基层医疗中尿失禁的筛查与治疗：一个被错失的机会。
Screening and Treating Urinary Incontinence in Primary Care: A Missed Opportunity.
作者信息
Patel Ushma J, Moureau Madeline K, Neuner Joan M, Brown Heidi W
机构信息
University of Wisconsin School of Medicine and Public Health, Department of Obstetrics and Gynecology, 1010 Mound Street 4th floor, Madison, WI, USA.
Medical College of Wisconsin, Division of General Internal Medicine, Milwaukee, WI, USA.
出版信息
OBM Geriat. 2023;7(4). doi: 10.21926/obm.geriatr.2304252. Epub 2023 Oct 5.
More than 60% of adult women in the United States have urinary incontinence (UI), with the prevalence increasing to over 80% in women over age 65. Despite its high prevalence, most patients do not seek care and few clinicians screen for UI. The Medicare Health Outcomes Survey queries patients about satisfaction with their provider's discussion and management of UI, but formal recommendations about screening, diagnosis, and treatment are lacking. This review presents a practical algorithm for primary care providers to incorporate management of UI into routine preventive care for women, and outlines UI prevalence, risk factors, screening, and non-surgical treatment options.
在美国，超过60%的成年女性患有尿失禁（UI），65岁以上女性的患病率增至80%以上。尽管患病率很高，但大多数患者并未寻求治疗，而且很少有临床医生对尿失禁进行筛查。医疗保险健康结果调查询问患者对其医疗服务提供者关于尿失禁的讨论和管理的满意度，但缺乏关于筛查、诊断和治疗的正式建议。本综述为初级保健提供者提供了一种实用的算法，将尿失禁管理纳入女性常规预防性保健中，并概述了尿失禁的患病率、风险因素、筛查和非手术治疗选择。
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