Urinary Incontinence in Adults. Clinical Practice Guidelines; A Patience's Guide;Quick Reference Guide for Clinicians

摘要

Urinary incontinence (UI) affects approximately 10 million Americans, mostlyelderly, in community and institutional settings. The clinical practice guideline addresses major evaluative, diagnostic, treatment, and management issues of UI. It was developed under the sponsorship of the Agency for Health Care Policy and Research (AHCPR), Public Health Service, U.S. Department of Health and Human Services. To develop the guideline, AHCPR convened an interdisciplinary, expert panel made up of physicians, nurses, gerontologists, other allied health professionals, and consumers. The panel first undertook an extensive and interdisciplinary clinical review of current needs, therapeutic practices and principles, and emerging technologies for diagnosis and treatment of UI. Second, the panel conducted a comprehensive review of the field to define the existing knowledge base and critically evaluate the assumptions and common wisdom in the field. Third, the panel initiated peer review of guideline drafts and field review with intended users in clinical sites. Comments from these reviews were assessed and used in developing the guideline.