Abstract
Typically defined, burden of illness involves the determination of levels of mortality and morbidity. Urogynecologic and related disorders rarely pose a life-threatening illness. However, they often result in significant morbidities. The relevant morbidities have been characterized by Fletcher et al. as the five D’s [1]. These are disease (frequency), discomfort, disability, dissatisfaction and destitution (the financial cost of illness). Measures of morbidity must therefore include the full range of manifestations of disease that would be considered important.
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References
Fletcher RH, Fletcher SW, Wagner EH. Introduction, health outcomes. In: Satterfield TS, editor. Clinical Epidemiology — the Essentials, 3rd edn. Baltimore, MD: Williams & Wilkins, 1996; 5.
Fletcher RH, Fletcher SW, Wagner EH. Frequency, bias in prevalence outcomes. In: Satterfield TS, editor. Clinical Epidemiology — the Essentials, 3rd edn. Baltimore, MD: Williams & Wilkins, 1996; 85.
Fletcher RH, Fletcher SW, Wagner EH. Introduction, Bias. In: Satterfield TS, editor. Clinical Epidemiology — the Essentials, 3rd edn. Baltimore, MD: Williams & Wilkins, 1996; 7.
Brocklehurst JC, Andrews K, Richards B, Laycock PJ. Incidence and correlates of incontinence in stroke patients. J Am Geriatr Soc 1985;33:540–2.
Fletcher RH, Fletcher SW, Wagner EH. Abnormality, performance of measurements. In: Satterfield TS, editor. Clinical Epidemiology — the Essentials, 3rd edn. Baltimore, MD: Williams & Wilkins, 1996; 23
Mohide EA. The prevalence and scope of urinary incontinence. Clin Geriatr Med 1986;2:639–55.
Tugwell P, Bennett KJ, Sackett DL. The measurement of iterative loop: A framework for the critical appraisal of needs, benefits and costs of health interventions. J Chron Dis 1985;38:339–351.
Urinary Incontinence in Adults, NIH Consensus Statement (1988) Oct 3–5;7(5):1–32.
Ashley MF, Gryfe CI, Aimes A. A longitudinal study of falls in the elderly: II. Some circumstances of falling. Age Ageing 1977;6:211–20.
Wilson T. Incontinence of urine in the aged. Lancet 1948;347–77.
Ory MG, Wyman JF, Yu L. Psychosocial factors in urinary incontinence. Clin Geriatr Med 1986;2:657–71.
Drutz HP, Doody K, Gilbey P. The role of psychological screening tests in the evaluation of women with persistent lower urinary tract problems: A prospective, blinded study. Int Urogynecol J 1995;9(1):21–30.
Norton C. The effects of urinary incontinence in women. Int Rehabil Med 1982;4:9–14.
Wyman JF, Harkins SW, Choi SC, Taylor JR, Fantl JA. Psychosocial impact of urinary incontinence in women. Obstet Gynecol 1987;70:378–81.
Yu LC, Kaltrieder DL, Hu T, Igou JF, Craighead WE. Measuring stress associated with incontinence: The ISW-P tool. J Gerontol Nurs 1989;15:9–15.
Yu LC. Incontinence stress index: Measuring psychological impact. J Gerontol Nurs 1987;13:18–25.
Applegate WB. Use of assessment instruments in clinical settings. J Am Geriatr Soc 1987;35:45–50.
Roberts RO, Jacobsen SJ, Rhodes T, et al. Urinary incontinence in a community-based cohort: Prevalence and healthcare-seeking. J Am Geriatr Soc 1998;46:467–72.
Noelker LS. Incontinence in the aged cared for by family. Gerontology 1983;23:258.
Patterson RL, Jackson GM. Behavioral modifications with the elderly. In: Hersen M, Eisler RM, Miller P, editors. Progress in Behavioral Modifications. Academic Press, 1980.
Wells T. Social and psychological implications of incontinence. In: Brocklehurst JC, editor. Urology in the Elderly. Edinburgh: Churchill Livingstone, 1984.
Bartol M. Psychosocial aspects of incontinence. In: Burnside I, editor. Psychosocial Nursing, McGraw Hill, 1980.
Spiro L. Bladder training for the incontinent patient. J Gerontol Nurs 1978;4:28–35.
