The epidemiology of incontinence in the elderly

Sd, Rutchik; Mi, Resnick

doi:10.1046/j.1464-410x.1998.0820s1001.x

Cited by 11 publications

(3 citation statements)

References 29 publications

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“…1 At least 13 million Americans are thought to suffer from the disorder, with direct costs of $26.5 billion annually. 2,3 Prevalence figures vary depending on gender and age. Rates in healthy community-dwelling women range from 20-50%.…”

Section: (Pharmacotherapy 2000;20(4):470-475)mentioning

confidence: 99%

Immediate‐Release Oxybutynin versus Tolterodine in Detrusor Overactivity: A Population Analysis

et al. 2000

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We evaluated adherence to treatment with immediate-release (IR) oxybutynin (515 patients) and tolterodine (505 patients) for detrusor overactivity through retrospective analysis of a pharmacy claims database. Outcomes included percentage of patients continuing therapy for 6 months, medication possession ratios, and time to discontinuation of therapy. The proportion of patients continuing therapy for 6 months was statistically superior for tolterodine (32%) compared with IR oxybutynin (22%, p<0.001). Medication possession ratios were also superior for patients in the tolterodine group (medians 0.83 and 0.64, ranges 0.11-1.15 and 0.07-1.13, respectively, p<0.001). Oxybutynin was discontinued significantly earlier (mean 45 days) than tolterodine (mean 59 days, p<0.001) and was switched to another therapy more commonly than tolterodine (19% and 14%, respectively). Tolterodine was favored over oxybutynin for several measurements of patient adherence. However, less than one-third of patients continued therapy with either agent for 6 months. The clinical relevance of these differences is unknown.

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Section: (Pharmacotherapy 2000;20(4):470-475)mentioning

confidence: 99%

Immediate‐Release Oxybutynin versus Tolterodine in Detrusor Overactivity: A Population Analysis

et al. 2000

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“…Urinary incontinence, particularly in the elderly, is one of the most common health problems [Brocklehurst, 1993;Damian et al, 1998;Diokno et al, 1986Diokno et al, , 1992Dolan et al, 1999;Fultz 1996;Gorton and Stanton, 1998;Hampel et al, 1997;Jolleys, 1988;Malmsten et al, 1997;McGrother et al, 1998;Molander et al, 1990;Robinson, 1997;Rutchik and Resnick, 1998;Schulman et al, 1997;Thomas et al, 1980;Wagg and Malone-Lee, 1997]. Economic costs to the health system for diagnosis and therapy of urinary incontinence vary greatly, yet are in the range for those of diabetes mellitus or hypertension in most Western and industrialized countries [Wyman, 1997].…”

Section: Introductionmentioning

confidence: 99%

Urinary incontinence in both sexes: Prevalence rates and impact on quality of life and sexual life

Temml¹,

et al. 2000

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“…Studies show that urinary incontinence negatively affects the daily activities of women, their social relationships and emotional state, and as a result lowers their quality of life [8,18] . There are a limited number of studies about the urinary incontinence problems in rest homes.…”

Section: Discussionmentioning

confidence: 99%

Bladder Training and Kegel Exercises for Women with Urinary Complaints Living in a Rest Home

et al. 2008

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Background: Urinary incontinence is an annoying, uncomfortable and unpleasant condition affecting the elderly. The problem of bedwetting and other urinary complaints are common in rest homes. Objective: Our study aimed to determine the efficiency of bladder training and Kegel exercises for older women living in a rest home. Methods: This is an experimental prospective research study. Through a randomization process, 25 women were included in the treatment group, and another 25 were included in the control group. Participants were living in a rest home for women aged older than 65 years with urinary complaints. The pretreatment interview form, Quality of Life Scale, Mini-Mental Test, Rankin Scale, daily urinary forms and pad tests were administered to the treatment and control groups. Bladder training and Kegel exercises were given to the treatment group for 6–8 weeks. The second evaluation was performed 8 weeks after treatment, and the last evaluation was carried out 6 months after treatment. Results: The average age of the treatment group was 78.88 ± 4.80 years, and the average age of the control group 79.44 ± 5.32 years. Urgency, frequency and nocturia were common complaints. Pretreatment, 8-week and 6-month evaluations revealed that the amount of urinary incontinence with urgency, frequency and nocturia complaints statistically and significantly decreased in the treatment group compared to the control group. In the pad test results, a statistically significant decrease was observed in the treatment group compared to the control group. A significant increase in pelvic floor strength was observed in the treatment group compared to the control group upon all evaluations. Conclusion: Behavioral therapy can be used easily as an effective treatment for urinary incontinence in elderly women living at a rest home.

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The epidemiology of incontinence in the elderly

Cited by 11 publications

References 29 publications

Immediate‐Release Oxybutynin versus Tolterodine in Detrusor Overactivity: A Population Analysis

Immediate‐Release Oxybutynin versus Tolterodine in Detrusor Overactivity: A Population Analysis

Urinary incontinence in both sexes: Prevalence rates and impact on quality of life and sexual life

Bladder Training and Kegel Exercises for Women with Urinary Complaints Living in a Rest Home

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