title: Increased patient information does not reduce patient anxiety regarding urodynamic studies.
abstract: OBJECTIVE
  To establish if patient anxiety pre-urodynamic investigation can be reduced by providing more information within the patient information sheet (PIS).
  
  
  METHODS
  Two prospective cohorts of consecutive patients (round 1, n = 98 and round 2, n = 94) were asked to complete a visual analogue scale (VAS) quantifying their anxiety prior to urodynamics (UDS) and again after UDS quantifying their anxiety of potentially repeating UDS. Patients in round 1 received the standard hospital PIS. Concurrently with round 1, a parallel group of patients (n = 95) completed a questionnaire regarding their experience of UDS and their post-UDS complications. This information was incorporated into a revised PIS used in round 2.
  
  
  RESULTS
  In both rounds, the VAS reduced post-UDS (Wilcoxon matched-pairs test p < 0.001). In females, pre-UDS VAS was significantly higher in round 2 than round 1 (Mann-Whitney U test p = 0.037). In males, pre-UDS VAS was lower in round 2 than round 1, but this difference was not statistically significant (Mann-Whitney U test p = 0.112). Post-UDS VAS was remarkably similar between round 1 and 2.
  
  
  CONCLUSIONS
  Patients are less anxious about having repeat UDS regardless of the depth of information provided. However, more detailed information before UDS failed to significantly reduce patient anxiety.
authors.affiliation: Department of Urodynamics, Southmead Hospital, Bristol, UK. ebright @ doctors.net.uk
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Bright
authors.forename: Brian A
authors.initials: BA
authors.lastname: Parsons
authors.forename: Lucy
authors.initials: L
authors.lastname: Swithinbank
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001007:Anxiety / Q000209:etiology* / Q000517:prevention & control*; D015331:Cohort Studies; D003955:Diagnostic Tests, Routine / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic / Q000379:methods*; D011446:Prospective Studies; D012737:Sex Factors; D011795:Surveys and Questionnaires; D014563:Urodynamics; D014572:Urology / Q000379:methods*