Mirabegron Alleviates the Degree of Burden Experienced by Caregivers of Older Females with Mixed or Urge Incontinence: A Prospective Study

Athanasios Zachariou,1,2 Maria Filiponi,2 Aris Kaltsas,1,2 Fotios Dimitriadis,3 Ioannis Champilomatis,1 Athanasios Paliouras,1 Panagiota Tsounapi,4 Charalampos Mamoulakis,5 Atsushi Takenaka,4 Nikolaos Sofikitis1 1Urology Department, School of Medicine, Ioannina University, Ioannina, Greece; 2Inconti...

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Autores principales:	Zachariou A, Filiponi M, Kaltsas A, Dimitriadis F, Champilomatis I, Paliouras A, Tsounapi P, Mamoulakis C, Takenaka A, Sofikitis N
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	mirabegron caregiver zarit burden scale aging incontinence Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/fd7bbfbb33bc4dd7b6e362c3e572ca51
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spelling	oai:doaj.org-article:fd7bbfbb33bc4dd7b6e362c3e572ca512021-12-02T12:18:08ZMirabegron Alleviates the Degree of Burden Experienced by Caregivers of Older Females with Mixed or Urge Incontinence: A Prospective Study1178-1998https://doaj.org/article/fd7bbfbb33bc4dd7b6e362c3e572ca512021-02-01T00:00:00Zhttps://www.dovepress.com/mirabegron-alleviates-the-degree-of-burden-experienced-by-caregivers-o-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Athanasios Zachariou,1,2 Maria Filiponi,2 Aris Kaltsas,1,2 Fotios Dimitriadis,3 Ioannis Champilomatis,1 Athanasios Paliouras,1 Panagiota Tsounapi,4 Charalampos Mamoulakis,5 Atsushi Takenaka,4 Nikolaos Sofikitis1 1Urology Department, School of Medicine, Ioannina University, Ioannina, Greece; 2Incontinence Unit, Physical Medicine and Rehabilitation Centre EU PRATTEIN, Volos, Greece; 3 1st Urology Department, School of Medicine, Aristotle University, Thessaloniki, Greece; 4Urology Department, School of Medicine, Tottori University, Yonago, Japan; 5Urology Department, Medical School, University of Crete, Heraklion, GreeceCorrespondence: Athanasios ZachariouUrology Department, Ioannina University, 3 Spyridi Street, Volos, 38221, GreeceTel +306937227778Fax +302421026932Email zahariou@otenet.grPurpose: Older people, especially women, have the highest known prevalence of urinary incontinence (UI) of any other age-group. Continual care provision for elderly incontinent females is an incredibly arduous process, yet only very few studies have investigated the issue. Aim of the study was to evaluate the impact of mirabegron’s treatment on the degree of burden experienced by caregivers of elderly female patients with UI.Patients and Methods: A hundred and eighty-six caregivers of older females with mixed or urgency UI besides various conditions (strokes, post-operative recovery after major surgery, etc.) were included in the study. Group A comprised 91 patients that did not want to receive any treatment for UI. Group B consisted of 95 elderly females treated for UI with mirabegron 50 mg/daily for three months. All caregivers completed the Zarit Burden Scale (ZBS) questionnaire at the outset and after the three months. All patients completed a bladder diary at the beginning and at the end of the observation/medication period.Results: Patients receiving mirabegron presented a statistically significant improvement in UI parameters. Their caregivers showed a statistically significant decrease in the ZBS total score as well as separate domains.Conclusion: This pilot study confirms that mirabegron administration can improve the quality of life of older females suffering from UI while substantially relieving caregiver burden. Recognizing the physical and emotional reactions of caregivers may help health providers deliver better support and resources to meet the needs of caregivers and patients alike.Keywords: mirabegron, caregiver, Zarit Burden Scale, aging, incontinenceZachariou AFiliponi MKaltsas ADimitriadis FChampilomatis IPaliouras ATsounapi PMamoulakis CTakenaka ASofikitis NDove Medical Pressarticlemirabegroncaregiverzarit burden scaleagingincontinenceGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 16, Pp 291-299 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	mirabegron caregiver zarit burden scale aging incontinence Geriatrics RC952-954.6