Ware JEJ, Sherbourne CD. The MOS 36 item Short Form Health Survey (SF-36). I. Conceptual framework and item selection. Med Care 1992;30:473–83.
Naughton MJ, Wyman JF. Quality of life in geriatric patients with lower urinary tract dysfunction. Am J Med Sci 1997;314:219–27.
Hunskaar S, Vinsnes A. The quality of life in women with urinary incontinence as measured by the sickness impact profile. J Am Geriatr Soc 1991;39:378–82.
Ware JEJ, Sherbourne CD. The MOS 36 item Short Form Health Survey (SF-36). I. Conceptual framework and item selection. Med Care 1992;30:473–83.
Ware Jr JE, Gandek B. Overview of the SF-36 Health Survey and the International Quality of Life Assessment (IQOLA) Project. J Clin Epidemiol 1998;51(11):903–12.
Sand PK, Richardson DA, Staskin DR et al. Pelvic floor electrical stimulation in the treatment of genuine stress incontinence: A multicenter, placebo-controlled trial. Am J Obstet Gynecol 1995;173(1):72–9.
Kutner NG, Schechtman KB, Ory MG et al. Older adults’ perceptions of their health and functioning in relation to sleep disturbance, falling and urinary incontinence. J Am Geriatr Soc 1994;42:757–62.
Shumaker SA, Wyman JR, Uebersax JS et al. Health related quality of life measures for women with urinary incontinence: the Incontinence Impact Questionnaire and the Urogenital Distress Inventory. Quality of Life Research 1994;3:291–306.
Kelleher CJ, Cardozo LD, Khullar V, Salvatore S. A new questionnaire to assess the quality of life of urinary incontinent women. Br J Obstet Gynaecol 1997;104:1374–9.
Ouslander JG, Kane RL. The costs of urinary incontinence in nursing homes. Med Care 1984;22:69–79.
Borrie MJ, Davidson HA. Incontinence in institutions: costs and contributing factors. Can Med Assoc J 1992;147(3):322–8.
Wagner TH, Hu T-W. Economic costs of urinary incontinence in 1995. Urology 1998;51:355–61.
Wagner TH, Hu T-W. Economic costs of urinary incontinence. Int Urogynecol J 1998;9:127–8.
Abrams P, Blavais JG, Stanton SL, Anderson JT. The standardization of terminology of lower urinary tract function recommended by the International Continence Society. Int Urogynecol J 1990;1:45–8.
Thom D. Variation in estimates of urinary incontinence prevalence in the community: Effects of differences in definition, population characteristics and study type. J Am Geriatr Soc 1998;46:473–80.
Nemir A, Middleton RP. Stress incontinence in young nulliparous women. Am J Obstet Gynecol 1954;68:1166–8.
Wolin LH. Stress incontinence in young, healthy nulliparous female subjects. J Urol 1969;101:545–9.
Yarnell JWG, Richard CJ, Stephenson TP. The prevalence and severity of urinary incontinence in women. J Epidemiol Community Health 1981;35:71–4.
Doikno AC, Brock BM, Brown MB, Herzog AR. Prevalence of urinary incontinence and other urological symptoms in the non-institutionalized elderly. J Urol 1986;136:1022–5.
Jolleys JV. Reported prevalence of urinary incontinence in women in a general practice. Br Med J 1988;296:1300–2.
Angus Reid Group. Urinary incontinence in the Canadian adult population. Submitted to Veritas Communications 1997; 1–13.
Kralj B. Epidemiology of female urinary incontinence, classification or urinary incontinence, urinary incontinence in elderly women. Eur J Obstet Gynecol Reprod Biol 1994;55:39–41.
Brocklehurst JC, Dillane JB, Griffiths L, Fry L. The prevalence and symptomatology of urinary infection in an aged population. Gerontol Clin 1968;10:242–53.
Rekers H, Drogendijk AC, Valkenburg H, Riphagen F. Urinary incontinence in women from 35 to 79 years of age: prevalence and consequences. Eur J Obstet Gynecol Reprod Biol 1992;43:229–34.
Milne JS, Hope K, Williamson J. Variability in replied to a questionnaire on symptoms of physical illness. J Chron Dis 1970;22:805–10.
Resnick NM, Beckett LA, Branch LG, Scherr PA, Wetle T. Short-term variability of self report of incontinence in older persons. J Am Geriatr Soc 1994;42:202–7.
