The University of Southampton
University of Southampton Institutional Repository

Long term follow-up of a randomised controlled trial of services for urinary symptoms

Record type: Article

Background: Given the extent and priority of urinary symptoms there is little evidence available to inform service provision in relation to the long term effects of interventions. This study aims to determine the long term (6 year) clinical effectiveness and costs of a new continence nurse led service compared to standard care for urinary symptoms.

Methods: A long term follow-up study of a 2-arm, non-blinded randomised controlled trial that recruited from a community based population between 1998-2000 in Leicestershire and Rutland UK was undertaken. 3746 men and women aged 40 years and over were followed up from the original trial. The continence nurse practitioner (CNP) intervention comprised a continence service provided by specially trained nurses delivering evidence-based interventions using pre-determined care pathways. The standard care (SC) arm comprised access to existing primary care including General Practitioner and continence advisory services in the area. Primary outcome: Improvement in one or more symptom. Secondary outcomes included: a) Leicester Impact scale; b) patient perception of problem; c) number of symptoms alleviated and cost-effectiveness; all were recorded at long term follow-up (average 6 years) post-randomisation.

Results: Overall at long-term follow-up (average 6 years) significantly more individuals in the CNP group (72%) had improved (i.e had fewer symptoms) compared to those in the SC group (67%) (difference of 5% 95% (CI = 0.6 to 9;p = 0.02)).

Conclusion: The differences in outcome between the two randomised groups shown immediately post treatment had decreased by half in terms of symptom improvement at long term follow-up. Although the difference was statistically significant, the clinical significance may not be, although the direction of the difference favoured the new CNP service.

Full text not available from this repository.

Citation

Williams, Kate S., Coleby, Dawn, Abrams, Keith R., Turner, David A., Shaw, Christine, Assassa, R. Phillip, Cooper, Nicola J., Donaldson, Madeleine M.K. and McGrother, Catherine W. (2011) Long term follow-up of a randomised controlled trial of services for urinary symptoms BMC Health Services Research, 11, (58) (doi:10.1186/1472-6963-11-58). (PMID:21401941).

More information

Published date: March 2011
Organisations: Primary Care & Population Sciences

Identifiers

Local EPrints ID: 181275
URI: http://eprints.soton.ac.uk/id/eprint/181275
ISSN: 1472-6963
PURE UUID: a3d666e3-056a-478b-bfb6-25f36602fb3b

Catalogue record

Date deposited: 14 Apr 2011 11:51
Last modified: 18 Jul 2017 11:59

Export record

Altmetrics

Contributors

Author: Kate S. Williams
Author: Dawn Coleby
Author: Keith R. Abrams
Author: David A. Turner
Author: Christine Shaw
Author: R. Phillip Assassa
Author: Nicola J. Cooper
Author: Madeleine M.K. Donaldson
Author: Catherine W. McGrother

University divisions


Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×