open access publication

Article, 2024

The impact of bladder problems on well-being in multiple sclerosis – A cross-sectional study

Multiple Sclerosis and Related Disorders, ISSN 2211-0348, 2211-0356, Volume 87, Page 105661, 10.1016/j.msard.2024.105661

Contributors

Islamoska, Sabrina 0000-0002-7693-6142 (Corresponding author) [1] Forman, Christian Riis 0000-0003-1388-0820 [1] Panicker, Jalesh N [2] [3] Flachenecker, Peter [4] Phé, Véronique [5] Brichetto, Giampaolo [6] Blok, Bertil F M [7] Barken, Kim Bundvig 0000-0002-7508-0987 [1]

Affiliations

  1. [1] Coloplast (Denmark)
    2. [NORA names: Coloplast; Private Research; Denmark; Europe, EU; Nordic; OECD];
  2. [2] National Hospital for Neurology and Neurosurgery
    3. [NORA names: United Kingdom; Europe, Non-EU; OECD];
  3. [3] University College London
    4. [NORA names: United Kingdom; Europe, Non-EU; OECD];
  4. [4] Neurologisches Rehabilitationszentrum Quellenhof Bad Wildbad
    5. [NORA names: Germany; Europe, EU; OECD];
  5. [5] Sorbonne University
    6. [NORA names: France; Europe, EU; OECD];

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. CONCLUSION: 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.

Keywords

France, Germany, Italy, MS, MS status, age, analysis, associated with lower well-being, association, awareness, bladder, bladder problems, complications, consequences, cross-sectional study, demographics, disease, disease subtypes, health consequences, help, impact, increased risk, increased risk of health consequences, investigate associations, life, living, logistic regression analysis, lower well-being, management, management help, multiple sclerosis, onset, overactive bladder, persons, population, problem, problem onset, problem resolution, pwMS, quality of life, reduced quality, reduced quality of life, regression analysis, resolution, retention, risk of health consequences, sclerosis, self-management, self-reported well-being, status, study, subtypes, urinary complications, urinary retention, well-being, women, years

Funders

  • Multiple Sclerosis Society

Data Provider: Digital Science

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