Screening for Urinary Incontinence in Women: A Recommendation From the Women's Preventive Services Initiative.

Abstract:

Description:Recommendation on screening for urinary incontinence in women by the Women's Preventive Services Initiative (WPSI), a national coalition of women's health professional organizations and patient representatives. The WPSI's recommendations are intended to guide clinical practice and coverage of services for the Health Resources and Services Administration and other stakeholders. The target audience for this recommendation includes all clinicians providing preventive health care for women, particularly in primary care settings. This recommendation applies to women of all ages, as well as adolescents. Methods:The WPSI developed this recommendation after evaluating evidence regarding the benefits and harms of screening for urinary incontinence in women. The evaluation included a systematic review of the accuracy of screening instruments and the benefits and harms of treatments. Indirect evidence was used to link screening and health outcomes in the chain of evidence that might support screening in the absence of direct evidence. The WPSI also considered the effect of screening on symptom progression and avoidance of costly and complex treatments, as well as implementation factors. Recommendation:The WPSI recommends screening women for urinary incontinence annually. Screening ideally should assess whether women experience urinary incontinence and whether it affects their activities and quality of life. The WPSI recommends referring women for further evaluation and treatment if indicated.

journal_name

Ann Intern Med

authors

O'Reilly N,Nelson HD,Conry JM,Frost J,Gregory KD,Kendig SM,Phipps M,Salganicoff A,Ramos D,Zahn C,Qaseem A,Women's Preventive Services Initiative.

doi

10.7326/M18-0595

subject

Has Abstract

pub_date

2018-09-04 00:00:00

pages

320-328

issue

5

eissn

0003-4819

issn

1539-3704

pii

2697085

journal_volume

169

pub_type

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