{Reference Type}: Journal Article
{Title}: The impact of bladder problems on well-being in multiple sclerosis - A cross-sectional study.
{Author}: Islamoska S;Forman CR;Panicker JN;Flachenecker P;Phé V;Brichetto G;Blok B;Barken KB;
{Journal}: Mult Scler Relat Disord
{Volume}: 87
{Issue}: 0
{Year}: 2024 Jul 3
{Factor}: 4.808
{DOI}: 10.1016/j.msard.2024.105661
{Abstract}: BACKGROUND: Persons with multiple sclerosis (pwMS) frequently suffer from bladder problems that are not identified and managed optimally, reducing quality of life and increasing risk of health consequences.
OBJECTIVE: This study aimed to investigate associations between bladder problems and well-being of pwMS.
METHODS: The study included 1872 pwMS from France, Germany, Italy, and the UK self-reporting on demographics, MS status, bladder problems and management, and well-being. Logistic regression analyses were performed to investigate associations with self-reported well-being.
RESULTS: Population mean age was 51 years and 79 % were women. Among pwMS, 55 % reported bladder problems indicating overactive bladder (OAB), and 40 % reported self-experienced urinary retention. Self-management of bladder problems was reported by 32 %, 33 % were yet to have problem resolution, and 45 % reported a wish to receive bladder management help. Additionally, 35 % of pwMS reported that bladder problem onset preceded awareness of a link to MS. OAB, problem self-management, and urinary complications were significantly associated with lower well-being.
CONCLUSIONS: Bladder problems affect pwMS across disease subtypes and many attempt self-management. Consequently, pwMS with bladder problems are more likely to experience lower well-being, suggesting an unmet need. Raising awareness of the link between bladder problems and well-being could benefit pwMS living with bladder problems.