Nygaard IE, Lemke JH. Urinary incontinence in rural older women: Prevalence, incidence and remission. J Am Geriatr Soc 1996;44:1049–54.
Norton PA, MacDonald L, Stanton S. Distress associated with female urinary complaints and delay in seeking treatment. Neurourol Urodyn 1987;6:170–6.
Holst K, Wilson PD. The prevalence of female urinary incontinence and reasons for not seeking treatment. NZ Med J 1988;101:756–8.
Roberts RO, Jacobsen SJ, Rhodes T et al. Urinary incontinence in a community-based cohort: Prevalence and healthcare seeking. J Am Geriatr Soc 1998;46:467–72.
Foldspang A, Mommsen S. The International Continence Society (ICS) Incontinence Definition: Is the social and hygienic aspect appropriate for etiologic research? J Clin Epidemiol 1997;50(9):1055–60.
Fergusson ILC. Genital prolapse. Br J Hosp Med 1981;26:67–72.
Cardozo L. Prolapse. In: Whitfield CR, editor. Dewhurst’s Textbook of Obstetrics and Gynaecology for Postgraduates. Oxford: Blackwell Science, 1995; 642–52.
Mant J, Painter R, Vessey M. Epidemiology of genital prolapse: observations from the Oxford Family Planning Association study. Br J Obstet Gynaecol 1997;104:579–85.
Strohbehn K, Jakary, JA, Delancey JOL. Pelvic organ prolapse in young women. Obstet Gynecol 1997;90(1):33–6.
Al-Rawi ZS, Al-Rawi ZT. Joint hypermobility in women with genital prolapse. Lancet 1982;i:1439–41.
Norton PA, Baker JE, Sharp HC, Warenski JC. Genitourinary prolapse and joint hypermobility in women. Obstet Gynecol 1995;85(2):225–8.
Olsen AL, Smith VJ, Bergstron JO, Colling JC, Clark AL. Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet Gynecol 1997;89(4):501–6.
Harris RL, Cundiff GW, Coates KW, Bump RC. Urinary incontinence and pelvic organ prolapse in nulliparous women. Obstet Gynecol 1998;92(6):951–4.
Bump RC. Racial comparisons and contrasts in urinary incontinence and pelvic organ prolapse. Obstet Gynecol 1993;81(3):421–5.
Peacock LM, Wiskind AK, Wall LL. Clinical features of urinary incontinence and urogenital prolapse in a black inner-city population. Am J Obstet Gynecol 1994;171(6):1464–71.
Mattox TF, Bhatia NN. The prevalence of urinary incontinence or prolapse among white and Hispanic women. Am J Obstet Gynecol 1996;174(2):646–8.
Benson JT. The history and physical examination in women with urinary incontinence. Am Urogynecol Soc Quart Report 1989;7:1.
Richardson DA, Bent AE, Ostergard DR. The effects of uterovaginal prolapse on urethrovesical pressure dynamics. Am J Obstet Gynecol 1983;146:901–5.
Rosenzweig BA, Pushkin S, Blumenfeld D, Bhatia NN. Prevalence of abnormal urodynamic test results in continent women with severe genitourinary prolapse. Obstet Gynecol 1992;79(4):539–42.
Beverly CM, Walters MD, Weber AM, Piedmonte MR, Ballard LA. Prevalence of hydronephrosis in patients undergoing surgery for pelvic organ prolapse. Obstet Gynecol 1997;90(1):37–41.
Kjerulff KH, Erickson BA, Langenberg PW. Chronic gynecological conditions reported by US women: Findings from the National Health Interview Survey, 1984 to 1992. Am J Publ Health 1996;86(2):195–9.
Younis N, Khattab H, Zurayk H, el-Mouelhy M, Amin MF, Farag AM. A community study of gynecological and related morbidities in rural Egypt. Stud Fam Plann 1993;24(3):175–86.
Dudkiewicz J, Kaminski K, Rybczynska A. Preventative gynecologic examinations of women employed in the cement industry. Med Pr 1983;34(1):89–94.
Pepe F, Panella M, Pepe G, Panella P, LaSpina E, Sala C. Current aspects of gynecological pathology in postmenopause. Clin Exp Obstet Gynecol 1988;15(3):80–3.
