Frequency of patient-reported UTIs is associated with poor quality of life after spinal cord injury: a prospective observational study

Katherine M. Theisen; Rachel Mann; Joshua D. Roth; Joseph J. Pariser; John T. Stoffel; Sara M. Lenherr; Jeremy B. Myers; Blayne Welk; Sean P. Elliott

doi:10.1038/s41393-020-0481-z

Frequency of patient-reported UTIs is associated with poor quality of life after spinal cord injury: a prospective observational study

Katherine M. Theisen, Rachel Mann, Joshua D. Roth, Joseph J. Pariser, John T. Stoffel, Sara M. Lenherr, Jeremy B. Myers, Blayne Welk, Sean P. Elliott

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22 Scopus citations

Abstract

STUDY DESIGN: Cross-sectional survey of the Neurogenic Bladder Research Group (NBRG) registry; a multicenter prospective observation study.

OBJECTIVES: To assess how patient-reported urinary tract infections (PRUTIs) in spinal cord injury (SCI) affect quality of life (QOL).

SETTING: Multiple United States hospitals.

METHODS: 1479 participants with SCI were asked about neurogenic bladder-related QOL. Eligibility: age ≥ 18 years with acquired SCI. PRUTI frequency over the last year was classified as 0, 1-3, 4-6, or >6. Four UTI QOL domains were assessed: (1) UTIs limited daily activities, (2) UTIs caused increased muscle spasms, (3) UTIs would not go away, and (4) UTIs made me avoid going out. Multivariable regression identified variables associated with poor QOL.

RESULTS: PRUTI frequency was 0 in 388 patients (26%), 1-3 in 677 (46%), 4-6 in 223 (15%), and more than 6 in 190 (13%). Increasing PRUTI rate was independently associated with worse QOL for all four questions. Compared with those with 0 PRUTIs, participants reporting >6 were more likely to limit daily activities (OR 9.0 [95% CI 8.1-21.2] p < 0.0001), experience increased muscle spasms (OR 12.4 [95% CI 7.5-20.6] p < 0.0001), perceive a UTI would not go away (OR 30.1 [95% CI 15.0-60.4] p < 0.0001), and avoid going out because of UTIs (OR 7.2 [95% CI 4.2-12.4] p < 0.0001).

CONCLUSIONS: An increasing rate of PRUTIs is independently associated with worse QOL. Thorough evaluation and treatment may improve QOL in this population.

Original language	English (US)
Pages (from-to)	1274-1281
Number of pages	8
Journal	Spinal Cord
Volume	58
Issue number	12
DOIs	https://doi.org/10.1038/s41393-020-0481-z
State	Published - Nov 2020

Bibliographical note

Funding Information:
Funding This work was partially supported through a Patient-Centered Outcomes Research Institute (PCORI) Award (CER14092138). All statements in this report, including its findings and conclusions, are solely those of the authors and do not necessarily represent the views of PCORI.

Publisher Copyright:
© 2020, The Author(s), under exclusive licence to International Spinal Cord Society.

PubMed: MeSH publication types

Journal Article
Multicenter Study
Observational Study

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@article{4e48a78692c94a9fbab1fb48d6043d26,

title = "Frequency of patient-reported UTIs is associated with poor quality of life after spinal cord injury: a prospective observational study",

abstract = "STUDY DESIGN: Cross-sectional survey of the Neurogenic Bladder Research Group (NBRG) registry; a multicenter prospective observation study.OBJECTIVES: To assess how patient-reported urinary tract infections (PRUTIs) in spinal cord injury (SCI) affect quality of life (QOL).SETTING: Multiple United States hospitals.METHODS: 1479 participants with SCI were asked about neurogenic bladder-related QOL. Eligibility: age ≥ 18 years with acquired SCI. PRUTI frequency over the last year was classified as 0, 1-3, 4-6, or >6. Four UTI QOL domains were assessed: (1) UTIs limited daily activities, (2) UTIs caused increased muscle spasms, (3) UTIs would not go away, and (4) UTIs made me avoid going out. Multivariable regression identified variables associated with poor QOL.RESULTS: PRUTI frequency was 0 in 388 patients (26%), 1-3 in 677 (46%), 4-6 in 223 (15%), and more than 6 in 190 (13%). Increasing PRUTI rate was independently associated with worse QOL for all four questions. Compared with those with 0 PRUTIs, participants reporting >6 were more likely to limit daily activities (OR 9.0 [95% CI 8.1-21.2] p < 0.0001), experience increased muscle spasms (OR 12.4 [95% CI 7.5-20.6] p < 0.0001), perceive a UTI would not go away (OR 30.1 [95% CI 15.0-60.4] p < 0.0001), and avoid going out because of UTIs (OR 7.2 [95% CI 4.2-12.4] p < 0.0001).CONCLUSIONS: An increasing rate of PRUTIs is independently associated with worse QOL. Thorough evaluation and treatment may improve QOL in this population.",

