Effect of severity of urinary incontinence on quality of life in women

Jan Krhut, Marcel Gärtner, Jan Mokris, Lukas Horcicka, Kamil Svabik, Roman Zachoval, Alois Martan, Peter Zvara

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

Aims: While the effect of different types of incontinence on the quality of life (QoL) has been clearly documented, the information about the impact of incontinence severity on QoL in women is lacking. Therefore, we investigated whether increasingly severe degrees of incontinence were linearly correlated with poorer QoL. Methods: We included 391 incontinent women and 81 continent volunteers in the study and assessed them in accordance with routine clinical practice. A 24 h pad-weight test was used to objectively quantify the incontinence severity. We then stratified participants according to incontinence type and severity and assessed correlations between incontinence severity and Patient Perception of Bladder Condition (PPBC), International Consultation on Incontinence short-form questionnaire (ICIQ-SF), and King's Health Questionnaire (KHQ) quality of life scores in the entire study population and in individual groups according to incontinence type. Results: Minimal incontinence was associated with significant negative impact on QoL, as measured by all quality of life assement tools. There were nonlinear correlations between scores on individual questionnaires and daily leakage volumes. Stress urinary incontinence had a weaker impact on quality of life than urge or mixed incontinence, as measured by PPBC (P < 0.0001), KHQ part 1 (P < 0.0001), and KHQ part 2 (P < 0.001). Stress urinary incontinence also had a weaker impact on QoL than mixed incontinence as measured by ICI-Q (P = 0.007). Conclusions: This study demonstrated that even mild urinary leakage significantly reduces the QoL, while subsequent increase in the degree of incontinence has only minimal additional effect. There was no linear correlation between incontinence severity and QoL.

OriginalsprogEngelsk
TidsskriftNeurourology and Urodynamics
Vol/bind37
Udgave nummer6
Sider (fra-til)1925-1930
ISSN0733-2467
DOI
StatusUdgivet - aug. 2018

Fingeraftryk

Quality of Life
Stress Urinary Incontinence
Health
Volunteers
Referral and Consultation
Surveys and Questionnaires
Weights and Measures
Population

Citer dette

Krhut, J., Gärtner, M., Mokris, J., Horcicka, L., Svabik, K., Zachoval, R., ... Zvara, P. (2018). Effect of severity of urinary incontinence on quality of life in women. Neurourology and Urodynamics, 37(6), 1925-1930. https://doi.org/10.1002/nau.23568
Krhut, Jan ; Gärtner, Marcel ; Mokris, Jan ; Horcicka, Lukas ; Svabik, Kamil ; Zachoval, Roman ; Martan, Alois ; Zvara, Peter. / Effect of severity of urinary incontinence on quality of life in women. I: Neurourology and Urodynamics. 2018 ; Bind 37, Nr. 6. s. 1925-1930.
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abstract = "Aims: While the effect of different types of incontinence on the quality of life (QoL) has been clearly documented, the information about the impact of incontinence severity on QoL in women is lacking. Therefore, we investigated whether increasingly severe degrees of incontinence were linearly correlated with poorer QoL. Methods: We included 391 incontinent women and 81 continent volunteers in the study and assessed them in accordance with routine clinical practice. A 24 h pad-weight test was used to objectively quantify the incontinence severity. We then stratified participants according to incontinence type and severity and assessed correlations between incontinence severity and Patient Perception of Bladder Condition (PPBC), International Consultation on Incontinence short-form questionnaire (ICIQ-SF), and King's Health Questionnaire (KHQ) quality of life scores in the entire study population and in individual groups according to incontinence type. Results: Minimal incontinence was associated with significant negative impact on QoL, as measured by all quality of life assement tools. There were nonlinear correlations between scores on individual questionnaires and daily leakage volumes. Stress urinary incontinence had a weaker impact on quality of life than urge or mixed incontinence, as measured by PPBC (P < 0.0001), KHQ part 1 (P < 0.0001), and KHQ part 2 (P < 0.001). Stress urinary incontinence also had a weaker impact on QoL than mixed incontinence as measured by ICI-Q (P = 0.007). Conclusions: This study demonstrated that even mild urinary leakage significantly reduces the QoL, while subsequent increase in the degree of incontinence has only minimal additional effect. There was no linear correlation between incontinence severity and QoL.",
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Krhut, J, Gärtner, M, Mokris, J, Horcicka, L, Svabik, K, Zachoval, R, Martan, A & Zvara, P 2018, 'Effect of severity of urinary incontinence on quality of life in women', Neurourology and Urodynamics, bind 37, nr. 6, s. 1925-1930. https://doi.org/10.1002/nau.23568

Effect of severity of urinary incontinence on quality of life in women. / Krhut, Jan; Gärtner, Marcel; Mokris, Jan; Horcicka, Lukas; Svabik, Kamil; Zachoval, Roman; Martan, Alois; Zvara, Peter.

