Impact of lower urinary tract symptoms on work productivity in female workers: A systematic review and meta‐analysis

Lin, Kun-You; Siu, Ka-Chun; Lin, Kate Ching-Ju

doi:10.1002/nau.23744

Cited by 20 publications

(21 citation statements)

References 45 publications

(153 reference statements)

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“…According to a global survey, 423 million people had symptoms of urinary incontinence in 2018 (Griebling, 2011). Urinary incontinence is often accompanied by lower work productivity and movement disorders (Lin, Siu, & Lin, 2018), which increases the risk for developing major depression and mortality (Bogner et al, 2002; Chen et al, 2010; Damián, Pastor‐Barriuso, García López, & de Pedro‐Cuesta, 2017; Gambassi et al, 1999; Luk et al, 2013). Cheng et al reported that patients with urinary incontinence had a 1.59‐fold risk for depression in comparison with those without urinary incontinence (Cheng et al, 2020).…”

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confidence: 99%

Urinary Incontinence Is Associated With Increased All‐Cause Mortality in Older Nursing Home Residents: A Meta‐Analysis

Huang

Luo

Wang

et al. 2021

J of Nursing Scholarship

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Purpose: Urinary incontinence is a syndrome common in older adults, but it is not clear whether urinary incontinence is associated with the risk for mortality in elderly nursing home residents. Methods: We conducted a systematic review and meta-analysis in PubMed, Cochrane, Embase, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Web of Science databases. The Newcastle-Ottawa Scale (NOS) was used to assess the quality of the included studies. The metaanalysis was summarized using a random-effects or fixed-effects model, and the heterogeneity among studies was examined using the I2 statistic. Findings: Six cohort studies with 1,656 participants were included in the final analysis. The NOS score for each study was greater than 6. Urinary incontinence was significantly associated with a higher risk for mortality in nursing homes, with a hazard ratio (HR) of 1.20 (95% confidence interval [CI] 1.12-1.28, I 2 = 41.6%). The significant association of urinary incontinence with increased mortality risk was observed in subgroup analysis according to region, status of dementia, and follow-up period, with a pooled HR of 2.02 (95% CI 1.32-3.11, I 2 = 0%) for Asian countries, 1.18 (95% CI 1.11-1.26, I 2 = 41.6%) for Western countries, 1.17 (95% CI 1.09-1.26, I 2 = 0%) for patients with dementia, 1.35 (95% CI 1.13-1.60, I 2 = 58.9%) for patients without dementia, 1.16 (95% CI 1.07-1.25, I 2 = 43.2%) for studies with a follow-up period of 1 year, and 1.30 (95% CI 1.15-1.48, I 2 = 24.5%) for studies with a follow-up period of more than 1 year. Conclusions: Urinary incontinence is associated with an increased risk for death among residents of care facilities. Therefore, it was necessary to screen the elderly dwelling in nursing homes who were experiencing or at risk for urinary incontinence with useful tools (e.g., overactive bladder symptom score, bladder control self-assessment questionnaire, three incontinence questions). In addition, early interventions strategies, such as weight loss, stopping smoking, pelvic floor muscle training, and medical and surgical treatments would contribute to decreasing the risk for urinary incontinence and preventing adverse outcomes in nursing home residents. Clinical Relevance: In our study, we found that the elderly with urinary incontinence who resided in nursing homes had a higher risk for mortality than those without urinary incontinence. Therefore, urinary incontinence

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confidence: 99%

Urinary Incontinence Is Associated With Increased All‐Cause Mortality in Older Nursing Home Residents: A Meta‐Analysis

Huang

Luo

Wang

et al. 2021

J of Nursing Scholarship

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“…Fourteen patients (14/59, 23.7%) including 3 who had prior DO, experienced persistent improvement of symptoms after a median number of injections of 2 [1][2][3][4][5] and did not require any reinjections. Of them, 8 received 250 U, 5 had a higher dosage (500 U) and one was switched to onabotulinumtoxinA 100 U after first injection.…”

Section: Causes Of Discontinuationmentioning

confidence: 99%

“…Overactive bladder (OAB) is defined as the presence of urinary urgency usually associated with frequency and nocturia, with or without urgency urinary incontinence [1]. Idiopathic overactive bladder (iOAB) is highly prevalent and greatly impacts health related quality of life (HRQOL) and work productivity [2][3][4]. When conservative measures and medical treatment have failed, intra-detrusor injections of botulinum toxin A (BoNT-A) can be proposed as a second line treatment [5].…”

Section: Introductionmentioning

confidence: 99%

“…Median follow-up was 83.6 months [0.3-182.6]. Median number of injections per patient was 2[1][2][3][4][5][6][7][8][9][10][11][12][13][14][15] with a median reinjection interval of 10.7[3-86.4] months. Most patients stopped injections after the first (n=30, 50.8%) or second injection (n= 12, 20.3%).The estimated 5-years discontinuation-free survival rate was 23.4% [13.6-34.8] with a median survival of 9.1 months (figure1a).…”

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Long-term follow-up reveals a low persistence rate of abobotulinumtoxinA injections for idiopathic overactive bladder

Baron

Aublé

Paret³

et al. 2020

Progrès en Urologie

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“…While urinary symptoms can compromise the quality of life and productivity 5 , urinary tract infections are associated with high antibiotic prescriptions 6 and an increased risk of antibiotic-resistant urinary pathogens 7 .…”

Section: Introductionmentioning

confidence: 99%

Female nurses have a higher prevalence of urinary tract symptoms and infection than other occupations in dialysis units

et al. 2021

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Introduction: Urinary tract symptoms and infection have been associated with occupational factors that impact hydration habits particularly in women. We compared self-reported urinary symptoms and infection and hydration habits between nurses and other occupations in dialysis units. Methods: Cross-sectional study. Participants worked in five nephrology centers in Brazil and answered an online questionnaire comprising questions regarding urinary tract symptoms and infection episodes in the preceding year; data on usual daily beverage intake, urine frequency, and urine color according to a urine color chart were also collected, as well as perceptions of water access and toilet adequacy at work. Results: We included 133 women (age=36.9±9.5 years). The self-reported usual daily beverage intake was 6.6±2.9 cups/day (~1320 mL), daily urine frequency was 5.4±2.1, and urine color chart score: 3.0±1.2. Nurses (N=66/49.6%) reported higher prevalence of burning sensation (50 versus 27%; P<0.001), urinary urgency (42 versus 21%; P<0.001), and infection (42% versus 25%; P=0.04) as well as lower liquid intake (6.0±2.6 versus 7.3±3.0 cups/day; P=0.01) than controls. Forty four percent of nurses reported being able to drink when thirsty "always" and "most of the time" versus 93% of the control group. Conclusion: Dialysis female nurses reported lower beverage intake and higher prevalence of symptoms and infection than other occupations in the same environment. Interventions to improve hydration can potentially decrease urinary problems in this population.

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Impact of lower urinary tract symptoms on work productivity in female workers: A systematic review and meta‐analysis

Abstract: Evidence suggests that female workers with LUTS had significantly greater work productivity impairment compared to those without LUTS.

Cited by 20 publications

References 45 publications

Urinary Incontinence Is Associated With Increased All‐Cause Mortality in Older Nursing Home Residents: A Meta‐Analysis

Urinary Incontinence Is Associated With Increased All‐Cause Mortality in Older Nursing Home Residents: A Meta‐Analysis

Long-term follow-up reveals a low persistence rate of abobotulinumtoxinA injections for idiopathic overactive bladder

Female nurses have a higher prevalence of urinary tract symptoms and infection than other occupations in dialysis units

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