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Urinary incontinence

Incontinence guidelines—is lack of adherence a form of ageism?

Urinary incontinence is a common condition among older adults. Numerous clinical guidelines have been published with recommendations for incontinence evaluation and management, especially in women. However, practitioner adherence to guidelines is often poor, particularly for elderly patients. What influences this trend? Is it a form of ageism in health care?

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References

  1. Wagg, A., Duckett, J., McClurg, D., Harari, D. & Lowe, D. To what extent are national guidelines for the management of urinary incontinence in women adhered to? Data from a national audit. BJOG doi: 10.1111/j.1471-05282011.03100.x.

  2. National Collaborating Center for Women's and Children's Health (UK). Urinary Incontinence: The Management of Urinary Incontinence in Women (RCOG press, London, 2006).

  3. Dmochowski, R. R. et al. Update of AUA Guideline on the Surgical Management of Female Stress Urinary Incontinence. J. Urol. 183, 1906–1914 (2010).

    Article  PubMed  Google Scholar 

  4. Thüroff, J. W. et al. EAU guidelines on urinary incontinence. Eur. Urol. 59, 387–400 (2011).

    Article  PubMed  Google Scholar 

  5. Nishizawa, O. et al. Guidelines for management of urinary incontinence. Int. J. Urol. 15, 857–874 (2008).

    Article  PubMed  Google Scholar 

  6. Scott, N. A., Moga, C. & Hartsall, C. Managing low back pain in the primary care setting: the know-do gap. Pain Res. Manag. 15, 392–400 (2010).

    Article  PubMed  PubMed Central  Google Scholar 

  7. Kendall, E., Sunderland, N., Muenchberger, H. & Armstrong, K. When guidelines need guidance: considerations and strategies for improving the adoption of chronic disease evidence by general practitioners. J. Eval. Clin. Pract. 15, 1082–1090 (2009).

    Article  PubMed  Google Scholar 

  8. Cherubini, A., Del Signore, S., Ouslander, J., Semla, T. & Michel, J.-P. Fighting against age discrimination in clinical trials. J. Am. Geriatr. Soc. 58, 1791–1796 (2010).

    Article  PubMed  Google Scholar 

  9. Davies, N. Reducing inequalities in healthcare provision for older adults. Nurs. Stand. 25, 49–55 (2011).

    Article  PubMed  Google Scholar 

  10. Newman, D. K. et al. in Incontinence: International Consultation on Incontinence, Paris, France, July 5–8 2008, 4th edn. Continence Promotion, Education & Primary Prevention (Committee 21). (eds Abrams, P., Cardozo, L., Khoury, S. & Wein, A.) 1643–1693 (Health Publications Ltd, Paris, 2009).

    Google Scholar 

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Griebling, T. Incontinence guidelines—is lack of adherence a form of ageism?. Nat Rev Urol 8, 655–657 (2011). https://doi.org/10.1038/nrurol.2011.177

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