Urinary Incontinence in Frail Elderly Persons: Report From the 5th International Consultation on Incontinence

被引:82
作者
Wagg, Adrian [1 ]
Gibson, William [2 ]
Ostaszkiewicz, Joan [3 ]
Johnson, Theodore, III [4 ]
Markland, Alayne [5 ]
Palmer, Mary H. [6 ]
Kuchel, George [7 ]
Szonyi, George [8 ]
Kirschner-Hermanns, Ruth [9 ]
机构
[1] Univ Alberta, Edmonton, AB, Canada
[2] Univ Alberta, Div Geriatr Med, Edmonton, AB, Canada
[3] Deakin Univ, Melbourne, Vic, Australia
[4] Emory Univ, Atlanta, GA 30322 USA
[5] Univ Birmingham, Ctr Aging, Geriatr Med, Birmingham, AL USA
[6] Univ N Carolina, Chapel Hill, NC USA
[7] Univ Connecticut, Ctr Hlth, Div Geriatr, Farmington, CT USA
[8] Royal Prince Alfred Hosp Balmain, Balmain, NSW, Australia
[9] Univ Hosp Bonn, Dept Neurourol, Bonn, Germany
关键词
behavioral management; frail older persons; older people; overactive bladder; stress urinary incontinence; urinary incontinence; urinary retention; NURSING-HOME RESIDENTS; FREE VAGINAL TAPE; RANDOMIZED CLINICAL-TRIAL; PLACEBO-CONTROLLED TRIAL; OVERACTIVE BLADDER; OLDER-PEOPLE; QUALITY INDICATORS; NATIONAL AUDIT; ANTIMUSCARINIC AGENTS; METASTUDY TECHNIQUES;
D O I
10.1002/nau.22602
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Background: Evidence based guidelines for the management of frail older persons with urinary incontinence are rare. Those produced by the International Consultation on Incontinence represent an authoritative set of recommendations spanning all aspects of management. Aims: To update the recommendations of the 4th ICI. Materials and Methods: A series of systematic reviews and evidence updates were performed by members of the working group in order to update the 2009 recommendations. The resulting guidelines were presented at the 2012 meeting of the European Associatioon of Urology. Results: Along with the revision of the treatment algorithm and accompanying text. There have been significant advances in several areas including pharmacological treatment of overactive bladder. Discussion: The committee continue to notes the relative paucity of data concerning frail older persons and draw attention to knowledge gaps in this area. (C) 2014 Wiley Periodicals, Inc.
引用
收藏
页码:398 / 406
页数:9
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