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Case-finding incontinence in the over-75s

S Prosser1, F Dobbs

  • 1Research Foundation, Irish College of General Practitioners, Dublin, Irish Republic.

The British Journal of General Practice : the Journal of the Royal College of General Practitioners
|August 1, 1997
PubMed
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General practitioners (GPs) have limited knowledge of incontinence in older patients. Incontinence affects 44% of those over 75, with female sex and low cognitive function increasing risk.

Area of Science:

  • Gerontology
  • Urology
  • General Practice

Background:

  • Incontinence is under-reported in older adults.
  • General practitioner (GP) knowledge of incontinence in this demographic is not well-documented.

Purpose of the Study:

  • To assess Irish GPs' knowledge of incontinence in patients over 75.
  • To investigate the link between incontinence and cognitive function in this age group.

Main Methods:

  • A questionnaire was administered by 64 GPs to 527 patients aged over 75.
  • Cognitive function (AMTS) and incontinence screening (RCGP) were assessed.
  • GP knowledge of patient incontinence status and management preferences were recorded.

Main Results:

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  • 44% of patients over 75 reported urinary incontinence; 9% reported faecal incontinence.
  • GPs had full knowledge of incontinence status in only 33% of patients.
  • Female sex and low cognitive scores increased the likelihood of incontinence; age increased daily wetting frequency.

    • Conclusions:

    • GPs should maintain a high index of suspicion for incontinence in older adults.
    • Thorough history, physical examination, and individualized treatment are recommended.