What is the impact of post-radical prostatectomy urinary incontinence on everyday quality of life? Linking Pad usage and International Consultation on Incontinence Questionnaire Short-Form (ICIQ-SF) for a COMBined definition (PICOMB definition).

Autor: García Cortés Á; Department of Urology, Clinica Universidad de Navarra, University of Navarra, Pamplona, Spain., Colombás Vives J; Department of Urology, Clinica Universidad de Navarra, University of Navarra, Pamplona, Spain., Gutiérrez Castañé C; Department of Urology, Clinica Universidad de Navarra, University of Navarra, Pamplona, Spain., Chiva San Román S; Department of Urology, Clinica Universidad de Navarra, University of Navarra, Pamplona, Spain., Doménech López P; Department of Urology, Clinica Universidad de Navarra, University of Navarra, Pamplona, Spain., Ancizu Marckert FJ; Department of Urology, Clinica Universidad de Navarra, University of Navarra, Pamplona, Spain., Hevia Suárez M; Department of Urology, Complejo Asistencial Universitario de León, León, Spain., Merino Narro I; Department of Urology, Hospital Universitario de Araba, Vitoria-Gasteiz, Spain., Velis Campillo JM; Department of Urology, Hospital Universitario de la Ribera, Alzira-Valencia, Spain., Guillén Grima F; Department of Preventive Medicine and Public Health, Universidad de Navarra, University of Navarra, Pamplona, Spain., Torres Roca M; Department of Urology, Clinica Universidad de Navarra, University of Navarra, Pamplona, Spain., Diez-Caballero Y Alonso F; Department of Urology, Clinica Universidad de Navarra, University of Navarra, Pamplona, Spain., Rosell Costa D; Department of Urology, Clinica Universidad de Navarra, University of Navarra, Pamplona, Spain., Villacampa Aubá F; Department of Urology, Clinica Universidad de Navarra, University of Navarra, Pamplona, Spain., Ramón de Fata Chillón F; Department of Urology, Clinica Universidad de Navarra, University of Navarra, Pamplona, Spain., Andrés Boville G; Department of Urology, Clinica Universidad de Navarra, University of Navarra, Pamplona, Spain., Barbas Bernardos G; Department of Urology, Clinica Universidad de Navarra, University of Navarra, Pamplona, Spain., Miñana López B; Department of Urology, Clinica Universidad de Navarra, University of Navarra, Pamplona, Spain., Robles García JE; Department of Urology, Clinica Universidad de Navarra, University of Navarra, Pamplona, Spain., Pascual Piédrola JI; Department of Urology, Clinica Universidad de Navarra, University of Navarra, Pamplona, Spain.
Jazyk: angličtina
Zdroj: Neurourology and urodynamics [Neurourol Urodyn] 2021 Mar; Vol. 40 (3), pp. 840-847. Date of Electronic Publication: 2021 Feb 19.
DOI: 10.1002/nau.24631
Abstrakt: Aims: To identify the definition for urinary continence (UC) after radical prostatectomy (RP) which reflects best patients' perception of quality of life (QoL).
Methods: Continence was prospectively assessed in 634 patients, 12 months after RP using the International Consultation on Incontinence Questionnaire Short-Form (ICIQ-SF) and the number of pads employed in a 24-hour period (pad usage). We used the one-way ANOVA technique with posthoc pairwise comparisons according to Scheffé's method (homogeneous subsets) for assessing the degree of QoL deficit related to urinary incontinence (UI).
Results: The continence prevalence is 64.4%, 74.1%, 88.3%, and 35.8% using "0 pads," "1 safety pad," "1 pad," and "ICIQ score 0" definitions, respectively. Pad usage is moderately strongly associated with ICIQ 1, 2, and 3 (ρ = 0.744, 0.677, and 0.711, respectively; p < 0.001). Concordance between classical UC definitions is acceptable between "0 pads-ICIQ score 0" (K = 0.466), but poor for "1 safety pad" and "1 pad" (K = 0.326 and 0.137, respectively). Patients with "0 pad usage" have better QoL related to urine leakage than patients with "1 safety pad" or "1 pad" (1.41 vs. 2.44 and 3.11, respectively; p < 0.05). There were no significant differences found regarding QoL between patients with ICIQ score 0 and ICIQ score 2 (1.01 vs. 1.63; p = 0.63).
Conclusions: Pad usage and the ICIQ-SF's answers provide useful information. We propose a combined definition (0 pads and ICIQ score ≤2) as it is the definition with the least impact on daily QoL.
(© 2021 Wiley Periodicals LLC.)
Databáze: MEDLINE
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