Incontinence and Nocturia in Older Adults After Hip Fracture: Analysis of a Secondary Outcome for a Parallel Group, Randomized Controlled Trial

Zusman, Enav Z.; McAllister, Megan M.; Chen, Peggy; Guy, Pierre; Hanson, Heather; Merali, Khalil; Brasher, Penelope M. A.; Cook, Wendy L.; Ashe, Maureen C.

doi:10.1177/2333721417709578

Cited by 7 publications

(14 citation statements)

References 34 publications

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“…All 22 studies used the ICECAP-O alongside other measures and in all but four studies [ 15 , 51 , 53 , 56 ] this included the EQ-5D.…”

Section: Resultsmentioning

confidence: 99%

“…Eighteen of the 20 studies that generate an ICECAP-O tariff value also calculate either the change in ICECAP-O score induced by the treatment, or the component figures needed to calculate the change. One study [ 66 ] does not present results by arm due to the small sample size (this was a pilot/feasibility study) and one study [ 53 ] presents the correlation between presence of the condition and capability at baseline and follow-up. All but one of these 18 studies solely presents the results in tabular form alongside the corresponding results for other measures.…”

Section: Resultsmentioning

confidence: 99%

“…Of the 22 studies in this category, twelve were undertaken in the UK, three in Australia [46–48], three in The Netherlands [49–52], two in Canada [53, 54], one in the USA [55] and one in Sweden [56].…”

Section: Resultsmentioning

confidence: 99%

“…Some of the 22 studies evaluated interventions falling clearly within the health domain (such as telehealth [57, 58]; techniques/hardware used in hip fracture surgery [66, 67]; screening for those at risk of lung cancer [68]; comprehensive assessment and personalised clinical management strategies to reduce incontinence and nocturia for older adults following hip fracture [53]; comprehensive assessment for frail older people receiving acute hospital care [56]; and a pharmaceutical product [55]. However, most of the studies that were identified evaluated interventions relating to care in a community setting/self-care and/or integrated services for those with chronic and long-term conditions, where broader elements of quality of life (such as maintaining independence) would be more obviously and/or directly affected; the interventions here included: integrated health and social care [49, 52]; control over budgets for older people receiving community care in Australia [48]; a dementia self-management group [63]; a goal setting programme to promote healthy ageing and prevent dementia for those with low (or zero) needs [60]; information and communication technologies (ICT) training for those with a visual impairment [50]; interventions targeting post-acute needs [46, 54, 64, 65, 69]; and a programme of community activities aimed to help those with low (or zero) level needs to improve and maintain well-being [70].…”

Section: Resultsmentioning

confidence: 99%

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ICECAP-O, the current state of play: a systematic review of studies reporting the psychometric properties and use of the instrument over the decade since its publication

2019

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Purpose A paper reporting the development of the ICECAP-O was published in 2006. Since then, there has been increasing interest in the use of capability-based measures within health economics and the ICECAP-O has been suggested for use in economic evaluation by decision-making bodies in the Netherlands and UK. Methods A systematic review of studies published between January 2006 and October 2018 which have assessed the psychometric properties of ICECAP-O or utilised the measure within economic evaluation. Results Twenty-four studies explored the psychometric properties of ICECAP-O and 21 have utilised the measure within economic evaluation; one study reported psychometric properties as well as utilising the measure within economic evaluation. The ICECAP-O has good construct validity and responsiveness, but there is evidence of some issues relating to content validity. In the context of economic evaluation, the ICECAP-O has, to date, mainly been included as a secondary economic measure and the reporting of results is brief with minimal detail and often no discussion. Five of the economic evaluation studies combined scores from ICECAP-O with time, but each used different terminology to describe this result. Conclusion Focus, in terms of publications, appears to have shifted now from assessment of psychometric properties to the utilisation of the ICECAP-O within economic evaluation. Further research is needed with respect to a decision-rule for the ICECAP measures. This additional research should also guide users in terms of appropriate analysis, terminology and presentation of results, which are in-keeping with the conceptual framework underpinning the ICECAP-O. Electronic supplementary material The online version of this article (10.1007/s11136-019-02114-y) contains supplementary material, which is available to authorized users.

