Please use this identifier to cite or link to this item: https://hdl.handle.net/11499/8996
Title: Cross-sectional study of urinary problems in adults with cerebral palsy: awareness and impact on the quality of life
Authors: Yıldız, Necmettin.
Akkoç, Y.
Ersöz, M.
Gündüz, B.
Erhan, B.
Yesil, H.
Bardak, A.N.
Keywords: Cerebral palsy
Functional status
Quality of life
Urinary problems
adult
Article
awareness
cerebral palsy
cross-sectional study
disease severity
emotion
female
Functional Independence Measure
Functional Mobility Scale
functional status
functional status assessment
Gross Motor Function Classification System
human
King Health Questionnaire
major clinical study
male
medical history
micturition disorder
nocturia
patient referral
physical disability
physician
quadriplegia
quality of life
sex difference
spasticity
urge incontinence
urinary frequency
urinary urgency
adolescent
complication
middle aged
pathophysiology
physiology
questionnaire
risk
urine incontinence
young adult
Adolescent
Adult
Awareness
Cerebral Palsy
Cross-Sectional Studies
Female
Humans
Male
Middle Aged
Quality of Life
Risk
Surveys and Questionnaires
Urinary Incontinence
Young Adult
Publisher: Springer-Verlag Italia s.r.l.
Abstract: We aimed to assess the functional status, urinary problems, and awareness of these problems in adults with cerebral palsy (CP) and their relationship with the quality of life. One-hundred-seventeen adults with CP (53 women, 64 men) were included in this study. Subjects were asked to fill out a urological questionnaire which dealt with urinary symptoms, awareness of urinary problems, and pharmacological treatment they received. Subjects were also assessed with the Gross Motor Function Classification System (GMFCS), Functional Independence Measures (FIM), Functional Mobility Scale (FMS), and King’s Health Questionnaire (KHQ). The mean age of the subjects was 25.3 ± 7.8 years. Of the patients, 83.8% were currently unemployed, 95.7% were single, and 96.5% were living with family. Of the patients, 20.5% had experienced frequency, 38.5% had nocturia, 48.7% had urgency, and 36.8% had urge urinary incontinence. Approximately 80% of the patients did not refer to physician due to urinary problems, and 60% of patients were not recorded history about urinary problem by any physician. Urge urinary incontinence was statistically more frequent in females than males (54.7 and 21.9%,respectively, p < 0.05).Female patients had significantly higher KHQ incontinence impact, role limitation, physical limitation, emotion, incontinence severity measures, and symptom severity subgroup scores than male patients (p < 0.05). Urge urinary incontinence was most frequent (65.4%) in spastic quadriplegic CP (p < 0.05). All functional status scores (GMFCS, FIM-toilet transfer, and FMSs) were worse in spastic quadriplegic patients than other topographical involvement of CP (p < 0.0125). Although the urinary problems are common in adult with CP, it is yet an overlooked condition that could affect quality of life. Therefore, health care professionals, patients, and their caregivers should be aware of the increased risk of urinary problems in these patients. © 2017, Springer-Verlag Italia.
URI: https://hdl.handle.net/11499/8996
https://doi.org/10.1007/s10072-017-2948-z
ISSN: 1590-1874
Appears in Collections:PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection
Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection
Tıp Fakültesi Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection

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