Brieger GM, Yip SK, Fung YM, Chung T. Genital prolapse: A legacy of the West? Aust NZ J Obstet Gynaecol 1996;36(1):52–4.
Naylor AC. Hysterectomy — analysis of 2901 personally performed procedures. S Afr Med J 1984;65:242–5.
Jaluvka V. Major gynecological operations on women of 80 years of age or more. Arch Gynakol 1977;222(1):73–93.
Vuroma S, Teperi J, Hurskainen R, Keskimaki I, Kujansuu E. Hysterectomy trends in Finland in 1987–1995 — a register based analysis. Acta Obstet Gynecol Scand 1998;77(7):770–6.
Luoto R, Kaprio J, Keskimaki I, Pohjanlahti JP, Rutanen EM. Incidence causes and surgical methods for hysterectomy in Finland 1987–1989. Int J Epidemiol 1994;23(2):348–58.
Allard P, Rochette L. The descriptive epidemiology of hysterectomy, Province of Quebec, 1981–1988. Ann Epidemiol 1991;1(6):541–9.
Enck P, Beilefeldt K, Rathmann W et al. Epidemiology of faecal incontinence in selected patient groups. Int J Colorectal Dis 1991;6(3):143–6.
Resnick NM, Beckett LA, Branch LG, Scherr PA, Wetle T. Short-term variability of self report of incontinence in older persons. J Am Geriatr Soc 1994;42(2):202–7.
Thomas TM, Egan M, Walgrove A, Meade TW. The prevalence of faecal and double incontinence. Community Med 1984;6:216–20.
Johanson JF, Lafferty J. Epidemiology of fecal incontinence: the silent affliction. Am J Gastroenterol 1996;91(1):33–6.
Drossman DA, Li Z, Andruzzi E et al. U.S. Householder survey of functional gastrointestinal disorders. Prevalence, sociodemography, and health impact. Dig Dis Sci 1993;38(9):1569–80.
Nelson R, Norton N, Cautley E, Furner S. Community-based prevalence of anal incontinence. JAMA 1995;274(7):559–61.
Giebel GD, Lefering R, Troidl H, Blochl H. Prevalence of fecal incontinence: what can be expected? Int J Colorectal Dis 1998;13:73–7.
Thomas TM, Ruff C, Karran O, Mellows S, Meade TW. Study of the prevalence and management of patients with faecal incontinence in old people’s homes. Community Med 1987;9(3):232–7.
Johanson JF, Irizarry F, Doughty A. Risk factors for fecal incontinence in a nursing home population. J Clin Gastroenterol 1997;24(3):156–60.
Nelson R, Furner S, Jesudason V. Fecal incontinence in Wisconsin nursing homes. Dis Colon Rectum 1998;41:1226–9.
Read NW, Celik AF, Katsinelos P. Constipation and incontinence in the elderly. J Clin Gastroenterol 1995;20(1):61–70.
Barrett JA, Brocklehurst JC, Kiff ES, Ferguson G, Faragher EB. Anal function in geriatric patients with faecal incontinence. Gut 1989;30:1244–51.
Ouslander JG, Kane RL, Abrass IB. Urinary incontinence in elderly nursing home patients. JAMA 1982;248(10):1994–8.
Campbell AJ, Reinken J, McCosh L. Incontinence in the elderly: prevalence and prognosis. Age Ageing 1985;14(2):65–70.
Talley NJ, O;Keefe EA, Zinsmeister AR, Melton LJ 3rd. Prevalence of gastrointestinal symptoms in the elderly: a population-based study. Gastroenterology 1992;102(3):895–901.
Nakanishi N, Tatara K, Naramura H et al. Urinary and fecal incontinence in a community-residing older population in Japan. J Am Geriatr Soc 1997;45:215–19.
Kok ALM, Voorhorst FJ, Burger CW et al. Urinary and faecal incontinence in community-residing elderly women. Age Ageing 1992;21:211–15.
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Fedorkow, D.M. (2003). Prevalence of Urinary Incontinence, Pelvic Organ Prolapse and Anal Incontinence in Women. In: Drutz, H.P., Herschorn, S., Diamant, N.E. (eds) Female Pelvic Medicine and Reconstructive Pelvic Surgery. Springer, London. https://doi.org/10.1007/1-84628-238-1_2
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DOI: https://doi.org/10.1007/1-84628-238-1_2
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