ORIGINAL ARTICLE   Free access

Minerva Urology and Nephrology 2021 December;73(6):831-5

DOI: 10.23736/S2724-6051.20.03735-2

Copyright © 2020 EDIZIONI MINERVA MEDICA

language: English

Night shift workers refer higher urinary symptoms with an impairment quality of life: a single cohort study

Cosimo DE NUNZIO ✉, Antonio NACCHIA, Antonio CICIONE, Angela SICA, Valeria BALDASSARRI, Olivia VOGLINO, Elisa MANCINI, Giorgio GUARNOTTA, Alberto TRUCCHI, Andrea TUBARO

Department of Urology, Sant’Andrea Hospital, Sapienza University, Rome, Italy

BACKGROUND: The aim of the present study is to assess the impact of night shift work (NSW) on urinary symptoms.
METHODS: Between March 2018 to October 2018, we evaluated a group of National Health care system workers. Urinary symptoms and quality of life were measured by Overactive Bladder Questionnaire Short Form (OABq-sf). Clinical variables (i.e. age, smoking status, medical history) were collected and analyzed according to be NS workers (NSWs) from subjects working at least one time from 8 pm to 8 am or from traditional workers (TWs). Univariate and multivariate analysis was performed to identify predictive variables of worse OAB outcomes (OABq-sf>30, OABq-SB≥12, OABq HRQL≥18).
RESULTS: A total of 136 participants (68 males and 68 females) were included in the study. On OABq-sf, total score, symptoms bother (OABq-SB) and health related quality of life (OABq-HRQL) domains were significantly (P<0.05) higher in NSWs group, respectively: 31 (IQR 26-35) vs. 19 (IQR 19-20); 11 (IQR 10-13) vs. 6 (IQR 6-7); 19 (IQR 16-22) vs. 13 (13-14). Finally, seven NSWs (10.6%) referred nocturia respect to only one (1%) TWs, (P=0.02). On multivariate analysis NSW was an independent predictor of OABq-sf>30 units (OR:30; CI: 9-111, P=0.001), OABq-SB ≥12 units (OR:16, CI: 6-43, P=0.001) and OABq HRQL≥18 units (OR:20, CI: 6-70, P=0.001).
CONCLUSIONS: Night shift workers presented worst OAB Score and poor QL when compared to similar traditional workers. Long-term data on NSWs patients are also needed to further clarify this relationship.

KEY WORDS: Lower urinary tract symptoms; Quality of life; Community health workers