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Evaluation of incontinence and quality of life in patiens with chronic obstructive pulmonary disease (COPD) and bronchiectasis

Claire Brockwell, Allan Clark, Alexandra Baker, Ben Hicken, Gabriela Pardo, Helen Little, Andrew Wilson
European Respiratory Journal 2011 38: p553; DOI:
Claire Brockwell
School of Medicine, University of East Anglia, Norwich, United Kingdom
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Allan Clark
School of Medicine, University of East Anglia, Norwich, United Kingdom
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Alexandra Baker
School of Medicine, University of East Anglia, Norwich, United Kingdom
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Ben Hicken
School of Medicine, University of East Anglia, Norwich, United Kingdom
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Gabriela Pardo
School of Medicine, University of East Anglia, Norwich, United Kingdom
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Helen Little
School of Medicine, University of East Anglia, Norwich, United Kingdom
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Andrew Wilson
School of Medicine, University of East Anglia, Norwich, United Kingdom
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Abstract

Background: Incontinence is common and more prevalent in respiratory disease. Despite this, the effect of incontinence on quality of life in respiratory patients is unknown.

Methods: We conducted a case controlled questionnaire study. We sent the International Consultation on Incontinence Modular Questionnaire (ICIQ), the Leicester Cough Questionnaire (LCQ), the EuroQol 5D (utility) and the MRC questionnaire to 150 patients with COPD, 150 patients with bronchiectasis and 150 controls (orthopaedic surgical patients). The groups were age and gender matched. Mann-Whitney test was used to determine effects of gender and disease.

Results: 164 (81 male) patients and 53 (22 male) controls replied. Overall, females (68%) had more incontinence than males (41%). Median (IQR) values for ICIQ were significantly (p<0.05) higher for female patients (4 (0-7.5)) but not for male patients (0 (0-4)) compared to controls (3 (0-5.5), 0 (0-3.7) respectively). However, male, but not female, patients with incontinence had a significantly (p=0.01) lower utility score, despite no difference in MRC (table).

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Effect of incontinence on quality of life

Conclusion: Incontinence is more common in females but males with incontinence had more impaired overall health related quality of life.

  • © 2011 ERS
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Evaluation of incontinence and quality of life in patiens with chronic obstructive pulmonary disease (COPD) and bronchiectasis
Claire Brockwell, Allan Clark, Alexandra Baker, Ben Hicken, Gabriela Pardo, Helen Little, Andrew Wilson
European Respiratory Journal Sep 2011, 38 (Suppl 55) p553;

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Evaluation of incontinence and quality of life in patiens with chronic obstructive pulmonary disease (COPD) and bronchiectasis
Claire Brockwell, Allan Clark, Alexandra Baker, Ben Hicken, Gabriela Pardo, Helen Little, Andrew Wilson
European Respiratory Journal Sep 2011, 38 (Suppl 55) p553;
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