I: Neurourology and Urodynamics, Bind 37, Nr. 6, 08.2018, s. 1925-1930.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Effect of severity of urinary incontinence on quality of life in women

AU - Krhut, Jan

AU - Gärtner, Marcel

AU - Mokris, Jan

AU - Horcicka, Lukas

AU - Svabik, Kamil

AU - Zachoval, Roman

AU - Martan, Alois

AU - Zvara, Peter

N1 - © 2018 Wiley Periodicals, Inc.

PY - 2018/8

Y1 - 2018/8

N2 - Aims: While the effect of different types of incontinence on the quality of life (QoL) has been clearly documented, the information about the impact of incontinence severity on QoL in women is lacking. Therefore, we investigated whether increasingly severe degrees of incontinence were linearly correlated with poorer QoL. Methods: We included 391 incontinent women and 81 continent volunteers in the study and assessed them in accordance with routine clinical practice. A 24 h pad-weight test was used to objectively quantify the incontinence severity. We then stratified participants according to incontinence type and severity and assessed correlations between incontinence severity and Patient Perception of Bladder Condition (PPBC), International Consultation on Incontinence short-form questionnaire (ICIQ-SF), and King's Health Questionnaire (KHQ) quality of life scores in the entire study population and in individual groups according to incontinence type. Results: Minimal incontinence was associated with significant negative impact on QoL, as measured by all quality of life assement tools. There were nonlinear correlations between scores on individual questionnaires and daily leakage volumes. Stress urinary incontinence had a weaker impact on quality of life than urge or mixed incontinence, as measured by PPBC (P < 0.0001), KHQ part 1 (P < 0.0001), and KHQ part 2 (P < 0.001). Stress urinary incontinence also had a weaker impact on QoL than mixed incontinence as measured by ICI-Q (P = 0.007). Conclusions: This study demonstrated that even mild urinary leakage significantly reduces the QoL, while subsequent increase in the degree of incontinence has only minimal additional effect. There was no linear correlation between incontinence severity and QoL.

AB - Aims: While the effect of different types of incontinence on the quality of life (QoL) has been clearly documented, the information about the impact of incontinence severity on QoL in women is lacking. Therefore, we investigated whether increasingly severe degrees of incontinence were linearly correlated with poorer QoL. Methods: We included 391 incontinent women and 81 continent volunteers in the study and assessed them in accordance with routine clinical practice. A 24 h pad-weight test was used to objectively quantify the incontinence severity. We then stratified participants according to incontinence type and severity and assessed correlations between incontinence severity and Patient Perception of Bladder Condition (PPBC), International Consultation on Incontinence short-form questionnaire (ICIQ-SF), and King's Health Questionnaire (KHQ) quality of life scores in the entire study population and in individual groups according to incontinence type. Results: Minimal incontinence was associated with significant negative impact on QoL, as measured by all quality of life assement tools. There were nonlinear correlations between scores on individual questionnaires and daily leakage volumes. Stress urinary incontinence had a weaker impact on quality of life than urge or mixed incontinence, as measured by PPBC (P < 0.0001), KHQ part 1 (P < 0.0001), and KHQ part 2 (P < 0.001). Stress urinary incontinence also had a weaker impact on QoL than mixed incontinence as measured by ICI-Q (P = 0.007). Conclusions: This study demonstrated that even mild urinary leakage significantly reduces the QoL, while subsequent increase in the degree of incontinence has only minimal additional effect. There was no linear correlation between incontinence severity and QoL.

KW - pad-weight test

KW - quality of life

KW - questionnaire

KW - urinary incontinence

U2 - 10.1002/nau.23568

DO - 10.1002/nau.23568

M3 - Journal article

C2 - 29603780

VL - 37

SP - 1925

EP - 1930

JO - Neurourology and Urodynamics

JF - Neurourology and Urodynamics

SN - 0733-2467

IS - 6

ER -

Krhut J, Gärtner M, Mokris J, Horcicka L, Svabik K, Zachoval R et al. Effect of severity of urinary incontinence on quality of life in women. Neurourology and Urodynamics. 2018 aug;37(6):1925-1930. https://doi.org/10.1002/nau.23568