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. 2020 Jun;39(5):1584-1591.
doi: 10.1002/nau.24414. Epub 2020 Jun 1.

The association between frailty and detrusor overactivity in older adults

Sikai Song  1 , Chengshi Jin  2 , Puneet Kamal  1 , Anne M Suskind  1
Affiliations

The association between frailty and detrusor overactivity in older adults

Sikai Song et al. Neurourol Urodyn. 2020 Jun.

Abstract

Objective: To explore the relationship between frailty, age, and detrusor overactivity (DO) in older adults presenting to an academic urology practice.

Materials and methods: This study uses the University of California, San Francisco Geriatric Urology Database to examine all adults ages ≥65 years who underwent urodynamic testing from December 2015 to April 2019. All subjects had a timed up and go test (TUGT) as a measure of frailty and were categorized as fast (≤10 seconds), intermediate (11-14 seconds), or slow (≥15 seconds), corresponding to not frail, pre-frail, and frail, respectively. Urodynamic studies were reviewed for the presence of DO. Univariate and multivariate logistic regression were used to examine the relationship between frailty, age, and the presence of DO.

Results: In total, 549 older adults underwent urodynamics during the study period, and 48.5% had a study that demonstrated DO. Individuals with DO tended to be older (18.4% vs 11.0% were ≥80 years; P = .01) and more frail (19.5% vs 13.4% with TUGT ≥5 seconds; P < .01). Multivariate regression demonstrated that DO was associated with both pre-frail and frail TUGT times (adjusted odds ratio [aOR], 2.1; 95% confidence interval [CI], 1.3-3.4; P < .01 for TUGT 11-14 seconds, and aOR, 2.1; 95% CI, 1.1-4.0; P = .02 for TUGT ≥15 seconds). Age was not found to be significantly associated with DO (P's > .05).

Conclusions: Frailty, not age, is associated with DO among older adults undergoing urodynamics. Further research on the role of frailty in the evaluation and management of older adults with DO is warranted to best serve the needs of this population.

Keywords: aging; detrusor overactivity; frailty; overactive bladder; urodynamics.

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References

REFERENCES

    1. Milsom I, Stewart W, Thuroff J. The prevalence of overactive bladder. Am J Manag Care. 2000;6(11 suppl.):565-573.
    1. Brown JS, McGhan WF, Chokroverty S. Comorbidities associated with overactive bladder. Am J Manag Care. 2000;6(11 suppl.):574-579.
    1. Kinsey D, Pretorius SARA, Glover L, Alexander TIM. The psychological impact of overactive bladder: a systematic review. J Health Psychol. 2016;21(1):69-81. https://doi.org/10.1177/1359105314522084
    1. Coyne KS, Wein A, Nicholson S, Kvasz M, Chen C-I, Milsom I. Economic burden of urgency urinary incontinence in the United States: a systematic review. J Manag Care Pharm. 2014;20:130-140. https://doi.org/10.18553/jmcp.2014.20.2.130
    1. Matsukawa Y, Majima T, Ishida S, Funahashi Y, Kato M, Gotoh M. Useful parameters to predict the presence of detrusor overactivity in male patients with lower urinary tract symptoms. Neurourol Urodyn. 2020:1-7. https://doi.org/10.1002/nau.24352

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