spellingShingle	mirabegron caregiver zarit burden scale aging incontinence Geriatrics RC952-954.6 Zachariou A Filiponi M Kaltsas A Dimitriadis F Champilomatis I Paliouras A Tsounapi P Mamoulakis C Takenaka A Sofikitis N Mirabegron Alleviates the Degree of Burden Experienced by Caregivers of Older Females with Mixed or Urge Incontinence: A Prospective Study
description	Athanasios Zachariou,1,2 Maria Filiponi,2 Aris Kaltsas,1,2 Fotios Dimitriadis,3 Ioannis Champilomatis,1 Athanasios Paliouras,1 Panagiota Tsounapi,4 Charalampos Mamoulakis,5 Atsushi Takenaka,4 Nikolaos Sofikitis1 1Urology Department, School of Medicine, Ioannina University, Ioannina, Greece; 2Incontinence Unit, Physical Medicine and Rehabilitation Centre EU PRATTEIN, Volos, Greece; 3 1st Urology Department, School of Medicine, Aristotle University, Thessaloniki, Greece; 4Urology Department, School of Medicine, Tottori University, Yonago, Japan; 5Urology Department, Medical School, University of Crete, Heraklion, GreeceCorrespondence: Athanasios ZachariouUrology Department, Ioannina University, 3 Spyridi Street, Volos, 38221, GreeceTel +306937227778Fax +302421026932Email zahariou@otenet.grPurpose: Older people, especially women, have the highest known prevalence of urinary incontinence (UI) of any other age-group. Continual care provision for elderly incontinent females is an incredibly arduous process, yet only very few studies have investigated the issue. Aim of the study was to evaluate the impact of mirabegron’s treatment on the degree of burden experienced by caregivers of elderly female patients with UI.Patients and Methods: A hundred and eighty-six caregivers of older females with mixed or urgency UI besides various conditions (strokes, post-operative recovery after major surgery, etc.) were included in the study. Group A comprised 91 patients that did not want to receive any treatment for UI. Group B consisted of 95 elderly females treated for UI with mirabegron 50 mg/daily for three months. All caregivers completed the Zarit Burden Scale (ZBS) questionnaire at the outset and after the three months. All patients completed a bladder diary at the beginning and at the end of the observation/medication period.Results: Patients receiving mirabegron presented a statistically significant improvement in UI parameters. Their caregivers showed a statistically significant decrease in the ZBS total score as well as separate domains.Conclusion: This pilot study confirms that mirabegron administration can improve the quality of life of older females suffering from UI while substantially relieving caregiver burden. Recognizing the physical and emotional reactions of caregivers may help health providers deliver better support and resources to meet the needs of caregivers and patients alike.Keywords: mirabegron, caregiver, Zarit Burden Scale, aging, incontinence
format	article
author	Zachariou A Filiponi M Kaltsas A Dimitriadis F Champilomatis I Paliouras A Tsounapi P Mamoulakis C Takenaka A Sofikitis N
author_facet	Zachariou A Filiponi M Kaltsas A Dimitriadis F Champilomatis I Paliouras A Tsounapi P Mamoulakis C Takenaka A Sofikitis N
author_sort	Zachariou A
title	Mirabegron Alleviates the Degree of Burden Experienced by Caregivers of Older Females with Mixed or Urge Incontinence: A Prospective Study
title_short	Mirabegron Alleviates the Degree of Burden Experienced by Caregivers of Older Females with Mixed or Urge Incontinence: A Prospective Study
title_full	Mirabegron Alleviates the Degree of Burden Experienced by Caregivers of Older Females with Mixed or Urge Incontinence: A Prospective Study
title_fullStr	Mirabegron Alleviates the Degree of Burden Experienced by Caregivers of Older Females with Mixed or Urge Incontinence: A Prospective Study
title_full_unstemmed	Mirabegron Alleviates the Degree of Burden Experienced by Caregivers of Older Females with Mixed or Urge Incontinence: A Prospective Study
title_sort	mirabegron alleviates the degree of burden experienced by caregivers of older females with mixed or urge incontinence: a prospective study
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/fd7bbfbb33bc4dd7b6e362c3e572ca51
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Mirabegron Alleviates the Degree of Burden Experienced by Caregivers of Older Females with Mixed or Urge Incontinence: A Prospective Study

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