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International Urogynecology Journal

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01-08-2012 | Original Article

The iceberg of health care utilization in women with urinary incontinence

Authors: Vatche A. Minassian, Xiaowei Yan, Marc J. Lichtenfeld, Haiyan Sun, Walter F. Stewart

Published in: International Urogynecology Journal | Issue 8/2012

Abstract

Introduction and hypothesis

The objective of the study was to estimate prevalence of urinary incontinence (UI) health care utilization in women from the population up to specialty care.

Methods

The General Longitudinal Overactive Bladder Evaluation–UI (GLOBE-UI) is a population-based study on the natural history of UI in women ≥ 40 years of age. Prevalence of UI was estimated by using the Bladder Health Survey (BHS). Survey data were linked with electronic health records to build the different steps of the iceberg of disease. Descriptive statistics were used to estimate the prevalence estimates at all levels of the iceberg.

Results

A total sample of 7,059 women received the BHS. Of those, 3,316 (47 %) responded. Prevalence of UI was 1,366 (41 %). Women with or without UI did not differ by age or marital status. However, women with versus without UI were more parous (91 vs 87 %), significantly more overweight or obese (74 vs 61 %), and more likely to have a college education or higher (54 vs 46 %), P < 0.01. Nine hundred fifty-eight (73 %) women with UI reported duration of more than 2 years and 72 % reported moderate to severe UI symptoms. Of all 1,366 women with BHS UI diagnosis, only 339 (25 %) sought care, 313 (23 %) received some care, and 164 (12 %) received subspecialty care.

Conclusions

UI is a highly prevalent disease. Only a minority with UI appears to seek care and a fraction sees a pelvic floor specialist. It is important not only to educate women, but also primary care providers about this highly prevalent yet treatable condition.

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Title: The iceberg of health care utilization in women with urinary incontinence
Authors: Vatche A. Minassian
Xiaowei Yan
Marc J. Lichtenfeld
Haiyan Sun
Walter F. Stewart
Publication date: 01-08-2012
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 8/2012
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-012-1743-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

The iceberg of health care utilization in women with urinary incontinence

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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