Fórum Público para a Promoção do Tratamento da ...sobest.org.br/arquivos/CBEAULAS/dia4/09H35 -...
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Fórum Público para a Promoção do Tratamento da Incontinência Urinária 04 de Novembro de 2015
Transcript of Fórum Público para a Promoção do Tratamento da ...sobest.org.br/arquivos/CBEAULAS/dia4/09H35 -...
Foacuterum Puacuteblico para a Promoccedilatildeo do Tratamento da Incontinecircncia
Urinaacuteria
04 de Novembro de 2015
Incontinecircncia Urinaacuteria na Ameacuterica Latina
Valter Yasushi Honji
Prof Assistentes da Disciplina Urologia da Faculdade de Medicina de Sorocaba do Centro de Ciecircncias Meacutedicas e da Sauacutede da Pontifiacutecia
Universidade Catoacutelica de Satildeo Paulo
Ameacuterica Latina
bull Regiatildeo do continente americano que engloba os paiacuteses onde satildeo faladas primordialmente liacutenguas romacircnicas (derivadas do latim) mdash espanhol portuguecircs e francecircs
bull Aacuterea de cerca de 21 069 501 km2
bull Populaccedilatildeo de 569 milhotildees de pessoas em 2008
Iacutendice de Desenvolvimento Humano
medida comparativa usada para classificar os paiacuteses ( igravendice de educaccedilatildeo longevidade e renda per capita)
bull Desenvolvidos desenvolvimento humano muito alto
bull Em desenvolvimento desenvolvimento humano meacutedio e alto
bull Subdesenvolvidos desenvolvimento humano baixo
Concluindo
bull Regiatildeo heterogecircnea com povos culturalmente distintos e de iacutendices de desenvolvimento extremamente variaacuteveis
bull Impacto direto acesso ao tratamento meacutedico e na disponibilidade de informaccedilotildees epidemioloacutegicas
Dados disponiacuteveis
bull Pubmed
bull Lilacs
bull Scielo
Overactive bladder prevalence and implications in BrazilTeloken C Caraver F Weber FA Teloken PE Moraes JF Sogari PR Graziottin TM EurUrol 2006 Jun49(6)1087-92 Epub 2006 Feb 9
OBJECTIVES
To assess overactive bladder (OAB) prevalence associated factors and implications in a young population
METHODS
An independent population-based study was carried out A self-applicative questionnaire covering urinary symptoms coping strategies quality of life and treatment seeking behavior was developed
RESULTS
A total of 848 subjects between 15 and 55 years completed the questionnaire The overall prevalence of OAB was 189 Women were significantly more affected than men (p = 0001) All age groups were equally affected (p = 0152) Subjects with OAB reported significant impairment on household chores (p = 0009) physical activities (p = 0016) sleep (p lt 0001) work (p lt 0001) social life (p lt 0001) and sexual life (p lt 0001) In addition OAB individuals present higher prevalence of depression (p = 0036) anxiety (p lt 0001) shame (p lt 0001) and tiredness (p lt 0001) OAB was independently associated to sexual life impairment (OR = 336 95 CI=120-939) Only 275 of OAB subjects sought for medical counseling
CONCLUSIONS
OAB is a highly prevalent condition even in such a young population It affects both genders yet it is more frequently observed in women OAB is an important health condition with serious impact on quality of life and sexual function A large percentual of individuals remain unrecognized under treated and consequently suffer for long periods of time
Association between urinary incontinence in elderly patients and caregiver burden in the city of Sao PauloBrazil Health Wellbeing and Ageing StudyTamanini JT1 Santos JL Lebratildeo ML Duarte YA Laurenti R Neurourol Urodyn 2011 Sep30(7)1281-5 doi 101002nau21040 Epub 2011 May 10
Some elderly patients with incontinence require the care of third parties known as caregivers Such care can occur on a daily basis leaving little opportunity for the caregiver to take care of himselfherself The aims are to assess the association between urinary incontinence in elderly patients and caregiver burden and identify independent factors for caregivers burden in the city of Sao Paulo Brazil
METHODS
The Pan-American Health Organization and World Health Organization coordinated a multicenter study named Health Wellbeing and Aging (SABE Study) in elderly people living in seven countries of Latin America and the Caribbean In Brazil the study population carried out in Satildeo Paulo in the year 2000 and reassessed in 2006 (COHORT A) Urinary incontinence was assessed by ICIQ-SF and caregiver burden by means of Zarit Burden Scale
RESULTS
