Abstract：
OBJECTIVE:To evaluate differences in prevalence, overactive bladder (OAB) risk factors, and OAB treatment in a diverse population of underrepresented racial/ethnic groups. METHODS:This is a retrospective cohort study of women ≥ 18 years who had an OAB diagnosis code from June 1, 2013 to June 30, 2016. Women who had neurogenic bladder or pelvic cancer were excluded. OAB risk factors included age, body mass index, socioeconomic status, diabetes, and smoking. OAB treatment included consultation with a specialist, diagnostic testing, medication, and third-line therapy (neuromodulation or chemodennervation). ANOVA and Chi-square were used to compare continuous and categorical variables. Multivariable logistic regression models were developed to examine the association between racial/ethnic groups and OAB management while controlling for risk factors. RESULTS:OAB prevalence was 4.41% (5407/122,606) and was highest in Hispanic women. Black and Hispanic women were significantly younger, had a higher median body mass index, higher rate of diabetes, and lower socioeconomic status compared to White women. There was no racial difference in OAB prescriptions. Black women were less likely to consult with a specialist in multivariable analysis. CONCLUSION:OAB prevalence and presence of OAB risk factors was highest in Hispanic and Black women. Black women were less likely to consult with a specialist suggesting that Black women receive initial therapy from primary care physicians. Future studies will evaluate if racial differences in OAB treatment are due to patient preference or provider practices.
journal_name
Urologyjournal_title
Urologyauthors
Mckellar K,Bellin E,Schoenbaum E,Abraham Ndoi
10.1016/j.urology.2018.12.021subject
Has Abstractpub_date
2019-04-01 00:00:00pages
70-75eissn
0090-4295issn
1527-9995pii
S0090-4295(18)31345-1journal_volume
126pub_type
杂志文章相关文献
UROLOGY文献大全abstract：OBJECTIVES:Prostate cancer incidence varies significantly among different ethnic groups. However, little is known about the survival outcome among groups. We sought to compare the survival outcome in patients with metastatic prostate cancer among different ethnic groups and to identify independent prognostic factors af...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2008.01.026
更新日期：2008-12-01 00:00:00
abstract：OBJECTIVES:The aim of this study was to: (1) determine effects of finasteride on transition zone (TZ) volume, TZ ratio (TZ volume/total prostate volume), and total prostate volume; (2) analyze differences in TZ and total volume reduction among patients who improve peak urinary flow rates following finasteride therapy w...
journal_title：Urology
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/0090-4295(95)80015-8
更新日期：1995-02-01 00:00:00
abstract：OBJECTIVES:To evaluate the effect of tamsulosin on reducing the serum levels of prostate-specific antigen (PSA) in patients with lower urinary tract symptoms and an elevated PSA level. METHODS:From June 2004 to July 2006, patients with lower urinary tract symptoms, a PSA level of >or=4 ng/mL, and a maximal flow rate o...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2009.12.083
更新日期：2010-08-01 00:00:00
abstract：OBJECTIVE:To assess effects of tadalafil vs placebo on prostatic blood flow measured by transrectal ultrasonography in men aged ≥45 years with moderate-to-severe benign prostatic hyperplasia-lower urinary tract symptoms. METHODS:After screening and washout, patients were randomized to placebo (n = 50) or tadalafil 5 m...
journal_title：Urology
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1016/j.urology.2014.02.063
更新日期：2014-08-01 00:00:00
abstract：OBJECTIVES:To correlate the clinical outcomes of 148 patients with clear cell renal carcinoma treated at a single institution with a variety of other factors. METHODS:Cases were derived from a consecutive series of nephrectomy specimens obtained from 1980 to 1994. A retrospective review of clinical records was perform...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(99)00408-2
更新日期：2000-01-01 00:00:00
abstract：OBJECTIVES:To perform a population-based study on the quality of life (QOL) after prostate cancer treatment in a rural and disadvantaged population, because these have been sparse. METHODS:We conducted a follow-up study of 260 men with incident prostate cancer in a largely rural area of Southwest Georgia. The subjects...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2010.12.027
更新日期：2011-04-01 00:00:00
abstract：OBJECTIVES:We sought to compare the results of different therapeutic strategies in patients with horseshoe kidneys and urolithiasis. METHODS:The records of 47 patients (28 male, 19 female; mean age, 42 years) with horseshoe kidney treated for urolithiasis from 1983 to 1994 were reviewed retrospectively and follow-up s...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(99)80412-9
更新日期：1996-02-01 00:00:00
abstract：:Seventy-nine cases of transitional cell carcinoma of the bladder in the age group under thirty years have been reviewed. The diagnosis and treatment are the same as in the older age group. The tumors are usually of low grade and low stage, but they can become more aggressive and more malignant. Contrary to previously ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(79)90453-9
更新日期：1979-05-01 00:00:00
abstract：OBJECTIVES:To determine the response to sildenafil citrate (Viagra) in patients with erectile dysfunction after radiation therapy for localized prostate cancer. METHODS:Baseline and follow-up data from 21 patients presenting with erectile dysfunction after radiation treatment for clinical T1-2 prostate cancer were obt...
