The Rational Clinical Examination
David L. Simel, Drummond Rennie
Urinary Incontinence, Women
David L. Simel
Make the Diagnosis: Urinary Incontinence, Women
Topics Discussed:
criterion standard comparisons (diagnostic tests), diagnostic process, likelihood ratio, make the diagnosis, prior probability, reference standards, urge incontinence, urinary incontinence, urinary incontinence, stress, women's health
Excerpt:
"Urinary incontinence is the involuntary leakage of urine. The
reported prevalence of urinary incontinence among older women ranges
from 17% to 55%, with daily incontinence ranging
from 3% to 17%.1 The prevalence
rates depend, in part, on the definition of urinary incontinence
used: daily vs weekly vs monthly vs any episodes of involuntary
leakage. Among middle-aged and younger women, the reported prevalence
ranges from 12% to 42%.1 The
type of urinary incontinence varies with age: women younger than
65 years with incontinence tend to have stress incontinence (50%-66%),
while those older than 65 years have a lower frequency of stress
incontinence (25%-33%). ..."
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