author = "Theisen, {Katherine M.} and Rachel Mann and Roth, {Joshua D.} and Pariser, {Joseph J.} and Stoffel, {John T.} and Lenherr, {Sara M.} and Myers, {Jeremy B.} and Blayne Welk and Elliott, {Sean P.}",

note = "Funding Information: Funding This work was partially supported through a Patient-Centered Outcomes Research Institute (PCORI) Award (CER14092138). All statements in this report, including its findings and conclusions, are solely those of the authors and do not necessarily represent the views of PCORI. Publisher Copyright: {\textcopyright} 2020, The Author(s), under exclusive licence to International Spinal Cord Society.",

year = "2020",

month = nov,

doi = "10.1038/s41393-020-0481-z",

language = "English (US)",

volume = "58",

pages = "1274--1281",

journal = "Spinal Cord",

issn = "1362-4393",

publisher = "Nature Publishing Group",

number = "12",

}

TY - JOUR

T1 - Frequency of patient-reported UTIs is associated with poor quality of life after spinal cord injury

T2 - a prospective observational study

AU - Theisen, Katherine M.

AU - Mann, Rachel

AU - Roth, Joshua D.

AU - Pariser, Joseph J.

AU - Stoffel, John T.

AU - Lenherr, Sara M.

AU - Myers, Jeremy B.

AU - Welk, Blayne

AU - Elliott, Sean P.

N1 - Funding Information: Funding This work was partially supported through a Patient-Centered Outcomes Research Institute (PCORI) Award (CER14092138). All statements in this report, including its findings and conclusions, are solely those of the authors and do not necessarily represent the views of PCORI. Publisher Copyright: © 2020, The Author(s), under exclusive licence to International Spinal Cord Society.

PY - 2020/11

Y1 - 2020/11

N2 - STUDY DESIGN: Cross-sectional survey of the Neurogenic Bladder Research Group (NBRG) registry; a multicenter prospective observation study.OBJECTIVES: To assess how patient-reported urinary tract infections (PRUTIs) in spinal cord injury (SCI) affect quality of life (QOL).SETTING: Multiple United States hospitals.METHODS: 1479 participants with SCI were asked about neurogenic bladder-related QOL. Eligibility: age ≥ 18 years with acquired SCI. PRUTI frequency over the last year was classified as 0, 1-3, 4-6, or >6. Four UTI QOL domains were assessed: (1) UTIs limited daily activities, (2) UTIs caused increased muscle spasms, (3) UTIs would not go away, and (4) UTIs made me avoid going out. Multivariable regression identified variables associated with poor QOL.RESULTS: PRUTI frequency was 0 in 388 patients (26%), 1-3 in 677 (46%), 4-6 in 223 (15%), and more than 6 in 190 (13%). Increasing PRUTI rate was independently associated with worse QOL for all four questions. Compared with those with 0 PRUTIs, participants reporting >6 were more likely to limit daily activities (OR 9.0 [95% CI 8.1-21.2] p < 0.0001), experience increased muscle spasms (OR 12.4 [95% CI 7.5-20.6] p < 0.0001), perceive a UTI would not go away (OR 30.1 [95% CI 15.0-60.4] p < 0.0001), and avoid going out because of UTIs (OR 7.2 [95% CI 4.2-12.4] p < 0.0001).CONCLUSIONS: An increasing rate of PRUTIs is independently associated with worse QOL. Thorough evaluation and treatment may improve QOL in this population.

AB - STUDY DESIGN: Cross-sectional survey of the Neurogenic Bladder Research Group (NBRG) registry; a multicenter prospective observation study.OBJECTIVES: To assess how patient-reported urinary tract infections (PRUTIs) in spinal cord injury (SCI) affect quality of life (QOL).SETTING: Multiple United States hospitals.METHODS: 1479 participants with SCI were asked about neurogenic bladder-related QOL. Eligibility: age ≥ 18 years with acquired SCI. PRUTI frequency over the last year was classified as 0, 1-3, 4-6, or >6. Four UTI QOL domains were assessed: (1) UTIs limited daily activities, (2) UTIs caused increased muscle spasms, (3) UTIs would not go away, and (4) UTIs made me avoid going out. Multivariable regression identified variables associated with poor QOL.RESULTS: PRUTI frequency was 0 in 388 patients (26%), 1-3 in 677 (46%), 4-6 in 223 (15%), and more than 6 in 190 (13%). Increasing PRUTI rate was independently associated with worse QOL for all four questions. Compared with those with 0 PRUTIs, participants reporting >6 were more likely to limit daily activities (OR 9.0 [95% CI 8.1-21.2] p < 0.0001), experience increased muscle spasms (OR 12.4 [95% CI 7.5-20.6] p < 0.0001), perceive a UTI would not go away (OR 30.1 [95% CI 15.0-60.4] p < 0.0001), and avoid going out because of UTIs (OR 7.2 [95% CI 4.2-12.4] p < 0.0001).CONCLUSIONS: An increasing rate of PRUTIs is independently associated with worse QOL. Thorough evaluation and treatment may improve QOL in this population.

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Frequency of patient-reported UTIs is associated with poor quality of life after spinal cord injury: a prospective observational study

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