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Published in: International Urogynecology Journal 5/2009

01-05-2009 | Original Article

Incidence and remission of urinary incontinence in a community-based population of women ≥50 years

Authors: Yuko M. Komesu, Rebecca G. Rogers, Ronald M. Schrader, Cindi M. Lewis

Published in: International Urogynecology Journal | Issue 5/2009

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Abstract

Introduction and hypothesis

The objective of the study was to determine incidence, remission, and predictors of change in urinary incontinence in women ≥50 in a racially diverse population.

Methods

Subjects were women ≥50 with 4-year follow-up incontinence information in the Health and Retirement Study. Women with Any UI (AUI) and Severe UI (SVUI) were evaluated. Repeated measures logistic regression determined predictors of progression to and improvement of SVUI.

Results

Women (11,591) were evaluated. AUI 4-year cumulative incidence was 12.7–33.8% (fifth vs. ninth decades). SVUI incidence was lower but also increased with age. Among the predictors of improvement in SVUI were age (ninth vs. fifth decade odds ratios (OR) = 6.06) and ethnicity (Black vs. White OR = 0.57). Improvement of SVUI (45.8% overall) decreased with age (ninth vs. fifth decade OR = 0.12).

Conclusions

SVUI incidence increased and remission decreased with age. Ethnicity and age predicted SVUI progression while age predicted improvement. Rates of the latter were high, particularly in younger patients.
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Metadata
Title
Incidence and remission of urinary incontinence in a community-based population of women ≥50 years
Authors
Yuko M. Komesu
Rebecca G. Rogers
Ronald M. Schrader
Cindi M. Lewis
Publication date
01-05-2009
Publisher
Springer-Verlag
Published in
International Urogynecology Journal / Issue 5/2009
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-009-0838-5

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