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Asian Journal of Urology, 2017, 4(1): 50-54    
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Addressing quality of life in the patient with interstitial cystitis/bladder pain syndrome
Vinaya Vasudevan, Robert Moldwin
Department of Urology, The Smith Institute for Urology, Northwell Health, New Hyde Park, NY, USA
Addressing quality of life in the patient with interstitial cystitis/bladder pain syndrome
Vinaya Vasudevan, Robert Moldwin
Department of Urology, The Smith Institute for Urology, Northwell Health, New Hyde Park, NY, USA
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摘要 Interstitial cystitis/bladder pain syndrome (IC/BPS) is a debilitating, chronic condition characterized by chronic pelvic pain, urinary urgency, and frequency and is well-known to be associated with a decrease in work productivity, emotional changes, sleep, sexual dysfunction, and mobility. Many metrics of quality of life (QoL) in this patient population have been developed; however, a unified, standardized approach to QoL in these patients has not been determined. The effects of IC/BPS and co-morbid conditions on QoL are described using current validated metrics. Next, data regarding successful treatment of IC/BPS in terms of QoL improvement are reviewed. While QoL is the single most important clinical measure of success in the treatment of patients suffering from IC/BPS, addressing QoL in this patient population remains a significant challenge, as its effects on QoL are highly variable and unable to be differentiated from the effects of comorbid conditions on QoL, including depression, poor sleep, and inability to work. Future studies will need to address treatment efficacy on the basis of IC/BPS specific QoL metrics, and multi-modal assessment and therapy to address comorbid disease will also play an important role in the future to ensure comprehensive management of these patients.
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Vinaya Vasudevan
Robert Moldwin
关键词:  Interstitial cystitis  Painful bladder syndrome  Quality of life  Interstitial cystitis symptom index (ICSI)  O'Leary-Sant questionnaire  King's health questionnaire  Chronic pelvic pain    
Abstract: Interstitial cystitis/bladder pain syndrome (IC/BPS) is a debilitating, chronic condition characterized by chronic pelvic pain, urinary urgency, and frequency and is well-known to be associated with a decrease in work productivity, emotional changes, sleep, sexual dysfunction, and mobility. Many metrics of quality of life (QoL) in this patient population have been developed; however, a unified, standardized approach to QoL in these patients has not been determined. The effects of IC/BPS and co-morbid conditions on QoL are described using current validated metrics. Next, data regarding successful treatment of IC/BPS in terms of QoL improvement are reviewed. While QoL is the single most important clinical measure of success in the treatment of patients suffering from IC/BPS, addressing QoL in this patient population remains a significant challenge, as its effects on QoL are highly variable and unable to be differentiated from the effects of comorbid conditions on QoL, including depression, poor sleep, and inability to work. Future studies will need to address treatment efficacy on the basis of IC/BPS specific QoL metrics, and multi-modal assessment and therapy to address comorbid disease will also play an important role in the future to ensure comprehensive management of these patients.
Key words:  Interstitial cystitis    Painful bladder syndrome    Quality of life    Interstitial cystitis symptom index (ICSI)    O'Leary-Sant questionnaire    King's health questionnaire    Chronic pelvic pain
收稿日期:  2016-08-04      修回日期:  2016-08-09           出版日期:  2017-01-01      发布日期:  2017-02-16      整期出版日期:  2017-01-01
通讯作者:  Vinaya Vasudevan, E-mail address:vvasudevan@northwell.edu    E-mail:  vvasudevan@northwell.edu
引用本文:    
Vinaya Vasudevan, Robert Moldwin. Addressing quality of life in the patient with interstitial cystitis/bladder pain syndrome[J]. Asian Journal of Urology, 2017, 4(1): 50-54.
Vinaya Vasudevan, Robert Moldwin. Addressing quality of life in the patient with interstitial cystitis/bladder pain syndrome. Asian Journal of Urology, 2017, 4(1): 50-54.
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