1. Time-Related Changes in Patient Reported Bladder Symptoms and Satisfaction after Spinal Cord Injury
- Author
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Blayne Welk, Chong Zhang, Sean P. Elliott, Odinachi Moghalu, Jeremy B. Myers, John T. Stoffel, and Angela P. Presson
- Subjects
Adult ,Male ,medicine.medical_specialty ,Time Factors ,Adolescent ,Urology ,Urinary Bladder ,Article ,Young Adult ,Catheters, Indwelling ,Quality of life (healthcare) ,Indwelling catheter ,medicine ,Humans ,In patient ,Intermittent Urethral Catheterization ,Patient Reported Outcome Measures ,Prospective Studies ,Registries ,Urinary Bladder, Neurogenic ,skin and connective tissue diseases ,Bladder symptoms ,Spinal cord injury ,Spinal Cord Injuries ,business.industry ,Bladder management ,Health services research ,Patient-centered care ,medicine.disease ,Surgery ,Cross-Sectional Studies ,Patient Satisfaction ,Quality of Life ,Female ,Self Report ,business - Abstract
PURPOSE: Increased time after spinal cord injury (SCI) is associated with a migration to bladder managements with higher morbidity such as indwelling catheter (IDC). Still it is unclear how this affects bladder-related quality of life (QoL). We hypothesized that time from injury (TFI) would be associated with changes in bladder management, symptoms, and satisfaction. MATERIALS AND METHODS: Cross-sectional analysis of time-related changes in patient-reported bladder management, symptoms, and satisfaction, using the Neurogenic Bladder Research Group SCI Registry. Outcomes included: Neurogenic Bladder Symptom Score (NBSS) and bladder-related satisfaction (NBSS-satisfaction). Multivariable regression was performed to assess associations between TFI and outcomes, adjusting for participant characteristics, injury specifics, and psychosocial aspects of health-related QoL. Participants with TFI 20 years. RESULTS: Of 1420 participants, mean age at injury was 29.7(SD13.4) years and mean TFI was 15.2(SD11.6) years. Participants grouped by TFI included 298(21%) 1–5, 340(24%) 6–10, 198(14%) 11–15, 149(10%) 16–20, and 435(31%) >20 years. As TFI increased, clean intermittent catheterization (CIC) declined (55% 1–5 vs. 45% >20 years, p20 years, p20 years from injury (−3.21[CI-1.29,−5.14,p20 years −0.85[CI-1.07,−0.63
- Published
- 2022