The Patient-Centric Approach: The Importance of Setting Realistic Treatment Goals

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Context: Overactive bladder (OAB) is a burdensome condition with prevalence rates that increase with age, particularly in men and women aged ≥40 yr. Objective: To identify an evidence-based management strategy to improve health-related quality of life (HRQoL) in patients with OAB. Evidence acquisition: Articles (using a PubMed search) and abstracts regarding OAB management strategies were compiled and assessed in 2010 using a nonsystematic search. Evidence synthesis: Studies from several countries indicate that OAB can have a significant negative effect on patients' HRQoL across age groups, affecting mobility and physical, emotional, and social well-being. OAB symptoms can become more severe over time, with more patients developing urgency urinary incontinence (UUI). Patients with UUI experience an even greater impact on HRQoL than that experienced by those who have OAB without UUI episodes. Investigations of patients' attitudes about OAB and UUI have shown that many patients suffer embarrassment due to their condition and find it difficult to discuss their symptoms with health care providers. Many patients are also unaware of the effective OAB treatment options that are available. It is therefore important for physicians to initiate conversations with their patients about OAB symptoms. Determining the individual disease burden and the outcomes that are important to each patient are essential because reducing the impact of OAB symptoms on HRQoL is an important aspect of managing OAB. Patient-reported outcome questionnaires that assess the individual patient's perceptions of symptoms and treatment goals can facilitate patient-physician communication and can help in setting realistic goals. The Self-Assessment Goal Achievement (SAGA) questionnaire has been developed and validated to provide better understanding of patient-reported treatment goals for patients with lower urinary tract symptoms and can be used for patients with OAB. Conclusions: Positive physician-patient communication, determining individual disease burden and treatment goals, could lead to improved patient satisfaction. Physician-patient communication is critical to better understand patients' needs and to set individualised and realistic goals to facilitate patient satisfaction. © 2011.




Marschall-Kehrel, D., & Spinks, J. (2011, March). The Patient-Centric Approach: The Importance of Setting Realistic Treatment Goals. European Urology, Supplements.

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