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RESEARCH PRODUCT
An observational study of patient satisfaction with fesoterodine in the treatment of overactive bladder: effects of additional educational material
Daniel ArumiT.j. CrookT. SchneiderMartin C. MichelFranklin Sunsubject
Malemedicine.medical_specialtyPatient subgroupsPatient satisfactionPost-hoc analysisFesoterodinemedicineHumansBenzhydryl CompoundsPatient Medication KnowledgeAgedAged 80 and overUrinary Bladder Overactivebusiness.industryStandard treatmentGeneral MedicineMiddle Agedmedicine.diseaseDiscontinuationObservational Studies as TopicOveractive bladderPatient SatisfactionPhysical therapyFemaleObservational studybusinessmedicine.drugdescription
Summary Aim To compare the effects of additional educational material on treatment satisfaction of overactive bladder (OAB) patients treated with a muscarinic receptor antagonist. Methods In an observational study of OAB patients being treated by their physician with fesoterodine for 4 months (FAKTEN study), sites were randomised to providing standard treatment or additional educational material including the SAGA tool. Patient satisfaction was assessed by three validated patient-reported outcomes including the Treatment Satisfaction Question. Because of premature discontinuation of the study, descriptive statistical analysis was performed. Results A total of 431 and 342 patients received standard treatment or additional educational material, respectively. At study end, 76.1% [95% CI = 71.3, 80.4] of patients with standard care and 79.6% [95% CI = 74.4, 84.1] with additional SAGA tool were satisfied with treatment (primary end-point). Comparable outcomes with and without the additional educational material were also found in various patient subgroups, at the 1-month time point, and for the other patient-reported outcomes. A notable exception was the subgroup of treatment-naive patients in which the percentage of satisfied patients was 77.2% vs. 89.5% with standard treatment and additional SAGA tool, respectively (post hoc analysis). Discussion and conclusions In an observational study, most overactive bladder patients were satisfied with fesoterodine treatment. Because of the small sample size, the study does not support or refute the hypothesis that adding the SAGA tool will improve patient satisfaction with treatment. The potential effect of additional educational material in treatment-naive patients warrants further dedicated studies.
year | journal | country | edition | language |
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2014-05-05 | International Journal of Clinical Practice |