Document Detail

Prevalence and severity of undiagnosed urinary incontinence in women.
MedLine Citation:
PMID:  19854332     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Urinary incontinence is a highly prevalent condition in aging women that results in significant morbidity. Less than half of women who suffer from urinary incontinence seek treatment, resulting in a significant proportion of clinically relevant urinary incontinence remaining undiagnosed. Therefore, the purpose of this study was to quantify the prevalence of urinary incontinence in undiagnosed women in a managed care population.
METHODS: There were 136,457 women aged 25-80 years enrolled in Kaiser Permanente Northwest who were free of genitourinary diagnoses, including urinary incontinence, who were included in this study. Of the 2118 women who were mailed questionnaires ascertaining information on demographic and urinary incontinence characteristics, 875 completed the survey. A chart review of the 234 women who reported moderate to severe urinary incontinence was performed.
RESULTS: The prevalence of undiagnosed urinary incontinence was 53% in the preceding year, and 39% in the preceding week. The prevalence of undiagnosed stress, mixed, and urge incontinence was found to be 18.7%, 12.0%, and 6.8%, respectively. Quality of life was found to significantly decrease with increasing urinary incontinence severity. Of the 234 chart-reviewed women, 5% were found to have physician-documented urinary incontinence.
CONCLUSIONS: These results suggest that a significant proportion of women in this managed care population are suffering from urinary incontinence that remains undiagnosed. Efforts should be made to encourage women and physicians to initiate conversations about urinary incontinence symptoms in order to decrease the unnecessary burden of this disease.
Lauren P Wallner; Sima Porten; Richard T Meenan; Maureen C O'Keefe Rosetti; Elizabeth A Calhoun; Aruna V Sarma; J Quentin Clemens
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  The American journal of medicine     Volume:  122     ISSN:  1555-7162     ISO Abbreviation:  Am. J. Med.     Publication Date:  2009 Nov 
Date Detail:
Created Date:  2009-10-26     Completed Date:  2009-11-10     Revised Date:  2013-05-31    
Medline Journal Info:
Nlm Unique ID:  0267200     Medline TA:  Am J Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1037-42     Citation Subset:  AIM; IM    
Department of Urology, University of Michigan, Ann Arbor, MI 48109-5330, USA.
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MeSH Terms
Age Distribution
Aged, 80 and over
Diagnostic Errors / statistics & numerical data*
Middle Aged
Oregon / epidemiology
Quality of Life
Retrospective Studies
Severity of Illness Index
Urinary Incontinence / diagnosis,  epidemiology*,  physiopathology
Urodynamics / physiology*
Grant Support
Comment In:
Evid Based Nurs. 2010 Jul;13(3):79-80   [PMID:  20584829 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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