Compliance with Percutaneous Tibial Nerve Stimulation at a Tertiary Academic Center versus a County Hospital.
J Health Care Poor Underserved
; 33(3): 1569-1582, 2022.
Article
en En
| MEDLINE
| ID: mdl-36245181
OBJECTIVES: To compare percutaneous tibial nerve stimulation (PTNS) compliance rate at a safety-net versus tertiary academic hospital and assess the impact of social determinants on compliance. METHODS: Retrospective cohort study of 133 patients at Grady Memorial Hospital and Emory Clinic from May 2015 to March 2020 who had refractory overactive bladder (OAB) and were prescribed PTNS. RESULTS: Grady patients were younger (age 58.7±11.6 versus 70.7±13.5), predominantly male (52% versus 22%), and predominately African American (80% versus 34%). Compliance rate for PTNS was 55% at Emory and 70% at Grady. In the multivariable model including sex, race, insurance status, income level, and baseline voiding symptoms, Grady patients had 5.31 times the odds of compliance (p=.02). CONCLUSIONS: Compliance rate at a safety-net hospital was greater and was not affected by demographic and socioeconomic variables. These results support offering PTNS as standard of care to a predominantly Black population with refractory OAB.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Estimulación Eléctrica Transcutánea del Nervio
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Vejiga Urinaria Hiperactiva
Tipo de estudio:
Observational_studies
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Prognostic_studies
Aspecto:
Determinantes_sociais_saude
Límite:
Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
J Health Care Poor Underserved
Asunto de la revista:
SERVICOS DE SAUDE
Año:
2022
Tipo del documento:
Article
Pais de publicación:
Estados Unidos