Quality of life among patients with multiple sclerosis and voiding dysfunction: a cross-sectional study

(2020) Quality of life among patients with multiple sclerosis and voiding dysfunction: a cross-sectional study. Bmc Urology. ISSN 1471-2490

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Abstract

Background Evaluating the usefulness of treatment requires a direct measurement of the health-related quality of life (QOL). Therefore, this study was carried out aiming to determine the QOL of patients with MS and voiding dysfunction. Methods This cross-sectional study was carried out using multi-stage random cluster sampling method on 602 patients with MS in Isfahan, Iran. All data were collected through interviews using standard questionnaires including International Prostate Symptom Score (IPSS), and the Multiple Sclerosis Quality of Life-54 (MSQOL-54). Data were analyzed using descriptive and inferential statistical tests. Results The prevalence rate of mixed, irritative, and obstructive urinary symptoms was 52.2, 25.5, and 6.5, respectively. The mixed symptom had the highest prevalence among men and women with rates of 56.5 and 51.1, respectively. The prevalence of irritative and obstructive symptoms was, respectively, higher and statistically significant among women alone and men alone (P < 0.05). The prevalence of irritative symptoms was higher among patients with MS, EDSS score <= 3, disease duration of less than 5 years, and with clinically isolated syndrome. In addition, the prevalence of mixed symptoms was higher among patients with MS of over 30 years of age with a Pre-high school degree, severe disability, disease duration of over 10 years, and progressive MS; the difference was statistically significant (P < 0.05). There was a difference in the combined dimensions of physical and mental health of QOL between the two groups with and without urinary symptoms (P < 0.05). Logistic regression analysis revealed that there was a higher probability of a urinary problems among patients with MS and high age 3.273 (1.083-9.860); P = 0.035. Conclusions Mixed urinary symptoms are highly prevalent among MS patients and affect QOL dimensions. In order to improve QOL, more attention and focus should be paid to urinary problems in MS patients.

Item Type: Article
Keywords: Multiple sclerosis Urinary symptoms Quality of life URINARY-TRACT SYMPTOMS DISEASE-RELATED PARAMETERS BLADDER DYSFUNCTION PREVALENCE POPULATION MANAGEMENT IMPACT BOWEL WOMEN CARE
Subjects: WJ Urogenital System > WJ 400-600 Ureter. Bladder. Urethra
WL Nervous System > WL 200-405 Central Nervous System. Disorders. Therapeutics
Divisions: Faculty of Health > Department of Epidemiology and Biostatistics
Faculty of Medicine > Departments of Clinical Sciences > Department of Neurology
Faculty of Nursing and Midwifery > Department of Adult Health Nursing
Faculty of Pharmacy and Pharmaceutical Sciences
Isfahan Kidney Transplantation Research Center
Isfahan Neurosciences Research Center
Isfahan Pharmaceutical Sciences Research center
Journal or Publication Title: Bmc Urology
Journal Index: ISI
Volume: 20
Number: 1
Identification Number: https://doi.org/10.1186/s12894-020-00590-w
ISSN: 1471-2490
Depositing User: Zahra Otroj
URI: http://eprints.mui.ac.ir/id/eprint/13344

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