DMCA
trial of services for urinary symptoms
BibTeX
@MISC{Williams_trialof,
author = {Kate S Williams and Dawn Coleby and Keith R Abrams and David A Turner and Christine Shaw and R Philip Assassa and Nicola J Cooper and Madeleine Mk Donaldson and Catherine W Mcgrother},
title = {trial of services for urinary symptoms},
year = {}
}
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Abstract
Background: Given the extent and priority of urinary symptoms there is little evidence available to inform service provision in relation to the long term effects of interventions. This study aims to determine the long term (6 year) clinical effectiveness and costs of a new continence nurse led service compared to standard care for urinary symptoms. Methods: A long term follow-up study of a 2-arm, non-blinded randomised controlled trial that recruited from a community based population between 1998-2000 in Leicestershire and Rutland UK was undertaken. 3746 men and women aged 40 years and over were followed up from the original trial. The continence nurse practitioner (CNP) intervention comprised a continence service provided by specially trained nurses delivering evidence-based interventions using pre-determined care pathways. The standard care (SC) arm comprised access to existing primary care including General Practitioner and continence advisory services in the area. Primary outcome: Improvement in one or more symptom. Secondary outcomes included: a) Leicester Impact scale; b) patient perception of problem; c) number of symptoms alleviated and cost-effectiveness; all were recorded at long term follow-up (average 6 years) post-randomisation. Results: Overall at long-term follow-up (average 6 years) significantly more individuals in the CNP group (72%) had improved (i.e had fewer symptoms) compared to those in the SC group (67%) (difference of 5 % 95 % (CI = 0.6 to 9;
Keyphrases
urinary symptom continence nurse practitioner trained nurse long term evidence-based intervention new continence nurse primary outcome long term effect controlled trial continence advisory service pre-determined care pathway long-term follow-up sc group primary care standard care rutland uk general practitioner continence service service provision leicester impact scale cnp group original trial long term follow-up study little evidence patient perception secondary outcome clinical effectiveness long term follow-up
