Bridging the gap: determinants of undiagnosed or untreated urinary incontinence in women

American Journal of Obstetrics and Gynecology
Erin R DuraldeAlison J Huang

Abstract

More than a third of middle-aged or older women suffer from urinary incontinence, but less than half undergo evaluation or treatment for this burdensome condition. With national organizations now including an assessment of incontinence as a quality performance measure, providers and health care organizations have a growing incentive to identify and engage these women who are undiagnosed and untreated. We sought to identify clinical and sociodemographic determinants of patient-provider discussion and treatment of incontinence among ethnically diverse, community-dwelling women. We conducted an observational cohort study from 2003 through 2012 of 969 women aged 40 years and older enrolled in a Northern California integrated health care delivery system who reported at least weekly incontinence. Clinical severity, type, treatment, and discussion of incontinence were assessed by structured questionnaires. Multivariable regression evaluated predictors of discussion and treatment. Mean age of the 969 participants was 59.9 (±9.7) years, and 55% were racial/ethnic minorities (171 black, 233 Latina, 133 Asian or Native American). Fifty-five percent reported discussing their incontinence with a health care provider, 36% within 1 year of sy...Continue Reading

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Citations

Jun 13, 2017·American Journal of Obstetrics and Gynecology·Nagambika MunaganuruAlison J Huang
May 5, 2018·Female Pelvic Medicine & Reconstructive Surgery·Hanna M SaltzmanIngrid E Nygaard
Nov 19, 2019·Neurourology and Urodynamics·Mary H PalmerDiane K Newman
May 1, 2020·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Giulia I LaneJulie Bynum
Jan 13, 2021·Gynécologie, Obstétrique, Fertilité & Sénologie·M MahfoudiC Chauleur
Sep 19, 2020·Female Pelvic Medicine & Reconstructive Surgery·Clice Pimentel C SousaLuciane M Oliveira Brito
Jul 11, 2020·Urology·Lisa J Rogo-GuptaLianne M Kurina
Apr 17, 2021·Clinical Obstetrics and Gynecology·Oluwateniola Brown, Melissa A Simon
Aug 22, 2021·Obstetrics and Gynecology Clinics of North America·Candace Parker-Autry, George A Kuchel
Oct 8, 2021·International Urogynecology Journal·Zhuoran ChenChristopher Maher

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