journal_title：Urology
pub_type： 临床试验,杂志文章
doi：10.1016/s0090-4295(99)00146-6
更新日期：1999-08-01 00:00:00
abstract：OBJECTIVES:Prior investigations evaluating the presence of human papillomavirus (HPV) in prostatic tissue by polymerase chain reaction (PCR) technology have yielded detection rates of 0% to 100%. Contamination by viral DNA from prostatic urethral colonization or less than optimal laboratory conditions have been suggest...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/S0090-4295(97)00126-X
更新日期：1997-07-01 00:00:00
abstract：OBJECTIVE:To measure past active surveillance (AS) adoption rates, institute the best practice, and measure the AS adoption rates following implementation. We report our findings over a 3-year period. METHODS:Patient prostate needle biopsy and treatment data from the period August 2011 to August 2014 were retrieved fr...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2015.11.053
更新日期：2016-07-01 00:00:00
abstract：:We report a case of granulocytic sarcoma of the urinary bladder, with no evidence of hematologic involvement. The patient was initially misdiagnosed and was treated with chemotherapy for transitional carcinoma grade 3. Despite this treatment, the clinical features of the patient progressed, and a repeated biopsy yield...
journal_title：Urology
pub_type： 杂志文章,评审
doi：10.1016/s0090-4295(02)01750-8
更新日期：2002-08-01 00:00:00
abstract：:The urologic literature reports excellent success with minimal complications utilizing electrohydraulic lithotresis for bladder calculi. Our recent experience with 10 patients suggests that small stones of struvite/carbonate apatite composition can be fragmented easily, but larger stones, particularly of uric acid or ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(80)90071-0
更新日期：1980-08-01 00:00:00
abstract：OBJECTIVES:To develop a method for assessing absolute renal function (as well as morphology) in children, using gamma camera imaging of intravenously injected technetium-99m (99mTc) dimercaptosuccinic acid (DMSA). METHODS:Forty-five children (ages 1 week to 10 years; mean, 2.0 years) were imaged using a planar techniq...
journal_title：Urology
pub_type： 临床试验,杂志文章
doi：10.1016/s0090-4295(99)80461-0
更新日期：1996-03-01 00:00:00
abstract：:Paraurethral cysts in the female neonate are uncommon lesions. All reported cases have either ruptured spontaneously or responded to simple marsupialization. However, complete urologic evaluation is mandatory because they simulate ectopic ureteroceles in appearance. Herein is reported our experience with 5 patients. T...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(76)90191-6
更新日期：1976-05-01 00:00:00
abstract：OBJECTIVES:To describe the use of an innovative 5-part Percutaneous Access Needle with Glidewire (5-PANG), a novel technique in an attempt to make percutaneous nephrolithotomy (PCNL-a routinely performed procedure) tract establishment a fast, safe, and less cumbersome procedure. METHODS:An access needle (5-PANG needle...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2009.11.027
更新日期：2010-05-01 00:00:00
abstract：OBJECTIVE:To correlate sperm mitochondrial respiratory efficiency with variations in sperm motility and with sperm morphologic anomalies. METHODS:Sperm mitochondrial respiratory activity was evaluated with a polarographic assay of oxygen consumption carried out in hypotonically-treated sperm cells. A possible relation...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2011.12.042
更新日期：2012-04-01 00:00:00
abstract：:A murine transitional cell carcinoma tumor model has been used to evaluate the combined use of radiotherapy and three chemotherapeutic agents, doxorubicin hydrochloride (Adriamycin), cyclophosphamide, and cis-diamminedichloroplatinum. The preliminary radiation therapy evaluation demonstrated that the tumor is radiosen...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(79)90212-7
更新日期：1979-07-01 00:00:00
abstract：OBJECTIVES:To determine whether needle biopsy of the posterolateral aspects of the prostate aids in prostate cancer detection. In the routine sextant biopsy strategy, the posterolateral aspects of the prostate are not sampled. METHODS:Using an 18-gauge biopsy gun, we performed sextant biopsies and an additional nine n...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(01)00979-7
更新日期：2001-06-01 00:00:00
abstract：OBJECTIVE:To investigate the characteristics and outcomes of late recurrence (LR) in patients with bladder cancer (BCa) treated with radical cystectomy (RC) and to identify clinicopathologic predictors of LR and postrecurrence survival. MATERIALS AND METHODS:This multicenter study included 1652 BCa patients. LR was de...
