Mirabegron Alleviates the Degree of Burden Experienced by Caregivers of Older Females with Mixed or Urge Incontinence: A Prospective Study
Received 25 October 2020
Accepted for publication 12 January 2021
Published 16 February 2021 Volume 2021:16 Pages 291—299
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 3
Editor who approved publication: Dr Richard Walker
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, Greece
Correspondence: Athanasios Zachariou
Urology Department, Ioannina University, 3 Spyridi Street, Volos, 38221, Greece
Purpose: 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
This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.Download Article [PDF] View Full Text [HTML][Machine readable]