Reasons for Seeking Clinical Care for Lower Urinary Tract Symptoms

A Mixed Methods Study

and the

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Purpose The primary objective of this study was to evaluate reasons for seeking care among men and women with lower urinary tract symptoms. Materials and Methods Participants were recruited from urology and urogynecology clinics, and the community. The sample was enriched with persons expected to have abnormal or diminished bladder sensations (eg participants with lower back surgery and participants 65 years old or older). Interviews were performed in person beginning with an open-ended assessment of urinary symptoms and associated bother followed by more directed questions, including reasons for seeking or not seeking treatment. We also examined the relationship between symptom frequency and bother using the LUTS (Lower Urinary Tract Symptoms) Tool. Results A total of 88 participants, including 38 men and 50 women, with a mean ± SD age of 52.2 ± 14.3 years provided information about urinary symptoms, including a range of quality of life consequences and coping behaviors. They sought treatment mostly because of new, continuing or bothersome symptoms. Factors associated with not seeking treatment included low symptom severity and concerns about the costs vs the benefits of treatment (eg side effects of medication). Symptom frequency and bother were associated with each other across symptoms assessed by the LUTS Tool. Conclusions In this large qualitative study we obtained useful insights into the impact of lower urinary tract symptoms from the perspective of the person with the symptoms. Removing barriers and misconceptions about the treatment of lower urinary tract symptoms may increase the number of people who seek clinical care and improve the clinical course of men and women who experience lower urinary tract symptoms.

Original languageEnglish (US)
Pages (from-to)528-535
Number of pages8
JournalJournal of Urology
Volume199
Issue number2
DOIs
StatePublished - Feb 1 2018

Fingerprint

Lower Urinary Tract Symptoms
Therapeutics
Symptom Assessment
Psychological Adaptation
Urology
Cost-Benefit Analysis
Urinary Bladder
Quality of Life
Interviews

Keywords

  • lower urinary tract symptoms
  • patient acceptance of health care
  • patient reported outcome measures
  • quality of life
  • urinary bladder

ASJC Scopus subject areas

  • Urology

Cite this

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title = "Reasons for Seeking Clinical Care for Lower Urinary Tract Symptoms: A Mixed Methods Study",
abstract = "Purpose The primary objective of this study was to evaluate reasons for seeking care among men and women with lower urinary tract symptoms. Materials and Methods Participants were recruited from urology and urogynecology clinics, and the community. The sample was enriched with persons expected to have abnormal or diminished bladder sensations (eg participants with lower back surgery and participants 65 years old or older). Interviews were performed in person beginning with an open-ended assessment of urinary symptoms and associated bother followed by more directed questions, including reasons for seeking or not seeking treatment. We also examined the relationship between symptom frequency and bother using the LUTS (Lower Urinary Tract Symptoms) Tool. Results A total of 88 participants, including 38 men and 50 women, with a mean ± SD age of 52.2 ± 14.3 years provided information about urinary symptoms, including a range of quality of life consequences and coping behaviors. They sought treatment mostly because of new, continuing or bothersome symptoms. Factors associated with not seeking treatment included low symptom severity and concerns about the costs vs the benefits of treatment (eg side effects of medication). Symptom frequency and bother were associated with each other across symptoms assessed by the LUTS Tool. Conclusions In this large qualitative study we obtained useful insights into the impact of lower urinary tract symptoms from the perspective of the person with the symptoms. Removing barriers and misconceptions about the treatment of lower urinary tract symptoms may increase the number of people who seek clinical care and improve the clinical course of men and women who experience lower urinary tract symptoms.",
keywords = "lower urinary tract symptoms, patient acceptance of health care, patient reported outcome measures, quality of life, urinary bladder",
author = "{and the} and Griffith, {James W} and Messersmith, {Emily E.} and Gillespie, {Brenda W.} and Wiseman, {Jonathan B.} and Flynn, {Kathryn E.} and Ziya Kirkali and Kusek, {John W.} and Tamara Bavendam and David Cella and Kreder, {Karl J.} and Nero, {Jasmine J.} and Corona, {Maria E.} and Bradley, {Catherine S.} and Kenton, {Kimberly Sue} and Helfand, {Brian T.} and Merion, {Robert M.} and Weinfurt, {Kevin P.}",
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Reasons for Seeking Clinical Care for Lower Urinary Tract Symptoms : A Mixed Methods Study. / and the.