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“…All 22 studies used the ICECAP-O alongside other measures and in all but four studies [ 15 , 51 , 53 , 56 ] this included the EQ-5D.…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

ICECAP-O, the current state of play: a systematic review of studies reporting the psychometric properties and use of the instrument over the decade since its publication

2019

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“…Urinary incontinence (UI) is another highly prevalent geriatric syndrome among older patients with hip fracture. In a randomized clinical trial, 44% of study participants self-reported UI and four out of five reported nocturia at baseline [ 62 ]. A cohort study demonstrated that UI was associated to an increased risk of falls, but not of hip fractures [ 63 ].…”

Section: Resultsmentioning

confidence: 99%

Orthogeriatric Management: Improvements in Outcomes during Hospital Admission Due to Hip Fracture

Tarazona-Santabalbina

Ojeda-Thies

Rodríguez

et al. 2021

IJERPH

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Hip fractures are an important socio-economic problem in western countries. Over the past 60 years orthogeriatric care has improved the management of older patients admitted to hospital after suffering hip fractures. Quality of care in orthogeriatric co-management units has increased, reducing adverse events during acute admission, length of stay, both in-hospital and mid-term mortality, as well as healthcare and social costs. Nevertheless, a large number of areas of controversy regarding the clinical management of older adults admitted due to hip fracture remain to be clarified. This narrative review, centered in the last 5 years, combined the search terms “hip fracture”, “geriatric assessment”, “second hip fracture”, “surgery”, “perioperative management” and “orthogeriatric care”, in order to summarise the state of the art of some questions such as the optimum analgesic protocol, the best approach for treating anemia, the surgical options recommendable for each type of fracture and the efficiency of orthogeriatric co-management and functional recovery.

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The relative importance of different consequences of nocturnal enuresis among older women: A conjoint analysis experiment

Welk

Kennelly

2022

Neurourology and Urodynamics

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Introduction: Adult nocturnal enuresis (NE) is an understudied and bothersome condition. Our objective was to conduct a conjoint analysis experiment to better understand the relative importance of NE consequences in older women. Methods:We developed a conjoint analysis survey that included four attributes related to NE (awakening at night, feeling rested in the morning, restricting fluid before bed, and wet perineal skin). We performed a prospective cross-sectional online study of women >62 years of age with NE using Sawtooth Software. Patients completed baseline questions, the International Consultation on Incontinence Questionnaire-nocturia Quality of Life (ICIQ-NqoL), and the conjoint analysis experiment. Hierarchical Bayes random effects regression analysis was used to determine the relative importance of the four attributes.Results: A total of 200 women with a mean age of 71 years completed the study. The most common management of NE was diapers/pads (132/200). Approximately half of the participants experienced NE several times a week or nightly (101/200). The most important attribute was the frequency of being awakened at night (34, standard deviation [SD]: 16) and the frequency of feeling rested in the morning (32, SD: 15). Limiting drinking before bed (18, SD: 12) and wet groin skin (16, SD: 10) had significantly lower importance scores (p < 0.05). Age, sleeping with a partner in bed, body mass index, NE severity score, and the ICIQ-NqOL score were not significantly associated with any of the importance scores.Conclusions: Older women with NE place significantly more importance on the frequency of awakening at night, and feeling rested in the morning and lesser importance on associated lifestyle or physical manifestations of NE.

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Incontinence and Nocturia in Older Adults After Hip Fracture: Analysis of a Secondary Outcome for a Parallel Group, Randomized Controlled Trial

Cited by 7 publications

References 34 publications

ICECAP-O, the current state of play: a systematic review of studies reporting the psychometric properties and use of the instrument over the decade since its publication

ICECAP-O, the current state of play: a systematic review of studies reporting the psychometric properties and use of the instrument over the decade since its publication

Orthogeriatric Management: Improvements in Outcomes during Hospital Admission Due to Hip Fracture

The relative importance of different consequences of nocturnal enuresis among older women: A conjoint analysis experiment

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