HDR Gateway logo
HDR Gateway logo

Bookmarks

Retrospective database study to describe healthcare resource utilization in patients on antimuscarinics with overactive bladder in England

Safe People

Organisation name

Astellas Pharma Europe Ltd

Organisation sector

Commercial

Applicant name(s)

Kirsten Leyland - Chief Investigator - Astellas Pharma Europe Ltd. - UKKirsten Leyland - Corresponding Applicant - Astellas Pharma Europe Ltd. - UKAmit Kiran - Collaborator - Astellas Pharma Europe Ltd. - UKBas van der Poel - Collaborator - Astellas Pharma Europe Ltd. - UKMatthias Stoelzel - Collaborator - Astellas Pharma Europe Ltd. - UK

Safe Projects

Project ID

CPRD474

Lay summary

Overactive bladder (OAB) is a condition affecting approximately 12% of UK adults, where patients experience increased urgency and frequency of urination, with or without incontinence. The current recommended treatment for OAB is for physicians to prescribe an inexpensive antimuscarinic (AM) agent first, and if that fails to try different AM treatments. The clinical benefit of patients ‘cycling’ through multiple AMs has not been clearly shown, and the burden of this recommendation on the UK healthcare system, in terms of usage and costs, is unknown.

Technical summary

Overactive bladder (OAB) syndrome, characterized by the core symptom of urinary urgency, affects more than 500 million people worldwide, with approximately 12% of UK adults affected. Current National Institute for Health and Care Excellence (NICE) and local formulary guidelines recommend first-line treatment with the lowest-cost antimuscarinic (AM) agent and, if that fails, they encourage ‘cycling’ through multiple antimuscarinic (AM) treatments, despite limited evidence of clinical effectiveness and the unknown healthcare burden placed on UK OAB patients. This study will describe healthcare resource use (HCRU), economic burden, demographic characteristics and treatment patterns in patients who cycle through AM treatments.

Latest approval date

25/03/2021

Safe Data

Dataset(s) name

HES Admitted Patient Care

HES Outpatient

Patient Level Index of Multiple Deprivation

Safe Setting

Access type

Release