Prevalence, Risk Factors, and Treatment for Overactive Bladder in a Racially Diverse Population
Prevalence, Risk Factors, and Treatment for Overactive Bladder in a Racially Diverse Population
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DOI：
10.1016/j.urology.2018.12.021
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发表时间：
2019-04-01
期刊：
影响因子：
2.1
通讯作者：
Abraham, Nitya
中科院分区：
文献类型：
--
作者：
Mckellar, Keneta;Bellin, Eran;Abraham, Nitya
目的评估在不同人群中的患病率，膀胱过度活动症（OAB）的危险因素，和OAB治疗的代表性不足的种族/ethnic groups.METHODS这是一项回顾性队列研究的妇女= 18岁谁有一个OAB诊断代码从2013年6月1日至2016年6月30日。患有神经源性膀胱癌或盆腔癌的女性被排除在外。OAB风险因素包括年龄、体重指数、社会经济状况、糖尿病和吸烟。OAB治疗包括咨询专家、诊断检测、药物治疗和三线治疗（神经调节或化学去神经支配）。方差分析和卡方用于比较连续变量和分类变量。多变量logistic回归模型被开发来检查种族/民族群体和OAB管理之间的关联，同时控制危险因素。结果OAB患病率为4.41%（5407/122,606），西班牙裔妇女最高。与白色女性相比，黑人和西班牙裔女性明显更年轻，中位体重指数更高，糖尿病发病率更高，社会经济地位更低。OAB处方无种族差异。黑人妇女不太可能咨询专家在多变量analysis.CONCLUSION OAB患病率和存在的OAB危险因素是最高的西班牙裔和黑人妇女。黑人妇女不太可能咨询专家，这表明黑人妇女接受初级保健医生的初步治疗。未来的研究将评估OAB治疗中的种族差异是否是由于患者偏好或提供者实践造成的。(c)2018爱思唯尔公司
OBJECTIVE To evaluate differences in prevalence, overactive bladder (OAB) risk factors, and OAB treatment in a diverse population of underrepresented racial/ethnic groups.METHODS This is a retrospective cohort study of women = 18 years who had an OAB diagnosis code from June 1, 2013 to June 30, 2016. Women who had neurogenic bladder or pelvic cancer were excluded. OAB risk factors included age, body mass index, socioeconomic status, diabetes, and smoking. OAB treatment included consultation with a specialist, diagnostic testing, medication, and third-line therapy (neuromodulation or chemodennervation). ANOVA and Chi-square were used to compare continuous and categorical variables. Multivariable logistic regression models were developed to examine the association between racial/ethnic groups and OAB management while controlling for risk factors.RESULTS OAB prevalence was 4.41% (5407/122,606) and was highest in Hispanic women. Black and Hispanic women were significantly younger, had a higher median body mass index, higher rate of diabetes, and lower socioeconomic status compared to White women. There was no racial difference in OAB prescriptions. Black women were less likely to consult with a specialist in multivariable analysis.CONCLUSION OAB prevalence and presence of OAB risk factors was highest in Hispanic and Black women. Black women were less likely to consult with a specialist suggesting that Black women receive initial therapy from primary care physicians. Future studies will evaluate if racial differences in OAB treatment are due to patient preference or provider practices. (c) 2018 Elsevier Inc.