Translation, Adaptation and Basic Validation of International Consultation On Incontinence Questionnaire Vaginal Symptoms Module (ICIQ-VS)- Marathi ICIQ- VS

Objetivo: O presente estudo objetiva avaliar a presença de incontinência urinária em mulheres com câncer de mama no início do tratamento quimioterápico. Métodos: Estudo descritivo exploratório e de corte longitudinal, realizado no Hospital União Oeste Paranaense de Estudos e Combate ao Câncer. Para avaliação da Incontinência Urinária foi utilizado o International Consultation on Incontinence Questionnaire - Short Form (ICIQ-SF). Para análise de correlação foi utilizado o Coeficiente de Correlação de Pearson. Resultados: Participaram do estudo 20 mulheres, com idade média de 53,8±7,1 anos. Quando abordado as respostas do ICIQ-SF, a média encontrada foi de 1,6±0,9 pontos, o que significa baixo impacto da incontinência urinária na vida das participantes. Conclusão: Apesar do baixo impacto de incontinência urinária em mulheres com câncer de mama no inicio do tratamento quimioterápico adjuvante, é de extrema importância avaliar a presença da incontinência urinária.

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Real-world effectiveness of app-based treatment for urinary incontinence: a cohort study

BMJ Open ◽

10.1136/bmjopen-2020-040819 ◽

2021 ◽

Vol 11 (1) ◽

pp. e040819

Author(s):

Pontus Rygh ◽

Ina Asklund ◽

Eva Samuelsson

Keyword(s):

Urinary Incontinence ◽

Cohort Study ◽

Real World ◽

Short Form ◽

Pelvic Floor Muscle ◽

Controlled Trial ◽

Healthcare Services ◽

International Consultation ◽

The Mean

ObjectivesThe efficacy of app-based treatment for stress urinary incontinence (SUI) has been demonstrated in a randomised controlled trial (RCT). In this study, we investigate the user characteristics and the effectiveness of the same app when freely available, and compare these results with the RCT.DesignProspective cohort study.ParticipantsDuring a 17-month period, 24 602 non-pregnant, non-postpartum women older than 18 years downloaded the app and responded anonymously to a questionnaire. Of these, 2672 (11%) responded to the 3-month follow-up.InterventionThree months’ use of the app Tät, containing information, a pelvic floor muscle training programme and lifestyle advice.Main outcome measuresChange in symptom severity (International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF)) and subjective improvement (Patient Global Impression of Improvement (PGI-I)).ResultsOf the respondents, 88% lived in Sweden and 75% (18 384/24 602) were incontinent with a mean age of 45.5 (SD 14.1) years. The UI types, based on symptoms, were SUI (53%), urgency UI (12%), mixed UI (31%) and undefined (4%). The mean ICIQ-UI SF score was 8.2 (SD 4.0) at baseline. The mean ICIQ-UI SF score reduction at follow-up was 1.31 (95% CI: 1.19 to 1.44) with a larger reduction in those with more severe incontinence at baseline (severe/very severe 3.23 (95% CI: 2.85 to 3.61), moderate 1.41 (95% CI: 1.24 to 1.59) and slight 0.24 (95% CI 0.06 to 0.42). When the results were weighted to match the distribution of severity in the RCT, the ICIQ-UI SF score reduction was 2.2 compared with 3.9 in the RCT. Regarding PGI-I, 65% experienced improvement compared with 92% in the RCT.ConclusionsThe app Tät was effective for self-management of UI even in the real world. Although the reduction in incontinence symptoms was less than in the RCT, two-thirds of the users improved. App-based treatment reaches many women without requiring resources from ordinary healthcare services.

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Urinary Incontinence in Physically Active Older Women of Northeast Brazil

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18115878 ◽

2021 ◽

Vol 18 (11) ◽

pp. 5878

Author(s):

Thais Sousa Rodrigues Guedes ◽

Marcello Barbosa Otoni Gonçalves Guedes ◽

Hévila Kilvia Miguel de Oliveira ◽

Rodrigo Lopes Soares ◽

Vitor Leandro da Cunha ◽

...

Keyword(s):

Urinary Incontinence ◽

Older Women ◽

Short Form ◽

Prevalence Ratio ◽

Protection Factor ◽

Cross Sectional ◽

Physically Active ◽

Factors Associated ◽

International Consultation ◽

Loss Of Balance

Low- and moderate-impact physical activity (PA) is associated with the prevention of urinary incontinence (UI). The objective of the cross-sectional study presented herein is to analyze the factors associated with UI in physically older active women who participate in senior community groups. The variable UI was measured by the International Consultation Incontinence Questionnaire Short Form (ICIQ-SF). Socioeconomic variables were also collected, along with data on life habits and clinical history. The multivariate analysis employed Poisson’s Regression with robust variance for factors associated with UI. Of the 106 participants evaluated, 54.7% presented UI, of which stress incontinence was more frequent, with 40.6%. UI presented a statistically significant association with dizziness/loss of balance during Activities of Daily Living (ADL) (prevalence ratio-PR 1.48; 95% CI 1.06–2.07) and nocturia (PR 1.63; 95% CI 1.05–2.55). Despite PA being a protection factor, UI presented an elevated prevalence in the older population, and therefore, other biological, social, and cultural aspects could also contribute to the occurrence of UI in this age group. Moreover, physically active older women with UI presented nocturia and dizziness/loss of balance during ADL, regardless of education levels and the number of births. These findings can help improve multi-professional programs aimed at promoting, preventing, and managing UI in the public.

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