Introduction and hypothesis
Standardized measures enable the comparison of outcomes across providers and treatments giving valuable information for improving care quality and efficacy. The aim of this project was to define a minimum standard set of outcome measures and case-mix factors for evaluating the care of patients with overactive bladder (OAB).
Methods
The International Consortium for Health Outcomes Measurement (ICHOM) convened an international working group (WG) of leading clinicians and patients to engage in a structured method for developing a core outcome set. Consensus was determined by a modified Delphi process, and discussions were supported by both literature review and patient input.
Results
The standard set measures outcomes of care for adults seeking treatment for OAB, excluding residents of long-term care facilities. The WG focused on treatment outcomes identified as most important key outcome domains to patients: symptom burden and bother, physical functioning, emotional health, impact of symptoms and treatment on quality of life, and success of treatment. Demographic information and case-mix factors that may affect these outcomes were also included.
Conclusions
The standardized outcome set for evaluating clinical care is appropriate for use by all health providers caring for patients with OAB, regardless of specialty or geographic location, and provides key data for quality improvement activities and research.
Caroline Foust-WrightStephanie WissigCaleb StowellElizabeth OlsonAnita AndersonJennifer AngerLinda CardozoNikki CotterillElizabeth Ann GormleyPhilip Toozs-HobsonJohn HeesakkersPeter HerbisonKate MooreJessica McKinneyAbraham MorseSamantha PulliamGeorge SzonyiAdrian WaggIan Milsom
Disease Category: Urology
Disease Name: Prolapse, incontinence, overactive bladder
Age Range: Unknown
Sex:
Nature of Intervention:
- Clinical experts
- Consumers (patients)
- Researchers
- COS for practice
- Delphi process
- Focus group(s)
- Literature review