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Continence in nursing homes: a state of irreversible decline?

Nature Reviews Urology (2019) | Download Citation

Continence in nursing home residents declines over time, probably owing to an increase in physical disability and impaired mobility as much as to lower urinary tract dysfunction. A need remains for appropriately skilled assessments of continence care, leading to multicomponent management of continence in this vulnerable group of patients.

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Profile of Residents in Residential and Hospital-Based Continuing Care, 2017–2018:


  1. 1.

    Kaye, H. S., Harrington, C. & LaPlante, M. P. Long-term care: who gets it, who provides it, who pays, and how much? Health Aff. 29, 11–21 (2010).

  2. 2.

    Wagg, A. et al. Urinary incontinence in frail elderly persons: report from the 5th International Consultation on Incontinence. Neurourol. Urodyn. 34, 398–406 (2015).

  3. 3.

    Jerez-Roig, J. et al. Predicting continence decline in institutionalized older people: a longitudinal analysis. Neurourol. Urodyn. (2019).

  4. 4.

    Klusch, L. The MDS 3.0 and its impact on bladder and bowel care. Provider 38, 33 (2012).

  5. 5.

    Comondore, V. R. et al. Quality of care in for-profit and not-for-profit nursing homes: systematic review and meta-analysis. BMJ 339, b2732 (2009).

  6. 6.

    Saxer, S. et al. Risk factors for urinary incontinence in nursing home residents. Swiss Med. Wkly 135, 495–502 (2005).

  7. 7.

    Ouslander, J. G. et al. Urinary incontinence in nursing homes: incidence, remission and associated factors. J. Am. Geriatr. Soc. 41, 1083–1089 (1993).

  8. 8.

    Palmer, M. H., German, P. S. & Ouslander, J. G. Risk factors for urinary incontinence one year after nursing home admission. Res. Nurs. Health 14, 405–412 (1991).

  9. 9.

    Schumpf, L. F. et al. Urinary incontinence and its association with functional physical and cognitive health among female nursing home residents in Switzerland. BMC Geriatr. 17, 17 (2017).

  10. 10.

    Harrison, T. et al. Quality of care to nursing home residents with incontinence. Geriatr. Nurs. (2018).

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Author information


  1. Department of Medicine, University of Alberta, Alberta, Canada

    • Adrian Wagg
  2. Gothenburg Continence Research Centre, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden

    • Adrian Wagg


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Competing interests

The author declares no competing interests.

Corresponding author

Correspondence to Adrian Wagg.

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