PD13-07 THE MAJORITY OF OVERACTIVE BLADDER PATIENTS DO NOT REQUIRE SPECIALIST CARE

Abstract

You have accessJournal of UrologyGeneral & Epidemiological Trends & Socioeconomics: Advanced Practice Providers1 Apr 2018PD13-07 THE MAJORITY OF OVERACTIVE BLADDER PATIENTS DO NOT REQUIRE SPECIALIST CARE Stephen Strahan, Camille Charbonneau, Richard Baverstock, Trafford Crump, and Kevin Carlson Stephen StrahanStephen Strahan More articles by this author , Camille CharbonneauCamille Charbonneau More articles by this author , Richard BaverstockRichard Baverstock More articles by this author , Trafford CrumpTrafford Crump More articles by this author , and Kevin CarlsonKevin Carlson More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2018.02.781AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Overactive bladder (OAB) is a common condition resulting in a significant number of referrals to specialists. Guidelines recommend patient education and conservative measures prior to medication or invasive techniques to manage OAB. We have established a multidisciplinary model of care employing non-specialist providers in the initial management of these patients. We set out to assess patient reported outcomes (PROs) and satisfaction associated with this model. METHODS From December 2014 to October 2016 patients referred to our clinic with OAB symptoms were prospectively enrolled. PROs (OAB v8, IPSS) were collected at initial consultation. PROs and patient satisfaction based on the Consumer Assessment of Health Care Providers and Systems (CAHPS) were assessed at subsequent follow-up visits for 12 months. Those who did not return for a follow-up visit were mailed a survey package at 12 months. Change in PROs were assessed using paired t-test. Conservative therapies and medications used were assessed for change in PROs using ordinary least squares. RESULTS Of the 301 patients enrolled, 201 (66%) were managed by non-specialist providers without the need to see a urologist. Baseline and end of study PRO and CAHPS data were available for 135 (67%) of these patients. Change in PROs showed statistically significant improvement over the 12-month period. The mean OAB V8 and IPSS scores improved by 5.4 and 4.3 respectively (p<0.001 for each). No single conservative therapy or medication made a statistically significant improvement in PROs on univariate analysis. Patient satisfaction based on CAHPS overall rating was high (8.9/10). CONCLUSIONS The majority of OAB patients do not require management by a specialist to achieve a satisfactory outcome. © 2018FiguresReferencesRelatedDetails Volume 199Issue 4SApril 2018Page: e301-e302 Advertisement Copyright & Permissions© 2018MetricsAuthor Information Stephen Strahan More articles by this author Camille Charbonneau More articles by this author Richard Baverstock More articles by this author Trafford Crump More articles by this author Kevin Carlson More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...