Tags

Type your tag names separated by a space and hit enter

Solifenacin for overactive bladder with incontinence: symptom bother and health-related quality of life outcomes.
Ann Pharmacother. 2007 Mar; 41(3):391-8.AP

Abstract

BACKGROUND

Approximately one-third of patients with overactive bladder (OAB) experience incontinence, a bothersome symptom with a clear negative effect on quality of life.

OBJECTIVE

To assess OAB patients' perceptions of improvements in symptom bother and quality of life after taking solifenacin under conditions reflecting day-to-day practice.

METHODS

VOLT (the VESIcare Open-Label Trial) was a prospective, open-label study in patients with OAB (defined as urgency, urge urinary incontinence, daytime frequency, or nocturia for > or =3 mo) who were treated with flexibly dosed, once-daily solifenacin for 12 weeks. This study included subjects enrolled in VOLT who, at baseline, had urge incontinence and reported incontinence as their most bothersome symptom. All patients were started on solifenacin 5 mg/day; at week 4, the dosage could be increased to 10 mg/day and at week 8 could be maintained or decreased back to 5 mg/day. Efficacy was assessed by 3 independent patient-reported outcomes: the Patient Perception of Bladder Condition (PPBC) scale, a visual analog scale (VAS) for assessing individual symptoms, and the Overactive Bladder Questionnaire (OAB-q).

RESULTS

Of the 2205 patients in the VOLT full analysis set, 1586 (71.9%) had urge incontinence at baseline, of which 582 (36.7%) reported incontinence as their most bothersome symptom. In this cohort, mean PPBC score at baseline was 4.6 (indicating moderate-to-severe problems) and at endpoint had decreased significantly to 2.9 (very minor to some minor problems; p < 0.001). At endpoint, 80.4% of patients achieved improvement in their PPBC score. These patients reported significant improvements from baseline in urinary urgency, urge incontinence, frequency, and nocturia on the VAS (p < 0.001) and all OAB-q domains (symptom severity, coping, concern, sleep, social, health-related quality of life) at endpoint (p < 0.001).

CONCLUSIONS

Patients reporting urge incontinence as their most bothersome OAB symptom can be expected to demonstrate significant improvements in multiple patient-related outcomes following treatment with flexibly dosed solifenacin.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, Winthrop University Hospital, Mineola, NY 11501, USA. agarely@winthrop.orgNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article
Multicenter Study

Language

eng

PubMed ID

17341526

Citation

Garely, Alan D., et al. "Solifenacin for Overactive Bladder With Incontinence: Symptom Bother and Health-related Quality of Life Outcomes." The Annals of Pharmacotherapy, vol. 41, no. 3, 2007, pp. 391-8.
Garely AD, Lucente V, Vapnek J, et al. Solifenacin for overactive bladder with incontinence: symptom bother and health-related quality of life outcomes. Ann Pharmacother. 2007;41(3):391-8.
Garely, A. D., Lucente, V., Vapnek, J., & Smith, N. (2007). Solifenacin for overactive bladder with incontinence: symptom bother and health-related quality of life outcomes. The Annals of Pharmacotherapy, 41(3), 391-8.
Garely AD, et al. Solifenacin for Overactive Bladder With Incontinence: Symptom Bother and Health-related Quality of Life Outcomes. Ann Pharmacother. 2007;41(3):391-8. PubMed PMID: 17341526.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Solifenacin for overactive bladder with incontinence: symptom bother and health-related quality of life outcomes. AU - Garely,Alan D, AU - Lucente,Vincent, AU - Vapnek,Jonathan, AU - Smith,Neila, Y1 - 2007/03/06/ PY - 2007/3/8/pubmed PY - 2007/5/3/medline PY - 2007/3/8/entrez SP - 391 EP - 8 JF - The Annals of pharmacotherapy JO - Ann Pharmacother VL - 41 IS - 3 N2 - BACKGROUND: Approximately one-third of patients with overactive bladder (OAB) experience incontinence, a bothersome symptom with a clear negative effect on quality of life. OBJECTIVE: To assess OAB patients' perceptions of improvements in symptom bother and quality of life after taking solifenacin under conditions reflecting day-to-day practice. METHODS: VOLT (the VESIcare Open-Label Trial) was a prospective, open-label study in patients with OAB (defined as urgency, urge urinary incontinence, daytime frequency, or nocturia for > or =3 mo) who were treated with flexibly dosed, once-daily solifenacin for 12 weeks. This study included subjects enrolled in VOLT who, at baseline, had urge incontinence and reported incontinence as their most bothersome symptom. All patients were started on solifenacin 5 mg/day; at week 4, the dosage could be increased to 10 mg/day and at week 8 could be maintained or decreased back to 5 mg/day. Efficacy was assessed by 3 independent patient-reported outcomes: the Patient Perception of Bladder Condition (PPBC) scale, a visual analog scale (VAS) for assessing individual symptoms, and the Overactive Bladder Questionnaire (OAB-q). RESULTS: Of the 2205 patients in the VOLT full analysis set, 1586 (71.9%) had urge incontinence at baseline, of which 582 (36.7%) reported incontinence as their most bothersome symptom. In this cohort, mean PPBC score at baseline was 4.6 (indicating moderate-to-severe problems) and at endpoint had decreased significantly to 2.9 (very minor to some minor problems; p < 0.001). At endpoint, 80.4% of patients achieved improvement in their PPBC score. These patients reported significant improvements from baseline in urinary urgency, urge incontinence, frequency, and nocturia on the VAS (p < 0.001) and all OAB-q domains (symptom severity, coping, concern, sleep, social, health-related quality of life) at endpoint (p < 0.001). CONCLUSIONS: Patients reporting urge incontinence as their most bothersome OAB symptom can be expected to demonstrate significant improvements in multiple patient-related outcomes following treatment with flexibly dosed solifenacin. SN - 1542-6270 UR - https://www.unboundmedicine.com/medline/citation/17341526/Solifenacin_for_overactive_bladder_with_incontinence:_symptom_bother_and_health_related_quality_of_life_outcomes_ L2 - https://journals.sagepub.com/doi/10.1345/aph.1H581?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -