ESPU Congress 2018 - Abstract Book

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.