Document Detail


Prospective evaluation of an assessment strategy for geriatric urinary incontinence.
MedLine Citation:
PMID:  2754156     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The objectives of this study were to design and prospectively evaluate a strategy to assess geriatric urinary incontinence in primary care settings. A management plan for urinary incontinence was determined for 264 elderly incontinent patients (205 females and 59 males) based on a clinical evaluation, simple tests of lower urinary tract function, and several criteria for referral for further evaluation derived from the literature on incontinence. Of the 264 patients, 168 (64%) also consented to undergo a urologic and formal urodynamic evaluation. Half of these 168 patients met at least one criterion for referral for further evaluation. At least one-quarter of the patients who met one or more of the criteria were found not to require surgical intervention, and probably did not benefit from the urologic and urodynamic evaluation. Among 84 patients who did not meet any of the criteria for referral, the urologic and urodynamic evaluation changed the initial treatment plan in only 10 (12%). The risks associated with the treatment plan based on the clinical assessment in these patients were, however, relatively small. While further refinement and testing in larger numbers of incontinent patients are needed, the data presented document that a substantial proportion of elderly patients with a treatable and often ignored problem can be appropriately managed based on a relatively simple and inexpensive assessment, which can easily be carried out in primary care settings.
Authors:
J Ouslander; G Leach; D Staskin; S Abelson; J Blaustein; L Morishita; S Raz
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Journal of the American Geriatrics Society     Volume:  37     ISSN:  0002-8614     ISO Abbreviation:  J Am Geriatr Soc     Publication Date:  1989 Aug 
Date Detail:
Created Date:  1989-09-06     Completed Date:  1989-09-06     Revised Date:  2008-03-10    
Medline Journal Info:
Nlm Unique ID:  7503062     Medline TA:  J Am Geriatr Soc     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  715-24     Citation Subset:  IM    
Affiliation:
Division of Geriatric Medicine, UCLA School of Medicine.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Algorithms*
Female
Humans
Male
Primary Health Care
Prospective Studies
Referral and Consultation
Research Design
Urinary Bladder Diseases / physiopathology
Urinary Incontinence / diagnosis*,  physiopathology
Urodynamics
Grant Support
ID/Acronym/Agency:
AG00189/AG/NIA NIH HHS; AG04586/AG/NIA NIH HHS

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


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