| Autor: |
Goode, Patricia S., Burgio, Kathryn L., Locher, Julie L., Roth, David L., Umlauf, Mary G., Richter, Holly E., Varner, R. Edward, Lloyd, L. Keith |
| Předmět: |
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| Zdroj: |
JAMA: Journal of the American Medical Association; 7/16/2003, Vol. 290 Issue 3, p345, 8p, 1 Diagram, 3 Charts, 1 Graph |
| Abstrakt: |
Context: Pelvic floor electrical stimulation (PFES) has been shown to be effective for stress incontinence. However, its role in a multicomponent behavioral training program has not been defined. Objective: To determine if PFES increases efficacy of behavioral training for community-dwelling women with stress incontinence. Design and Setting: Prospective randomized controlled trial conducted from October 1, 1995, through May 1, 2001, at a university-based outpatient continence clinic in the United States. Patients: Volunteer sample of 200 ambulatory, nondemented, community-dwelling women aged 40 to 78 years with stress or mixed incontinence with stress as the predominant pattern; stratified by race, type of incontinence (stress only vs mixed), and severity (frequency of episodes). Interventions: Patients were randomly assigned to 8 weeks (4 visits) of behavioral training, 8 weeks (4 visits) of the behavioral training plus home PFES, or 8 weeks of self-administered behavioral treatment using a self-help booklet (control condition). Main Outcome Measures: Primary outcome was percentage reduction in the number of incontinent episodes as documented in bladder diaries. Secondary outcomes were patient satisfaction and changes in quality of life. Results: Intention-to-treat analysis showed that incontinence was reduced a mean of 68.6% with behavioral training, 71.9% with behavioral training plus PFES, and 52.5% with the self-help booklet (P = .005). In comparison with the self-help booklet, behavioral training (P = .02) and behavioral training plus PFES (P = .002) were significantly more effective, but they were not significantly different from each other (P = .60). The PFES group had significantly better patient self-perception of outcome (P<.001) and satisfaction with progress (P = .02). Significant improvements were seen across all 3 groups on the Incontinence Impact Questionnaire but with no between-group differences. Conclusions: Treatment with PFES did not... [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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