Influence of the severity of stress urinary incontinence on quality of life, health care seeking, and treatment: A national cross-sectional survey

被引:42
作者
Gasquet, Isabelle [1 ]
Tcherny-Lessenot, Stephanie
Gaudebout, Pierre
Le Goux, Brigitte Bosio
Klein, Patrick
Haab, Francois
机构
[1] Assistance Publ Hop Paris, U669, INSERM, Paris, France
[2] Assistance Publ Hop Paris, Direct Polit Med, Paris, France
[3] Lilly France, F-92158 Suresnes, France
[4] IPSOS Sante, Paris, France
[5] Tenon Hosp, AP HP, Dept Urol, Paris, France
关键词
urinary incontinence; epidemiology; quality of life; PREVALENCE; COMMUNITY; MANAGEMENT; TELEPHONE; BURDEN; WOMEN;
D O I
10.1016/j.eururo.2006.03.052
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
objectives: To determine the, prevalence of stress urinary incontinence (sui) symptoms in women and to evaluate the severity of these symptoms and resulting functional impairment with regard to urinary symptoms, quality of life (QoL) impairment, medical care seeking, and care facilities. Methods: A national population based, cross-sectional study in France was conducted through an anonymous questionnaire that was completed by telephone. A randomized sample was extracted from the French telephone directory, December 2002 to March 2003. The main outcome measures were symptom severity, functional impairment, non SUI-related urinary symptoms, Contilife (c) QoL scale, medical care seeking, and treatment. In total, 6,675 women aged 18-70 were selected and 5,160 questionnaires were completed and analyzed. Results: The point-prevalence of SUI symptoms was 19.5% (1.1% for individuals with severe symptoms; 2.8% for those with severe functional impairment). Symptom severity and functional impairment were associated with older age, longer duration of symptoms, higher frequency of comorbid urinary symptoms, and altered QpL (all p < 0.001). Conclusions: SUI symptoms are frequent in French women, causing embarrassment and negatively affecting their QoL. Though some could benefit from an effective therapy, only the most severely affected women who report SUI symptoms seek help and receive treatment. (c) 2006 European Association of Urology. Published by Elsevier B.V. All rights reserved.
引用
收藏
页码:818 / 825
页数:8
相关论文
共 23 条
[1]  
Abrams P, 2002, NEUROUROL URODYNAM, V21, P167, DOI 10.1002/nau.10052
[2]   European psychometric validation of the CONTILIFE®:: A Quality of Life questionnaire for urinary incontinence [J].
Amarenco, G ;
Arnould, B ;
Carita, P ;
Haab, F ;
Labat, JJ ;
Richard, F .
EUROPEAN UROLOGY, 2003, 43 (04) :391-404
[3]  
*ANAES, 2003, AG NAT ACCR EV SOIN, P13
[4]   SUI: Current management and unmet needs [J].
Chartier-Kastler, E .
EUROPEAN UROLOGY SUPPLEMENTS, 2005, 4 (01) :11-17
[5]   TELEPHONE VS FACE-TO-FACE INTERVIEWING IN A COMMUNITY PSYCHIATRIC SURVEY [J].
FENIG, S ;
LEVAV, I ;
KOHN, R ;
YELIN, N .
AMERICAN JOURNAL OF PUBLIC HEALTH, 1993, 83 (06) :896-898
[6]  
Fourcade RO, 2002, PRESSE MED, V31, P202
[7]  
Hall M F, 1995, J Health Care Mark, V15, P54
[8]   Understanding the burden of stress urinary incontinence in Europe: A qualitative review of the literature [J].
Hampel, C ;
Artibani, W ;
Pons, ME ;
Haab, F ;
Jackson, S ;
Romero, J ;
Gavart, S ;
Papanicolaou, S .
EUROPEAN UROLOGY, 2004, 46 (01) :15-27
[9]   A community-based epidemiological survey of female urinary incontinence: The Norwegian EPINCONT Study [J].
Hannestad, YS ;
Rortveit, G ;
Sandvik, H ;
Hunskaar, S .
JOURNAL OF CLINICAL EPIDEMIOLOGY, 2000, 53 (11) :1150-1157
[10]   The prevalence of urinary incontinence in women in four European countries [J].
Hunskaar, S ;
Lose, G ;
Sykes, D ;
Voss, S .
BJU INTERNATIONAL, 2004, 93 (03) :324-330