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Titolo:
Experience of an incontinence clinic for older women: No apparent age limit for potential physical and psychological benefits
Autore:
Tannenbaum, C; Bachand, G; Dubeau, CE; Kuchel, GA;
Indirizzi:
McGill Univ, Ctr Hlth, Div Geriatr Med, Montreal, PQ, Canada McGill Univ Montreal PQ Canada th, Div Geriatr Med, Montreal, PQ, Canada Beth Israel Deaconess Med Ctr, Gerontol Div, Boston, MA 02215 USA Beth Israel Deaconess Med Ctr Boston MA USA 02215 v, Boston, MA 02215 USA Harvard Univ, Sch Med, Div Aging, Urban Med Grp, Boston, MA 02115 USA Harvard Univ Boston MA USA 02115 ing, Urban Med Grp, Boston, MA 02115 USA
Titolo Testata:
JOURNAL OF WOMENS HEALTH & GENDER-BASED MEDICINE
fascicolo: 8, volume: 10, anno: 2001,
pagine: 751 - 756
SICI:
1524-6094(200110)10:8<751:EOAICF>2.0.ZU;2-Z
Fonte:
ISI
Lingua:
ENG
Soggetto:
URGE URINARY-INCONTINENCE; QUALITY-OF-LIFE; OVERACTIVE BLADDER; TOLTERODINE; PREVALENCE; COMMUNITY; EFFICACY; SEEKING;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
20
Recensione:
Indirizzi per estratti:
Indirizzo: Tannenbaum, C Montreal Gen Hosp, Div Geriatr Med, 1650 Cedar Ave D17-173, Montreal, PQ H3G 1A4, Canada Montreal Gen Hosp 1650 Cedar Ave D17-173 Montreal PQ Canada H3G 1A4
Citazione:
C. Tannenbaum et al., "Experience of an incontinence clinic for older women: No apparent age limit for potential physical and psychological benefits", J WOMEN H G, 10(8), 2001, pp. 751-756

Abstract

Urinary incontinence (UI) is a common but undertreated condition in older women. Although a variety of noninvasive interventions is available, older women may be hesitant to seek care for UI because of misconceptions about normal aging and treatment futility. We sought to evaluate the effectivenessof a UI clinic specifically tailored to the needs of older women to promote a sense of empowerment and to enhance satisfaction with treatment and outcome. We describe a case series of 52 women between the ages of 65 and 98 who were evaluated at the Geriatric Incontinence Clinic at the McGill University Health Centre over a 1-year period. A standardized telephone questionnaire was administered by a nurse consultant 6 months after each subject's final visit to assess patient satisfaction and current incontinence status. Forty-five women (86%) were available for telephone follow-up and completedthe questionnaire. Mean age was 80 years, with urge incontinence in 45%, mixed incontinence (stress and urge) in 33%, impaired bladder emptying with urge symptoms in 10%, and other diagnoses in 12%. Overall, a mean reductionof 1.4 incontinent episodes per day was reported. At follow-up, 30% of thesubjects reported being cured of their incontinence, 30% had improved, 20%were the same, and 20% were worse. Over 85% of all women reported satisfaction with their new incontinence status. Women of all ages, independent of the type of UI, type of treatment, and cognitive status, were able to achieve reductions in incontinence symptoms. All patients who had worsened were noncompliant with treatment recommendations at follow-up. Older women can derive significant benefit from a UI assessment. Neither advanced age nor category of incontinence precludes improvements or enhanced satisfaction withtreatment. Efforts to improve targeting and compliance may improve outcomes.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 21/01/20 alle ore 00:59:39