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HEARTS, minds and souls—it is time for geriatricians to bring more to continence management

Schlögl, Mathias; Gordon, Adam (2021). HEARTS, minds and souls—it is time for geriatricians to bring more to continence management. Age and Ageing, 50(5):1508-1511.

Abstract

Urinary incontinence (UI), the involuntary loss of urine, is a common health condition that may decrease the quality of life and which increases in incidence and prevalence with age. Recent epidemiologic data suggest an overall prevalence of 38% in women older than 60 years, increasing to 77% in older women living in nursing homes. Despite this high prevalence, incontinence remains underdiagnosed and undertreated in this age group. In a representative population of 7,000 participants drawn from the Irish Longitudinal Study of Ageing, 750 had UI of whom 285 (38%) had not sought the help of a health care professional. The reasons that older people do not seek help for incontinence are complex and multiplex. Stigma surrounding diagnosis, a sense of futility coupled to a notion that incontinence is a part of normal ageing and the fact that incontinence simply gets ‘lost’ in the midst of multimorbidity and frailty have all been shown to play a role. Active case finding has therefore been highlighted as a cornerstone of effective care in serial international guidelines.

Additional indexing

Item Type:Journal Article, refereed, further contribution
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Department of Aging Medicine
Dewey Decimal Classification:610 Medicine & health
Scopus Subject Areas:Life Sciences > Aging
Health Sciences > Geriatrics and Gerontology
Uncontrolled Keywords:Geriatrics and Gerontology, Ageing, General Medicine
Language:English
Date:11 September 2021
Deposited On:16 Nov 2021 11:01
Last Modified:26 Oct 2024 01:38
Publisher:Oxford University Press
ISSN:0002-0729
OA Status:Closed
Free access at:Publisher DOI. An embargo period may apply.
Publisher DOI:https://doi.org/10.1093/ageing/afab088
PubMed ID:34104937
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