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논문 기본 정보

자료유형
학술저널
저자정보
Kirill Vladimirovich Kosilov (Far Eastern Federal University) Sergay Alexandrovich Loparev (City Polyclinic No. 3) Irina Gennadyevna Kuzina (Far Eastern Federal University) Boris Izrailevich Geltser (Far Eastern Federal University) Olga Viktorovna Shakirova (Far Eastern Federal University) Natalya Sergeevna Zhuravskaya (Far Eastern Federal University) Alexandra Lobodenko (Far Eastern Federal University)
저널정보
대한비뇨기과학회 Investigative and Clinical Urology Investigative and Clinical Urology Vol.58 No.2
발행연도
2017.1
수록면
109 - 116 (8page)

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초록· 키워드

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Purpose: Comparison of subjective reasons for the refusal of antimuscarinic treatment and the state of objective economic, social, psychological and health status markers in the elderly with overactive bladder. Materials and Methods: One thousand seven hundred thirty-six (1,736) patients participated in the experiment: 1,036 or 59.7% of women, and 700 or 40.3% of men aged over 60 years (average age, 68.1 years) who took antimuscarinic (AM) drugs during the year. The control of objective parameters was carried out by studying patients' medical records, the use of overactive bladder questionnaire short form and Medical Outcomes Study 36-item Shor-Form Health Survey, voiding diaries, uroflowmetry, as well as income certificates from the Tax Inspectorate, support documentation for expenses on drugs. Results: Fifty-two point six percent (52.6%) of patients preserved adherence to treatment during the first 6 months, 30.1% – during the follow-up period. The average time of reaching a 30-day break in the AM drugs administration was 174 days. In 36.5% of cases of the refusal of treatment, patients referred to medical reasons for the refusal, in 31.6% of cases disturbance was established in objective health status markers (differences were significant in 30% of the follow-up time). The percentage of refusals of treatment for social and psychological reasons (13.2%) was significantly lower (p≤0.05), than the percentage of individuals with statuses altered objectively (21.9%). Conclusions: A significant share of elderly patients taking AM drugs when treating overactive bladder is inclined to overestimate the importance of health factors influencing their decisions and to underestimate the importance of social and psychological factors, and an urologist should take it into account for the efficacy evaluation.

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참고문헌 (29)

참고문헌 신청
Sexton CC / 2011 / Prevalence and effect on health-related quality of life of overactive bladder in older americans: results from the epidemiology of lower urinary tract symptoms study / J Am Geriatr 59:1465~1470 google schola Milsom I / 2012 / Effect of bothersome overactive bladder symptoms on health-related quality of life, anxiety, depression, and treatment seeking in theUnited States: results from EpiLUTS / Urology 80:90~96 google schola Coyne KS / 2013 / The impact of OAB on physical activity in the United States: results from OAB-POLL / Urology 82:799~806 google schola Onukwugha E / 2009 / The total economic burden of overactive bladder in the United States: a disease-specific approach / Am J Manag Care 15(4 Suppl):S90~97 google schola Felicilda-Reynaldo RF / 2013 / A review of anticholinergic medications for overactive bladder symptoms / Medsurg Nurs 22:119~123 google schola

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