A total of 327 patients with caregivers were included in the study The general prevalence of urinary incontinence was 258 higher among the women There was a significant positive association between caregiver burden and incontinent patients demonstrating that urinary incontinence in elderly patients produced greater caregiver burden In the present study the variables with significant correlations were assessed using the multivariate logistic regression model Category 2 of the ICIQ-SF (incontinent patients) increased the chances of caregiver burden 196-fold in comparison to Category 1 (continent patients) Likewise the category of impaired cognition increased the chances of caregiver burden 234-fold
CONCLUSIONS
Urinary incontinence and cognitive impairment in elderly patients were associated to an increase in caregiver burden
Analysis of the prevalence of and factors associated with urinary incontinence among elderly people in the Municipality of Satildeo Paulo Brazil SABE Study (Health Wellbeing and Aging)Tamanini JT Lebratildeo ML Duarte YA Santos JL Laurenti R Cad Saude Publica 2009 Aug25(8)1756-62
Abstract
To investigate the prevalence of urinary incontinence among elderly people living in Satildeo Paulo Brazil and their associated risk factors The Pan-American Health Organization and World Health Organization coordinated a multicenter study named Health Wellbeing and Aging (SABE Study) in elderly people (over 60 years old) living in seven countries in Latin America and the Caribbean In Brazil the study was carried out in Satildeo Paulo in the year 2000 The total Brazilian sample included 2143 people The prevalence of self reported urinary incontinence was 118 among men and 262 for women It was verified that among those reporting urinary incontinence 37 also reported stroke and 34 depression It was found that the greater the dependence that the elderly people presented the greater the prevalence of urinary incontinence The associated factors found were depression (odds ratio = 249) female (242) advanced age (235) important functional limitation (201) Urinary incontinence is a highly prevalent symptom among the elderly population of the municipality of Satildeo Paulo especially among women The adoption of preventive measures can reduce the negative effects of urinary incontinence
bull Frente agrave falta informaccedilatildeo teacutecnica disponiacutevel
bull AVALIEMOS A NOSSA REALIDADE
Salaacuterios na Ameacuterica LatinabullSalaacuterios Miacutenimos (em Doacutelares mecircs)
bull Brasil 22300 (R$78800)bull Argentina 56100bull Boliacutevia 11600bull Colocircmbia 35700bull Chile 45200bull Cuba 4000bull Equador 23300bull Paraguai 41400bull Peru 36200bull Uruguai 40000bull Venezuela 9600
bullSALAacuteRIO MEacuteDIO NO BRASIL R$ 111684
Custos de medicaccedilotildees no Brasil
bull Retemic UD10 mg 7806 (107 SM)
bull Vesicare (solifenacina) 5 mg 13296 ( 183 SM)
10 mg 16267
bull Enablex (darifenacina) 75 mg 16188 (22 SM)
15 mg 18068
Sondas uretrais 150 unidades mecircs = 12500 (17 SM)
Xilocaina gel 2 2619 (36 SM)
40 renda mensal
cirurgia
Devices
Conclusotildees
bull Grande deficiecircncia de dados para anaacutelise levando agrave dificuldade de definir poliacutetica de sauacutede adequada voltada para o problema
bull Condiccedilatildeo que afeta grande nuacutemero de pessoas de todas as idades e de ambos os sexos ( poucos procuram ou tem acesso aos tratamentos)
bull Impacto direto na qualidade de vida auto imagem trabalho vida sexual levando aacute depressatildeo vergonha timidez
bull Custos elevados dos tratamentos
bull Impacto dos mesmos sobre a renda familiar
Site wwwincontinenciaurinariabcsorgEmail associacaobrasileirabcstuartcom
Incontinecircncia Urinaacuteria na Ameacuterica Latina
Valter Yasushi Honji
Prof Assistentes da Disciplina Urologia da Faculdade de Medicina de Sorocaba do Centro de Ciecircncias Meacutedicas e da Sauacutede da Pontifiacutecia
Universidade Catoacutelica de Satildeo Paulo
Ameacuterica Latina
bull Regiatildeo do continente americano que engloba os paiacuteses onde satildeo faladas primordialmente liacutenguas romacircnicas (derivadas do latim) mdash espanhol portuguecircs e francecircs
bull Aacuterea de cerca de 21 069 501 km2
bull Populaccedilatildeo de 569 milhotildees de pessoas em 2008
Iacutendice de Desenvolvimento Humano
medida comparativa usada para classificar os paiacuteses ( igravendice de educaccedilatildeo longevidade e renda per capita)
bull Desenvolvidos desenvolvimento humano muito alto
bull Em desenvolvimento desenvolvimento humano meacutedio e alto
bull Subdesenvolvidos desenvolvimento humano baixo
Concluindo
bull Regiatildeo heterogecircnea com povos culturalmente distintos e de iacutendices de desenvolvimento extremamente variaacuteveis
