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The effect of conservative treatment of urinary incontinence among older and frail older people: a systematic review
Faculty of Health and Society, Malmö University, Skåne University Hospital, Malmö, Sweden.
Sahlgrenska University Hospital, Gothenburg, Sweden.
SBU-The Swedish Council on Health Technology Assessment, Stockholm, Sweden.
Department of Gynecology and Obstetrics, Childrens and Youth Hospital of Queen Silvia, Sahlgrenska University Hospital, Gothenburg, Sweden.
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2015 (English)In: Age and Ageing, ISSN 0002-0729, E-ISSN 1468-2834, Vol. 44, no 5, p. 736-744Article in journal (Refereed) Published
Abstract [en]

Background: urinary incontinence (UI) is a common symptom among older people, with a higher prevalence among frail older persons living in nursing homes. Despite consequences such as reduced health and quality of life, many older people do not seek help for their symptoms, resulting in missed opportunity for treatment.

Objective: the aim of this study was to investigate the evidence and the effect of conservative treatment of UI and the quality of life among older and frail older persons.

Methods: a systematic review of randomised controlled studies and prospective, non-randomised studies was conducted, evaluating interventions of conservative treatment of UI in an older population (65 years or older). A total of 23 studies fulfilled the inclusion criteria and 9 were of high or moderate quality. Fourteen studies were of low quality and were therefore excluded from the analysis.

Results: documented and effective conservative treatments are available even for older persons with UI. Pelvic muscle exercise, physical training in combination with ADL, prompted voiding and attention training, and help to toilet are important treatments. In some studies, however, the evidence of effectiveness is limited.

Conclusions: this systematic review concludes that there are conservative treatments for UI for older and frail older persons that reduce leakage and increase quality of life. There is however a need for further high-quality studies.

Place, publisher, year, edition, pages
Oxford, United Kingdom: Oxford University Press, 2015. Vol. 44, no 5, p. 736-744
Keywords [en]
Bladder training; Conservative treatment; Older and frail older; Older people; Pelvic floor exercise; Prompted voiding; Systematic review; Toilet assistance; Urinary incontinence
National Category
Geriatrics
Research subject
Geriatrics
Identifiers
URN: urn:nbn:se:oru:diva-43570DOI: 10.1093/ageing/afv070ISI: 000361388400006PubMedID: 26112402Scopus ID: 2-s2.0-84940663952OAI: oai:DiVA.org:oru-43570DiVA, id: diva2:794960
Note

Funding Agency:

Swedish Council on Technology Assessment in Health Care (SBU)

Available from: 2015-03-13 Created: 2015-03-13 Last updated: 2018-06-27Bibliographically approved

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Franzen, Karin M.Andersson, Gunnel

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Franzen, Karin M.Andersson, Gunnel
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School of Medicine, Örebro University, SwedenSchool of Health and Medical Sciences, Örebro University, Sweden
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Age and Ageing
Geriatrics

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