Active encouragement of older women with urinary incontinence in primary care to undergo diagnosis and treatment
| Autor: | Sacha la Bastide-van Gemert, Boudewijn J. Kollen, Els Visser, Marjolein Y. Berger, Embert J. Messelink, Janny H. Dekker, Geertruida H. de Bock, Edwin R. van den Heuvel, Aaltje J. Schram |
|---|---|
| Přispěvatelé: | Damage and Repair in Cancer Development and Cancer Treatment (DARE), Life Course Epidemiology (LCE), Stochastic Studies and Statistics, Basic and Translational Research and Imaging Methodology Development in Groningen (BRIDGE) |
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
Stress incontinence Population Urinary incontinence Directive Counseling STRESS-INCONTINENCE General Biochemistry Genetics and Molecular Biology law.invention Quality of life Randomized controlled trial law Internal medicine Surveys and Questionnaires medicine Odds Ratio INTERNATIONAL CONTINENCE SOCIETY MANAGEMENT Humans Mass Screening QUALITY Cluster randomised controlled trial TERMINOLOGY education Aged education.field_of_study Primary Health Care business.industry Urinary Bladder Overactive Obstetrics and Gynecology Odds ratio Middle Aged Patient Acceptance of Health Care STANDARDIZATION medicine.disease Confidence interval LIFE Logistic Models SEVERITY Physical therapy Quality of Life PELVIC ORGAN PROLAPSE Female medicine.symptom business General practice |
| Zdroj: | Maturitas, 80(2), 212-219. ELSEVIER IRELAND LTD |
| ISSN: | 0378-5122 |
| Popis: | Objectives The URINO trial investigated the effect of offering treatment to older women with urinary incontinence in the general population, who had not sought help on their own initiative. Study design In a cluster randomized trial, 14 general practitioners were matched into pairs and randomly allocated to an intervention or a control group. Women aged ≥55 years registered in the participating practices were asked about urinary incontinence via a postal questionnaire. Patients in the intervention group were assessed and treated whereas patients in the control group received standard care. Main outcome measures Primary outcome was improvement (yes or no) of the severity of symptoms at 12-month follow-up measured with the Incontinence Severity Index. Secondary outcomes were the number of incontinence episodes per day and quality of life. The primary analysis was on an intention-to-treat basis with multiple imputation of missing data. A logistic regression model with correction for cluster randomization was fitted to estimate odds ratios (ORs). Results At 12 months, the severity of symptoms had improved in more patients in the intervention group ( n 166) than in the controls ( n 184) (OR 1.9; 95% CI 1.1–3.3). Also, the number of patients with fewer episodes of incontinence had increased (OR 2.5; 95% CI 1.5–4.1). No between-group differences in changes in quality of life were apparent ( p 0.14). Conclusions It is recommended to encourage women in the general population aged ≥55 years with urinary incontinence to undergo diagnosis and treatment. |
| Databáze: | OpenAIRE |
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