bull Impacto direto acesso ao tratamento meacutedico e na disponibilidade de informaccedilotildees epidemioloacutegicas
Dados disponiacuteveis
bull Pubmed
bull Lilacs
bull Scielo
Overactive bladder prevalence and implications in BrazilTeloken C Caraver F Weber FA Teloken PE Moraes JF Sogari PR Graziottin TM EurUrol 2006 Jun49(6)1087-92 Epub 2006 Feb 9
OBJECTIVES
To assess overactive bladder (OAB) prevalence associated factors and implications in a young population
METHODS
An independent population-based study was carried out A self-applicative questionnaire covering urinary symptoms coping strategies quality of life and treatment seeking behavior was developed
RESULTS
A total of 848 subjects between 15 and 55 years completed the questionnaire The overall prevalence of OAB was 189 Women were significantly more affected than men (p = 0001) All age groups were equally affected (p = 0152) Subjects with OAB reported significant impairment on household chores (p = 0009) physical activities (p = 0016) sleep (p lt 0001) work (p lt 0001) social life (p lt 0001) and sexual life (p lt 0001) In addition OAB individuals present higher prevalence of depression (p = 0036) anxiety (p lt 0001) shame (p lt 0001) and tiredness (p lt 0001) OAB was independently associated to sexual life impairment (OR = 336 95 CI=120-939) Only 275 of OAB subjects sought for medical counseling
CONCLUSIONS
OAB is a highly prevalent condition even in such a young population It affects both genders yet it is more frequently observed in women OAB is an important health condition with serious impact on quality of life and sexual function A large percentual of individuals remain unrecognized under treated and consequently suffer for long periods of time
Association between urinary incontinence in elderly patients and caregiver burden in the city of Sao PauloBrazil Health Wellbeing and Ageing StudyTamanini JT1 Santos JL Lebratildeo ML Duarte YA Laurenti R Neurourol Urodyn 2011 Sep30(7)1281-5 doi 101002nau21040 Epub 2011 May 10
Some elderly patients with incontinence require the care of third parties known as caregivers Such care can occur on a daily basis leaving little opportunity for the caregiver to take care of himselfherself The aims are to assess the association between urinary incontinence in elderly patients and caregiver burden and identify independent factors for caregivers burden in the city of Sao Paulo Brazil
METHODS
The Pan-American Health Organization and World Health Organization coordinated a multicenter study named Health Wellbeing and Aging (SABE Study) in elderly people living in seven countries of Latin America and the Caribbean In Brazil the study population carried out in Satildeo Paulo in the year 2000 and reassessed in 2006 (COHORT A) Urinary incontinence was assessed by ICIQ-SF and caregiver burden by means of Zarit Burden Scale
RESULTS
A total of 327 patients with caregivers were included in the study The general prevalence of urinary incontinence was 258 higher among the women There was a significant positive association between caregiver burden and incontinent patients demonstrating that urinary incontinence in elderly patients produced greater caregiver burden In the present study the variables with significant correlations were assessed using the multivariate logistic regression model Category 2 of the ICIQ-SF (incontinent patients) increased the chances of caregiver burden 196-fold in comparison to Category 1 (continent patients) Likewise the category of impaired cognition increased the chances of caregiver burden 234-fold
CONCLUSIONS
Urinary incontinence and cognitive impairment in elderly patients were associated to an increase in caregiver burden
Analysis of the prevalence of and factors associated with urinary incontinence among elderly people in the Municipality of Satildeo Paulo Brazil SABE Study (Health Wellbeing and Aging)Tamanini JT Lebratildeo ML Duarte YA Santos JL Laurenti R Cad Saude Publica 2009 Aug25(8)1756-62
Abstract
