A description of health care provision and access to treatment for women with urinary incontinence in Europe — A five-country comparison

Monz, Brigitta U.; Hampel, Christian; Porkess, Sheuli; Wagg, Adrian; Pons, Montserrat Espuña; Samsioe, Göran; Eliasson, Tomas; Chartier‐Kastler, Emmanuel; Sykes, David; Papanicolaou, S

doi:10.1016/j.maturitas.2005.09.007

Cited by 28 publications

(16 citation statements)

References 18 publications

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“…Unvoiced patient agendas often lead to misunderstandings, dissatisfaction and poor outcomes[55]. A European comparative study found that urinary incontinence care in the UK was considerably worse than elsewhere[56].…”

Section: Discussionmentioning

confidence: 99%

Health Care Professionals' Views on Discussing Sexual Wellbeing with Patients Who Have Had a Stroke: A Qualitative Study

et al. 2013

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ObjectivesTo examine the experiences of health care professionals discussing sexual wellbeing with patients who have had a stroke.DesignIn-depth qualitative interview study with purposive sampling and thematic analysis.Participants30 health care professionals purposively recruited to include different roles and settings along the stroke patient pathway in secondary and primary care.SettingTwo hospitals and three general practices in the West Midlands, UK.ResultsSexual wellbeing was a topic that participants did not raise with patients and was infrequently raised by patients. Barriers to raising discussion were on four levels: structural, health care professional, patient, and professional-patient interface. Barriers within these levels included: sexual wellbeing not present within hospital stroke policy; the perception that sexual wellbeing was not within participants' role; participants' concern that raising the issue could cause harm to the patient; and the views that discussion would be inappropriate with older people or unimportant to women. Resources exist to aid discussion but many participants were unaware of them, and most of those that were, did not use them routinely.ConclusionsParticipants lacked motivation, ownership, and the confidence and skills to raise sexual wellbeing routinely after stroke. Similar findings have been reported in cancer care and other taboo subjects such as incontinence potentially resulting in a sub-optimal experience for patients. Normalisation of the inclusion of sensitive topics in discussions post-stroke does not seem to need significant structural intervention and simple changes such as information provision and legitimisation through consideration of the issue in standard care policies may be all that is required. The experiences recounted by professionals in this study suggest that such changes are needed now.

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Section: Discussionmentioning

confidence: 99%

Health Care Professionals' Views on Discussing Sexual Wellbeing with Patients Who Have Had a Stroke: A Qualitative Study

et al. 2013

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“…Our data could not confirm whether the types of investigators in SUIT are representative of the delivery of UI treatment in the respective countries. In many European countries, both PCPs and gynecologists provide initial UI care; in Germany, urologists also have a role [25]. In the UK, however, most women will be initially treated by PCPs [26].…”

Section: Discussionmentioning

confidence: 99%

Patient Characteristics Impacting Health State Index Scores, Measured by the EQ-5D of Females with Stress Urinary Incontinence Symptoms

et al. 2010

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“…14 It has demonstrated a high correlation with the ''Incontinence Severity Index'' (ISI), 15 which has been found to correlate highly with pad weights and allows categorizing the population studied as mild, moderate, severe, and very severe UI. 16 In the present study, four categories of severity of UI were established according to the total ICIQ-UI-SF score: mild (1-5), moderate (6)(7)(8)(9)(10)(11)(12), severe (13)(14)(15)(16)(17)(18), and very severe (19)(20)(21). A ''significant UI'' was considered in women with moderate, severe, and very severe symptoms.…”

Section: Methodsmentioning

confidence: 99%

“…This variability in the prevalence is attributed to differences in the definitions of UI used, the populations studied, and different measuring instruments. Despite the negative impact that these symptoms have on the quality of life of patients, many women do not seek professional help . UI is a dynamic process, which does not necessarily progress over the years.…”

Section: Introductionmentioning

confidence: 99%

“…Despite the negative impact that these symptoms have on the quality of life of patients, 4 many women do not seek professional help. [5][6][7] UI is a dynamic process, which does not necessarily progress over the years. Population studies have estimated an annual incidence of 1.7, 8 3.3% 9 to 3.9%, 10 with a remission rate of around 3-6.2%.…”

Section: Introductionmentioning

confidence: 99%

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Prevalence, incidence, and remission rates of urinary incontinence in women attended in gynecological practice

Espuña‐Pons

Ros

Ortega

et al. 2016

Neurourology and Urodynamics

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A description of health care provision and access to treatment for women with urinary incontinence in Europe — A five-country comparison

Cited by 28 publications

References 18 publications

Health Care Professionals' Views on Discussing Sexual Wellbeing with Patients Who Have Had a Stroke: A Qualitative Study

Health Care Professionals' Views on Discussing Sexual Wellbeing with Patients Who Have Had a Stroke: A Qualitative Study

Patient Characteristics Impacting Health State Index Scores, Measured by the EQ-5D of Females with Stress Urinary Incontinence Symptoms

Prevalence, incidence, and remission rates of urinary incontinence in women attended in gynecological practice

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