Lugo Salcedo Félix, Sánchez Borrego Rafael
Department of Obstetrics and Gynecolog, DIATROS-Clínica de Atención a la Mujer, AV. Mas Sellares, #16, Gavá, 0850, Barcelona, Spain.
Int Urogynecol J. 2013 Sep;24(9):1559-66. doi: 10.1007/s00192-013-2067-1. Epub 2013 Feb 27.
Overactive bladder (OAB) syndrome is common urological condition, usually underdiagnosed and difficult to identify. The screening of lower urinary tract symptoms (LUTS) through patient self-administered questionnaires can be useful not only for timely identification of these patients but to implement early interventions for symptoms and their implication in a patients' quality of life (QOL). Our objective was to assess the prevalence of OAB symptoms in patients attending general gynecology units in Barcelona, Spain, through a self-administered screening questionnaire.
A cross-sectional, multicenter, observational, epidemiological study was carried out at general gynecology units of ten primary health centers in Barcelona, Spain. The study was conducted during a patient's single visit through self-administered forms. Patients recorded sociodemographic data, medical history and comorbidities, and scored the presence and bother related to specific urological symptoms using the Cuestionario de Autoevaluación del Control de la Vejiga (CACV), the validated Spanish version of the Bladder Control Self-Assessment Questionnaire (B-SAQ). A score ≥6 on the symptoms scale of the CACV was taken as an indicator of suspected OAB.
One thousand and four women aged between 18 and 82 participated in the study. The overall prevalence of OAB was 11.8 %. A patient being >50 years was significantly associated with suspected OAB in comparison with the younger group [odds ratio (OR) 3.1 (2.1-4.7); p < 0,001]. Overactive bladder showed significant association with factors other than age, menopause, and previous urogynecological history, such as high body mass index (BMI) and parity.
The estimated prevalence of suspected OAB in patients attending general gynecological services in Barcelona is 11.8 %. Overweight or obese patients and those with three or more children were found to be at elevated risk for developing OAB.
膀胱过度活动症（OAB）综合征是一种常见的泌尿系统疾病，通常诊断不足且难以识别。通过患者自行填写问卷来筛查下尿路症状（LUTS），不仅有助于及时识别这些患者，还能针对症状及其对患者生活质量（QOL）的影响实施早期干预。我们的目的是通过一份自行填写的筛查问卷，评估西班牙巴塞罗那普通妇科门诊患者中OAB症状的患病率。
在西班牙巴塞罗那的十个初级卫生中心的普通妇科门诊开展了一项横断面、多中心、观察性流行病学研究。该研究通过患者单次就诊时自行填写表格进行。患者记录社会人口统计学数据、病史和合并症，并使用西班牙文版经过验证的膀胱控制自我评估问卷（B-SAQ）的《膀胱自我评估问卷》（CACV）对特定泌尿系统症状的存在情况及困扰程度进行评分。CACV症状量表得分≥6分被视为疑似OAB的指标。
1004名年龄在18至82岁之间的女性参与了研究。OAB的总体患病率为11.8%。与较年轻组相比，年龄>50岁的患者与疑似OAB显著相关[比值比（OR）为3.1（2.1 - 4.7）；p < 0.001]。膀胱过度活动症与年龄、绝经状态和既往泌尿妇科病史以外的因素显著相关，如高体重指数（BMI）和产次。
巴塞罗那普通妇科门诊患者中疑似OAB的估计患病率为11.8%。超重或肥胖患者以及育有三个或更多子女的患者被发现患OAB的风险较高。