To investigate the prevalence of urinary incontinence among elderly people living in Satildeo Paulo Brazil and their associated risk factors The Pan-American Health Organization and World Health Organization coordinated a multicenter study named Health Wellbeing and Aging (SABE Study) in elderly people (over 60 years old) living in seven countries in Latin America and the Caribbean In Brazil the study was carried out in Satildeo Paulo in the year 2000 The total Brazilian sample included 2143 people The prevalence of self reported urinary incontinence was 118 among men and 262 for women It was verified that among those reporting urinary incontinence 37 also reported stroke and 34 depression It was found that the greater the dependence that the elderly people presented the greater the prevalence of urinary incontinence The associated factors found were depression (odds ratio = 249) female (242) advanced age (235) important functional limitation (201) Urinary incontinence is a highly prevalent symptom among the elderly population of the municipality of Satildeo Paulo especially among women The adoption of preventive measures can reduce the negative effects of urinary incontinence
bull Frente agrave falta informaccedilatildeo teacutecnica disponiacutevel
bull AVALIEMOS A NOSSA REALIDADE
Salaacuterios na Ameacuterica LatinabullSalaacuterios Miacutenimos (em Doacutelares mecircs)
bull Brasil 22300 (R$78800)bull Argentina 56100bull Boliacutevia 11600bull Colocircmbia 35700bull Chile 45200bull Cuba 4000bull Equador 23300bull Paraguai 41400bull Peru 36200bull Uruguai 40000bull Venezuela 9600
bullSALAacuteRIO MEacuteDIO NO BRASIL R$ 111684
Custos de medicaccedilotildees no Brasil
bull Retemic UD10 mg 7806 (107 SM)
bull Vesicare (solifenacina) 5 mg 13296 ( 183 SM)
10 mg 16267
bull Enablex (darifenacina) 75 mg 16188 (22 SM)
15 mg 18068
Sondas uretrais 150 unidades mecircs = 12500 (17 SM)
Xilocaina gel 2 2619 (36 SM)
40 renda mensal
cirurgia
Devices
Conclusotildees
bull Grande deficiecircncia de dados para anaacutelise levando agrave dificuldade de definir poliacutetica de sauacutede adequada voltada para o problema
bull Condiccedilatildeo que afeta grande nuacutemero de pessoas de todas as idades e de ambos os sexos ( poucos procuram ou tem acesso aos tratamentos)
bull Impacto direto na qualidade de vida auto imagem trabalho vida sexual levando aacute depressatildeo vergonha timidez
bull Custos elevados dos tratamentos
bull Impacto dos mesmos sobre a renda familiar
Site wwwincontinenciaurinariabcsorgEmail associacaobrasileirabcstuartcom
Ameacuterica Latina
bull Regiatildeo do continente americano que engloba os paiacuteses onde satildeo faladas primordialmente liacutenguas romacircnicas (derivadas do latim) mdash espanhol portuguecircs e francecircs
bull Aacuterea de cerca de 21 069 501 km2
bull Populaccedilatildeo de 569 milhotildees de pessoas em 2008
Iacutendice de Desenvolvimento Humano
medida comparativa usada para classificar os paiacuteses ( igravendice de educaccedilatildeo longevidade e renda per capita)
bull Desenvolvidos desenvolvimento humano muito alto
bull Em desenvolvimento desenvolvimento humano meacutedio e alto
bull Subdesenvolvidos desenvolvimento humano baixo
Concluindo
bull Regiatildeo heterogecircnea com povos culturalmente distintos e de iacutendices de desenvolvimento extremamente variaacuteveis
bull Impacto direto acesso ao tratamento meacutedico e na disponibilidade de informaccedilotildees epidemioloacutegicas
Dados disponiacuteveis
bull Pubmed
bull Lilacs
bull Scielo
Overactive bladder prevalence and implications in BrazilTeloken C Caraver F Weber FA Teloken PE Moraes JF Sogari PR Graziottin TM EurUrol 2006 Jun49(6)1087-92 Epub 2006 Feb 9
OBJECTIVES
To assess overactive bladder (OAB) prevalence associated factors and implications in a young population
METHODS
An independent population-based study was carried out A self-applicative questionnaire covering urinary symptoms coping strategies quality of life and treatment seeking behavior was developed
RESULTS
A total of 848 subjects between 15 and 55 years completed the questionnaire The overall prevalence of OAB was 189 Women were significantly more affected than men (p = 0001) All age groups were equally affected (p = 0152) Subjects with OAB reported significant impairment on household chores (p = 0009) physical activities (p = 0016) sleep (p lt 0001) work (p lt 0001) social life (p lt 0001) and sexual life (p lt 0001) In addition OAB individuals present higher prevalence of depression (p = 0036) anxiety (p lt 0001) shame (p lt 0001) and tiredness (p lt 0001) OAB was independently associated to sexual life impairment (OR = 336 95 CI=120-939) Only 275 of OAB subjects sought for medical counseling
CONCLUSIONS
OAB is a highly prevalent condition even in such a young population It affects both genders yet it is more frequently observed in women OAB is an important health condition with serious impact on quality of life and sexual function A large percentual of individuals remain unrecognized under treated and consequently suffer for long periods of time
