Evaluation and Treatment of Urinary IncontinenceReport of a Physician Survey
Stephanie McFall, PhD;
Adeline M. Yerkes, RN, MPH;
Marie Bernard, MD;
Terry LeRud, MPH, CHES
Arch Fam Med. 1997;6(2):114-119.
Abstract
| |
Objective
To determine practice patterns related to the evaluation and treatment of urinary incontinence (UI).
Design
Stratified random sample of physicians surveyed initially by mail with telephone follow-up.
Setting
Four counties in Central Oklahoma.
Participants
One hundred fifty-five physicians in 4 specialties: family practice, internal medicine, obstetrics/gynecology, and urology.
Measurements
Self-reported evaluation and treatment of UI and training in treatment of UI. The overall rate of response was 80%.
Results
Physicians miss opportunities to identify patients with UI. Despite substantial specialty variation, behavioral treatments and medications for UI, relative to the Agency for Health Care and Policy Research clinical guidelines, are underused. More than 40% of internists and family practitioners routinely recommended absorbent pads. Only 17% of physicians were aware of the clinical guidelines.
Conclusions
Physicians identified deficiencies in their level of preparation to evaluate and treat UI. Reports of practice patterns also suggest deficiencies.
Author Affiliations
From the College of Public Health (Dr McFall and Ms LeRud) and Oklahoma Center on Aging (Dr Bernard), University of Oklahoma Sciences Center, and Chronic Disease Service, Oklahoma State Department of Health (Dr Yerkes), Oklahoma City. Ms LeRud is now with the South Carolina Department of Health and Environmental Control, Greenville.
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Culturally sensitive continence care: a qualitative study among South Asian Indian women in Leicester
Doshani et al.
Fam Pract 2007;24:585-593.
ABSTRACT
| FULL TEXT
|
