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Vol. 42. Issue 3.
Pages 176-184 (April 2018)
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Vol. 42. Issue 3.
Pages 176-184 (April 2018)
Original article
DOI: 10.1016/j.acuroe.2018.02.009
Impact of overactive bladder symptoms on work activity: The ACTIVHA study
Impacto de los síntomas de vejiga hiperactiva sobre la actividad laboral: estudio ACTIVHA
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M. Rapariza,
Corresponding author
mrapariz@mac.com

Corresponding author.
, A.M. Morab, M. Rosetc
a Servicio de Urología, Hospital de Gran Canaria Dr. Negrín, Gran Canaria, Spain
b Astellas Pharma, Madrid, Spain
c Real World Insights, IQVIA, Barcelona, Spain
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Tables (3)
Table 1. Sociodemographic and clinical profile of patients with overactive bladder.
Table 2. Work situation of patients with overactive bladder, according to gender and the presence or not of urinary incontinence according to the Bladder Control Self-Assessment Questionnaire.
Table 3. Work situation and impact of work activity according to the responses obtained in the WPAI-GH work productivity questionnaire in patients with overactive bladder according to gender and according to the presence or not of urinary incontinence assessed by the B-SAQ.
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Abstract
Objectives

To analyze the impact of overactive bladder (OAB) symptoms on the work activity of patients in Spain.

Method

An observational, multicentre cross-sectional study was conducted with 149 urologists and 131 gynecologists of Spain and included patients diagnosed with OAB, according to clinical judgment, who were of working age (18–65 years). We collected sociodemographic, clinical and work activity data. The patients filled out the Bladder Control Self-Assessment Questionnaire (B-SAQ) and the Work Productivity and Activity Impairment Questionnaire-General Health (WPAI-GH). The effect of each symptom on the daily and occupational activity was assessed. The results were stratified according to sex and the presence of urgency and urinary incontinence (UI) according to the B-SAQ.

Results

We assessed 768 patients (89% women), with a mean (SD) age of 52.5 (9.3) years and 2.6 (2.6) years of OAB progression. The most common symptoms according to the patients urgency (89.8%), nocturia (75.7%), urge urinary incontinence (68.5%) and frequency (68.2%). Ninety-six percent of the patients adopted adaptive measures for their OAB. According to the B-SAQ, 543 patients (71%) presented urgency; of these, 294 (54%) showed UI. The symptom that most affected work activity was frequency (59.8%). According to the WPAI-GH, the patients reported an impact of 32% during the workday (41% in patients urgency and UI) and a work time missed due to OAB of 6.5% (9.9% in patients with urgency and UI).

Conclusions

The symptoms of OAB negatively affect work activity, especially in patients who have urgent urination and UI.

Keywords:
Overactive bladder
Urinary incontinence
Employment
Occupational health
Spain
Resumen
Objetivos

Analizar el impacto de los síntomas de vejiga hiperactiva (VH) sobre la actividad laboral de pacientes en España.

Método

Estudio observacional, multicéntrico y transversal con 149 urólogos y 131 ginecólogos de España que incluyeron pacientes diagnosticados de VH según criterio clínico, en edad laboral (18-65 años). Se recogieron datos sociodemográficos, clínicos y de actividad laboral. Los pacientes cumplimentaron el Cuestionario de Autoevaluación del Control de la Vejiga (CACV) y el Work Productivity and Activity Impairment Questionnaire-General Health (WPAI-GH). Se evaluó el impacto de cada síntoma sobre la actividad diaria y laboral. Los resultados se estratificaron según género y presencia de urgencia e incontinencia urinaria (IU) según el CACV.

Resultados

Se evaluaron 768 pacientes (89% mujeres), con una media (DE) de edad de 52,5 (9,3) años y 2,6 (2,6) años de evolución de VH. La sintomatología más frecuente según el paciente fue urgencia (89,8%), seguida de nicturia (75,7%), incontinencia urinaria de urgencia (68,5%) y frecuencia (68,2%). El 96% adoptaron medidas adaptativas para la VH. Según el CACV, 543 pacientes (71%) presentaban urgencia y de estos, 294 (54%) presentaban IU. El síntoma que más afectaba la actividad laboral fue la frecuencia (59,8%). Según el WPAI-GH, los pacientes refirieron un impacto del 32% durante la jornada laboral (41% en pacientes con urgencia e IU) y una pérdida de tiempo de trabajo del 6,5% (un 9,9% en pacientes con urgencia e IU).

Conclusiones

Los síntomas de VH impactan negativamente sobre la actividad laboral, especialmente en pacientes que presentan urgencia e IU.

Palabras clave:
Vejiga hiperactiva
Incontinencia urinaria
Empleo
Salud laboral
España

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