Nonbiologic Factors That Impact Management in Women with Urinary Incontinence: Review of the Literature and Findings from a National Institute of Diabetes and Digestive and Kidney Diseases Workshop

Overview

Journal Int Urogynecol J

Publisher Springer

Specialties Gynecology & Obstetrics
Urology

Date 2017 Jul 5

PMID 28674734

Citations 11

Authors

Jenna M Norton

Jennifer L Dodson

Diane K Newman

Rebecca G Rogers

Andrea D Fairman

Helen L Coons

Robert A Star

Tamara G Bavendam

Affiliations

Soon will be listed here.

Abstract

Introduction And Hypothesis: Urinary incontinence (UI)-defined as a complaint of involuntary loss of urine-is common in women, with major public health, financial, and quality of life (QoL) implications. Despite the high toll of UI and the availability of effective conservative treatments, many women with UI do not seek care. Those who do often continue to experience symptoms. Improving UI treatment may require a comprehensive approach to urology research, including a broad set of potentially influential factors beyond biologic.

Methods: To explore the effects of nonbiologic factors (NBF) on UI management and treatment response, the National Institute of Diabetes and Digestive and Kidney Diseases convened a workshop for clinical and psychosocial researchers. Participants proposed a UI treatment pathway: recognizing the problem, willingness to seek treatment, access to care, receiving quality treatment, engaging in self-management, and adhering to chosen treatments; discussed potential NBFs that may affect the pathway; and identified areas for future research. After the meeting, a rapid literature review was conducted to assess the current state of research on NBFs in women with UI.

Results: Participants identified several patient-level NBFs that may influence the UI management pathway, including QoL and perceived bother; stigma, shame, and embarrassment; knowledge and perceptions; social determinants of health; cultural and language characteristics; personal characteristics and skills; and physical abilities. Additionally, participants acknowledged that provider- and system-level factors also play a role and likely interact with patient-level factors.

Conclusions: NBFs that potentially affect the UI management pathway are not well understood, and a comprehensive, interdisciplinary approach to research is needed to understand and appropriately support effective UI treatment.

Citing Articles

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Associations of financial strain and unmet social needs with women's bladder health.

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Brady S, Arguedas A, Huling J, Hellemann G, Lewis C, Fok C Am J Obstet Gynecol. 2023; 230(1):77.e1-77.e12.

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Preferences for Public Health Messaging Related to Bladder Health in Adolescent and Adult Women.

Burgio K, Cunningham S, Newman D, Low L, Nodora J, Lipman T J Womens Health (Larchmt). 2023; 32(10):1120-1135.

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Need for Public Health Messaging Related to Bladder Health from Adolescence to Advanced Age.

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PMID: 36454206 PMC: 9940805. DOI: 10.1089/jwh.2022.0185.

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