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The substantial cushioning, excellent traction, and durable construction make it an excellent choice for day hiking and backpacking on moderate terrain. There was a high degree of consistency in experiences, with financial impact being the key difference between the participants of the two countries. Differences between the US and German patient samples may have affected study findings. Sociodemographic information about participants (income, education, geographic distribution, urban/rural setting, race, etc.) was not collected, which also makes it difficult to assess whether our findings are transferable to larger populations. We cannot exclude a selection bias toward women with a higher symptom load and those who perceive a greater impact of UTI on their quality of life. We include our participants’ comments in Table 3, along with our own thoughts. 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