LAUSR

espanolObjetivos Analizar el impacto de los sintomas de vejiga hiperactiva (VH) sobre la actividad laboral de pacientes en Espana. Metodo Estudio observacional, multicentrico y transversal con 149 urologos y 131 ginecologos de Espana que incluyeron pacientes diagnosticados de VH segun criterio clinico, en edad laboral (18-65 anos). Se recogieron datos sociodemograficos, clinicos y de actividad laboral. Los pacientes cumplimentaron el Cuestionario de Autoevaluacion del Control de la Vejiga (CACV) y el Work Productivity and Activity Impairment Questionnaire-General Health (WPAI-GH). Se evaluo el impacto de cada sintoma sobre la actividad diaria y laboral. Los resultados se estratificaron segun genero y presencia de urgencia e incontinencia urinaria (IU) segun el CACV. Resultados Se evaluaron 768 pacientes (89% mujeres), con una media (DE) de edad de 52,5 (9,3) anos y 2,6 (2,6) anos de evolucion de VH. La sintomatologia mas frecuente segun el paciente fue urgencia (89,8%), seguida de nicturia (75,7%), incontinencia urinaria de urgencia (68,5%) y frecuencia (68,2%). El 96% adoptaron medidas adaptativas para la VH. Segun el CACV, 543 pacientes (71%) presentaban urgencia y de estos, 294 (54%) presentaban IU. El sintoma que mas afectaba la actividad laboral fue la frecuencia (59,8%). Segun el WPAI-GH, los pacientes refirieron un impacto del 32% durante la jornada laboral (41% en pacientes con urgencia e IU) y una perdida de tiempo de trabajo del 6,5% (un 9,9% en pacientes con urgencia e IU). Conclusiones Los sintomas de VH impactan negativamente sobre la actividad laboral, especialmente en pacientes que presentan urgencia e IU. EnglishObjectives To analyse the impact of overactive bladder (OAB) symptoms on the work activity of patients in Spain. Method An observational, multicentre cross-sectional study was conducted with 149 urologists and 131 gynaecologists of Spain and included patients diagnosed with OAB, according to clinical judgment, who were of working age (18-65 years). We collected sociodemographic, clinical and work activity data. The patients filled out the Bladder Control Self-Assessment Questionnaire (B-SAQ) and the Work Productivity and Activity Impairment Questionnaire-General Health (WPAI-GH). The effect of each symptom on the daily and occupational activity was assessed. The results were stratified according to sex and the presence of emergency and urinary incontinence (UI) according to the B-SAQ. Results We assessed 768 patients (89% women), with a mean (SD) age of 52.5 (9.3) years and 2.6 (2.6) years of OAB progression. The most common symptoms according to the patients were urgent urination (89.8%), nocturia (75.7%), urge incontinence (68.5%) and frequent urination (68.2%). Ninety-six percent of the patients adopted adaptive measures for their OAB. According to the B-SAQ, 543 patients (71%) presented urgent urination; of these, 294 (54%) showed UI. The symptom that most affected work activity was frequent urination (59.8%). According to the WPAI-GH, the patients reported an impact of 32% during the workday (41% in patients with urgent urination and UI) and a loss of work time of 6.5% (9.9% in patients with urgent urination and UI). Conclusions The symptoms of OAB negatively affect work activity, especially in patients who have urgent urination and UI.