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Racial and Ethnic Differences in Urodynamic Parameters in Women With Overactive Bladder Symptoms.
- Source :
-
Female pelvic medicine & reconstructive surgery [Female Pelvic Med Reconstr Surg] 2020 Feb; Vol. 26 (2), pp. 141-145. - Publication Year :
- 2020
-
Abstract
- Objectives: This study aimed to identify differences in severity of overactive bladder (OAB) symptoms in women of different races and ethnicities using urodynamic study (UDS) parameters.<br />Methods: We performed a 5-year retrospective chart review from January 2014 to January 2019 of women 18 years and older who endorsed OAB symptoms and underwent UDS at a racially and ethnically diverse academic urban medical center. Logistic and linear regressions were used to examine the associations of various UDS parameters between racial/ethnic groups, after adjusting for age, diabetes, and parity.<br />Results: A total of 161 women with an average age of 59 years were included in the study. The racial/ethnic composition of the group was Hispanic (62%), black (24%), and white (11%). Symptoms on presentation included urgency and/or frequency (11.8%), urge incontinence (23.0%), or mixed urinary symptoms (65.2%). Black and Hispanic women presented with differing symptoms (urgency/frequency vs mixed urinary symptoms). Half of the patients (n = 82) had detrusor overactivity. Compared with whites, blacks were 3.4-fold more likely to have detrusor overactivity (95% confidence interval, 0.99-11.40) and had lower volumes at time of "strong desire" (-102.6 mL, P = 0.003). Hispanics had on average 75.88 mL less volume at sensation of "strong desire" (P = 0.016) than did whites.<br />Conclusions: Our study suggests that minority race and ethnicity may be associated with worse performance on certain UDS parameters. Future studies should aim to understand if these differences are due to genetic, disease-related, behavioral, and/or socioeconomic factors and whether these differences are associated with worse subjective OAB.
- Subjects :
- Black or African American statistics & numerical data
Diagnostic Self Evaluation
Female
Hispanic or Latino statistics & numerical data
Humans
Middle Aged
Reproductive History
Risk Assessment methods
Risk Factors
Severity of Illness Index
White People statistics & numerical data
Urinary Bladder, Overactive diagnosis
Urinary Bladder, Overactive ethnology
Urinary Bladder, Overactive physiopathology
Urinary Incontinence, Urge diagnosis
Urinary Incontinence, Urge ethnology
Urinary Incontinence, Urge physiopathology
Urodynamics physiology
Subjects
Details
- Language :
- English
- ISSN :
- 2154-4212
- Volume :
- 26
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Female pelvic medicine & reconstructive surgery
- Publication Type :
- Academic Journal
- Accession number :
- 31990803
- Full Text :
- https://doi.org/10.1097/SPV.0000000000000838