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88
29
th
CONGRESS OF THE ESPU
14:43–14:46
S10-2 (PP)
MULTIVARIATE ANALYSIS OF FACTORS AFFECTING
THE COMPLIANCE OF ADOLESCENCE PATIENTS FOR
CLEAN INTERMITTENT CATHETERIZATION: A HARD TOPIC
IN TRANSITIONAL UROLOGY FOCUSING ON QUALITY
OF LIFE
Perviz HAJIYEV
1
, Aykut AKINCI
2
, Baris ESEN
2
, Gunay EKBERLI
1
, Adem SANCI
2
,
Tarkan SOYGUR
1
and Berk BURGU
1
1) Ankara University- School of Medicine, Paediatric Urology, Ankara, TURKEY - 2) Ankara University- School
of Medicine, Urology, Ankara, TURKEY
PURPOSE
We aimed to identify the impact of several factors including quality of life in that can predict the CIC
compatibility young patients.
MATERIAL AND METHODS
Weconductedacross-sectionaldatastudytodefinetheimpactofmultiplefactors(age,gender,frequency
of CIC, quality of life,presence of catheterizable channels and cystoplasty, starting age of CIC,
self-sufficiency for CIC (hand function), renal and continence status and initial diagnosis, mobility
and body mass index, referring specialist,) on CIC compliance in adolescents. Compatibility was
investigated with a questionnaire to be filled in both by parents and the teenager. Besides the
patient was asked to video-record his/her face before each CIC for a period of one week to reliably
document the compliance. Each patient was asked to fill in a validated quality of life evaluation form.
Incompatibility was defined as skipping more than 25 % of the prescribed CIC/per week and/ or
a high score(>14)in the compliance questionnaire.
RESULTS
56 out 63 patients (12–21 years/mean age 14.5) under CIC who had reliable results were evaluated.
The age at which CIC began 2.3–14.7 years (median 5.6) and follow up interval to the interview
ranged from 6 months–14years (median 5.7). Patients were evaluated in three age-related groups
as 12–15/15–18/18–21. The CIC frequency ranged from 3 to 6 hours (median 4). Only 3patients
had overnight catheterization. While 12–15 age interval, male gender, late start on CIC, low quality
of life score and absence of catheterizable channels were statistically significantly had a negative
effect on compliance in univariate analysis, multivariate analysis revealed that 12–15age interval
and late-onset were the only statistically significant parameter affecting the compliance rate.
CONCLUSIONS
Children of specific age group especially transiting from childhood to teenager period are to less
adherent, apart from every single entity, only the age that initial CIC started seems to be the most
important for patient compliance.