journal_title：Urology
pub_type： 杂志文章,多中心研究
doi：10.1016/j.urology.2017.04.049
更新日期：2017-08-01 00:00:00
abstract：OBJECTIVES:Urologists routinely use the systematic sextant needle biopsy technique to detect prostate cancer. However, recent evidence suggests that this technique has a significant sampling error. We developed a novel three-dimensional (3D) computer-assisted prostate biopsy simulator based on whole-mounted step-sectio...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(99)00068-0
更新日期：1999-05-01 00:00:00
abstract：OBJECTIVES:There are large interindividual differences in response to medical therapy for men with benign prostatic hyperplasia. Selection of patients for alpha-blocker versus hormonal treatment is often based more on assumptions than on well-documented knowledge. A more scientifically based decision of therapy has a p...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(00)00629-4
更新日期：2000-08-01 00:00:00
abstract：OBJECTIVE:To provide insights into the role of multiparametric magnetic resonance imaging (mpMRI) in predicting oncological control following 2 focal ablation (FA) templates for selective cases of prostate cancer. MATERIALS AND METHODS:A total of 59 radical prostatectomies were performed between 2012 and 2016 on cases...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2017.10.014
更新日期：2018-02-01 00:00:00
abstract：OBJECTIVES:To review the incidence and management of rectal injury in 4400 consecutive cases of robotic radical prostatectomy at a single institution. MATERIAL AND METHODS:From September 2001 to September 2009, 4400 patients underwent robotic radical prostatectomy. We reviewed the intraoperative and postoperative data...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2010.11.045
更新日期：2011-04-01 00:00:00
abstract：:Testicular torsion in children is not uncommon emergency problem which occur due to twist in the spermatic cord leading to ischemia or infarction to testicle. Hemorrhagic infarction can occur following testicular torsion is globally; however, in extremely rare situation, such infarction can be segmental. Segmental tes...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2020.07.056
更新日期：2020-08-10 00:00:00
abstract：:We report a case of Stage T4aN2M0 urachal carcinoma that was diagnosed early in pregnancy. Because positive pelvic lymph nodes and uterine involvement were present, surgical resection, including hysterectomy with termination of the pregnancy, and postoperative radiotherapy were performed. The treatment options, which ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2005.12.041
更新日期：2006-06-01 00:00:00
abstract：OBJECTIVE:To compare the clinical outcomes of transumbilical multiport laparoscopic orchiopexy (TMLO) vs standard laparoscopic orchiopexy (SLO) for 1-stage management of impalpable testes in children. MATERIALS AND METHODS:A total of 30 patients underwent primary TMLO from January 2010 to December 2011. An additional ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2012.07.076
更新日期：2012-12-01 00:00:00
abstract：:Micturition reflex instability may result from malfunction of the detrusor reflex or instability of the pudendal nucleus which innervates the pelvic floor muscles and external sphincter. Detrusor instability is the result of sacral micturition reflex center (SMRC) hyperexcitability. This may be caused by underinhibiti...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(80)90434-3
更新日期：1980-03-01 00:00:00
abstract：:A simple technique for performing the vascular anastomoses in renal transplantation is presented. It utilizes ipsilateral side-to-end vascular anastomoses using the external iliac arteries and punch anastomoses. Using this method, transplantation of kidneys is simplified despite short, multiple, or unequal caliber of ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(84)90205-x
更新日期：1984-10-01 00:00:00
abstract：:Radioimmunoassay techniques for the detection of serum acid phosphatase are reported to provide substantial improvement in test sensitivity and test specificity. Calculation of the positive predictive value for this assay, however, does not support its use as a screening modality. Indiscriminate use of this test may h...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(80)90034-5
更新日期：1980-09-01 00:00:00