In: Journal of Urology, Vol. 199, No. 2, 01.02.2018, p. 528-535.

Research output: Contribution to journalArticle

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T1 - Reasons for Seeking Clinical Care for Lower Urinary Tract Symptoms

T2 - A Mixed Methods Study

AU - and the

AU - Griffith, James W

AU - Messersmith, Emily E.

AU - Gillespie, Brenda W.

AU - Wiseman, Jonathan B.

AU - Flynn, Kathryn E.

AU - Kirkali, Ziya

AU - Kusek, John W.

AU - Bavendam, Tamara

AU - Cella, David

AU - Kreder, Karl J.

AU - Nero, Jasmine J.

AU - Corona, Maria E.

AU - Bradley, Catherine S.

AU - Kenton, Kimberly Sue

AU - Helfand, Brian T.

AU - Merion, Robert M.

AU - Weinfurt, Kevin P.

PY - 2018/2/1

Y1 - 2018/2/1

N2 - Purpose The primary objective of this study was to evaluate reasons for seeking care among men and women with lower urinary tract symptoms. Materials and Methods Participants were recruited from urology and urogynecology clinics, and the community. The sample was enriched with persons expected to have abnormal or diminished bladder sensations (eg participants with lower back surgery and participants 65 years old or older). Interviews were performed in person beginning with an open-ended assessment of urinary symptoms and associated bother followed by more directed questions, including reasons for seeking or not seeking treatment. We also examined the relationship between symptom frequency and bother using the LUTS (Lower Urinary Tract Symptoms) Tool. Results A total of 88 participants, including 38 men and 50 women, with a mean ± SD age of 52.2 ± 14.3 years provided information about urinary symptoms, including a range of quality of life consequences and coping behaviors. They sought treatment mostly because of new, continuing or bothersome symptoms. Factors associated with not seeking treatment included low symptom severity and concerns about the costs vs the benefits of treatment (eg side effects of medication). Symptom frequency and bother were associated with each other across symptoms assessed by the LUTS Tool. Conclusions In this large qualitative study we obtained useful insights into the impact of lower urinary tract symptoms from the perspective of the person with the symptoms. Removing barriers and misconceptions about the treatment of lower urinary tract symptoms may increase the number of people who seek clinical care and improve the clinical course of men and women who experience lower urinary tract symptoms.

AB - Purpose The primary objective of this study was to evaluate reasons for seeking care among men and women with lower urinary tract symptoms. Materials and Methods Participants were recruited from urology and urogynecology clinics, and the community. The sample was enriched with persons expected to have abnormal or diminished bladder sensations (eg participants with lower back surgery and participants 65 years old or older). Interviews were performed in person beginning with an open-ended assessment of urinary symptoms and associated bother followed by more directed questions, including reasons for seeking or not seeking treatment. We also examined the relationship between symptom frequency and bother using the LUTS (Lower Urinary Tract Symptoms) Tool. Results A total of 88 participants, including 38 men and 50 women, with a mean ± SD age of 52.2 ± 14.3 years provided information about urinary symptoms, including a range of quality of life consequences and coping behaviors. They sought treatment mostly because of new, continuing or bothersome symptoms. Factors associated with not seeking treatment included low symptom severity and concerns about the costs vs the benefits of treatment (eg side effects of medication). Symptom frequency and bother were associated with each other across symptoms assessed by the LUTS Tool. Conclusions In this large qualitative study we obtained useful insights into the impact of lower urinary tract symptoms from the perspective of the person with the symptoms. Removing barriers and misconceptions about the treatment of lower urinary tract symptoms may increase the number of people who seek clinical care and improve the clinical course of men and women who experience lower urinary tract symptoms.

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KW - patient reported outcome measures

KW - quality of life

KW - urinary bladder

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