females, and 0.02–0.08 in males). The correlation between symptoms and measures of adaptive behavior was almost completely explained by the urgency score. Frequency and nocturia did not substantially improve the overall correlation. Conclusion The relation between measures of OAB symptoms and adaptive behavior at baseline and over time are largely explained by urgency, not by frequency and nocturia. Neurourol. Urodynam. 30:406–411, 2011. © 2011 Wiley‐Liss, Inc.