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Do We Have Sufficient Evidence to Derive Innovative Approaches to Assessing Unmet Need, Delivering Education on Bladder and Bowel Continence Health, and Providing a Better Environment for Joint Decision-Making? ICI-RS 2024.
Neurourol Urodyn
January 2025
Department of Medicine, College of Health Sciences, Faculty of Medicine & Dentistry, Division of Geriatric Medicine, Edmonton, Alberta, Canada.
Context: Improved continence outcomes are reliant on identification of unmet need, education delivery, and shared decision-making. The evidence base on which to derive innovative approaches in these areas was unclear.
Methods: A debate held at the International Consultation on Incontinence-Research Society meeting, held in Bristol in June 2024, considered ways to improve research requirements to advance these areas.
This editorial highlights the importance of catheterisation documentation and the practice of trials without catheters in improving patient outcomes in Pakistan. Acute urinary retention, a major urological emergency, needs short-term catheter placement, with a trial without a catheter used globally to reduce catheter-associated urinary tract infections. This procedure, often enhanced by alpha-1 blockers, enables patients to regain continence and promotes micturition post-catheterisation, particularly useful following surgeries such as prostatectomy.
View Article and Find Full Text PDFImplications of comprehensive geriatric assessment and Traditional Chinese Medicine constitution types for integrative geriatric care.
Arch Gerontol Geriatr
February 2025
Center for Geriatrics and Gerontology, Kaohsiung Veterans General Hospital, Kaohsiung, 813, Taiwan; Department of Geriatric Medicine, National Yang Ming Chiao Tung University School of Medicine, Taipei, Taiwan; Center for Healthy Longevity and Aging Sciences, National Yang Ming Chiao Tung University, Taipei, Taiwan; Mei-Ho University, Pingtung 23, Taiwan.
Background: Complementary medicine may enhance conventional geriatric care, but clinical guidance for incorporating Traditional Chinese Medicine (TCM) therapies remains limited. This study aimed to investigate the link between TCM body constitutions and comprehensive geriatric assessment scores in older adults.
Method: This prospective observational study recruited 100 participants aged 65 and older between January 2020 and December 2021.
Bladder health in US women: population-based estimates from the RISE FOR HEALTH study.
Am J Obstet Gynecol
November 2024
Division of Public Health Sciences, Department of Surgery, Washington University School of Medicine, St. Louis, MO.
Background: Bladder health encompasses total bladder well-being and not merely the absence of urinary symptoms. While much is known about the prevalence of urinary symptoms in women, little is known about the distribution of bladder health (eg, optimal to poor).
Objective: We report the distributions of multiple dimensions of bladder health and function in a population-based sample of community-dwelling women, overall and separately in women without urinary symptoms to begin to explore bladder health dimensions that may precede the onset of symptoms.
Pressure Injuries and the Waterlow Subscales in the Intensive Care Unit: A Multicentre Study.
J Clin Nurs
December 2024
The First School of Clinical Medicine, Lanzhou University, Lanzhou, China.
Background: Pressure injuries (PIs) impose a significant burden on patients in the intensive care unit (ICU) and the healthcare system. Assessing the risk of developing PIs is crucial for prevention. However, it is unclear whether all subscales of the Waterlow scale can be used to assess PIs risk in ICU.
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