Association between urinary incontinence in elderly patients and caregiver burden in the city of Sao PauloBrazil Health Wellbeing and Ageing StudyTamanini JT1 Santos JL Lebratildeo ML Duarte YA Laurenti R Neurourol Urodyn 2011 Sep30(7)1281-5 doi 101002nau21040 Epub 2011 May 10
Some elderly patients with incontinence require the care of third parties known as caregivers Such care can occur on a daily basis leaving little opportunity for the caregiver to take care of himselfherself The aims are to assess the association between urinary incontinence in elderly patients and caregiver burden and identify independent factors for caregivers burden in the city of Sao Paulo Brazil
METHODS
The Pan-American Health Organization and World Health Organization coordinated a multicenter study named Health Wellbeing and Aging (SABE Study) in elderly people living in seven countries of Latin America and the Caribbean In Brazil the study population carried out in Satildeo Paulo in the year 2000 and reassessed in 2006 (COHORT A) Urinary incontinence was assessed by ICIQ-SF and caregiver burden by means of Zarit Burden Scale
RESULTS
A total of 327 patients with caregivers were included in the study The general prevalence of urinary incontinence was 258 higher among the women There was a significant positive association between caregiver burden and incontinent patients demonstrating that urinary incontinence in elderly patients produced greater caregiver burden In the present study the variables with significant correlations were assessed using the multivariate logistic regression model Category 2 of the ICIQ-SF (incontinent patients) increased the chances of caregiver burden 196-fold in comparison to Category 1 (continent patients) Likewise the category of impaired cognition increased the chances of caregiver burden 234-fold
CONCLUSIONS
Urinary incontinence and cognitive impairment in elderly patients were associated to an increase in caregiver burden
Analysis of the prevalence of and factors associated with urinary incontinence among elderly people in the Municipality of Satildeo Paulo Brazil SABE Study (Health Wellbeing and Aging)Tamanini JT Lebratildeo ML Duarte YA Santos JL Laurenti R Cad Saude Publica 2009 Aug25(8)1756-62
Abstract
To investigate the prevalence of urinary incontinence among elderly people living in Satildeo Paulo Brazil and their associated risk factors The Pan-American Health Organization and World Health Organization coordinated a multicenter study named Health Wellbeing and Aging (SABE Study) in elderly people (over 60 years old) living in seven countries in Latin America and the Caribbean In Brazil the study was carried out in Satildeo Paulo in the year 2000 The total Brazilian sample included 2143 people The prevalence of self reported urinary incontinence was 118 among men and 262 for women It was verified that among those reporting urinary incontinence 37 also reported stroke and 34 depression It was found that the greater the dependence that the elderly people presented the greater the prevalence of urinary incontinence The associated factors found were depression (odds ratio = 249) female (242) advanced age (235) important functional limitation (201) Urinary incontinence is a highly prevalent symptom among the elderly population of the municipality of Satildeo Paulo especially among women The adoption of preventive measures can reduce the negative effects of urinary incontinence
bull Frente agrave falta informaccedilatildeo teacutecnica disponiacutevel
bull AVALIEMOS A NOSSA REALIDADE
Salaacuterios na Ameacuterica LatinabullSalaacuterios Miacutenimos (em Doacutelares mecircs)
bull Brasil 22300 (R$78800)bull Argentina 56100bull Boliacutevia 11600bull Colocircmbia 35700bull Chile 45200bull Cuba 4000bull Equador 23300bull Paraguai 41400bull Peru 36200bull Uruguai 40000bull Venezuela 9600
bullSALAacuteRIO MEacuteDIO NO BRASIL R$ 111684
Custos de medicaccedilotildees no Brasil
bull Retemic UD10 mg 7806 (107 SM)
bull Vesicare (solifenacina) 5 mg 13296 ( 183 SM)
10 mg 16267
bull Enablex (darifenacina) 75 mg 16188 (22 SM)
15 mg 18068
Sondas uretrais 150 unidades mecircs = 12500 (17 SM)
Xilocaina gel 2 2619 (36 SM)
40 renda mensal
cirurgia
Devices
Conclusotildees
bull Grande deficiecircncia de dados para anaacutelise levando agrave dificuldade de definir poliacutetica de sauacutede adequada voltada para o problema
bull Condiccedilatildeo que afeta grande nuacutemero de pessoas de todas as idades e de ambos os sexos ( poucos procuram ou tem acesso aos tratamentos)
bull Impacto direto na qualidade de vida auto imagem trabalho vida sexual levando aacute depressatildeo vergonha timidez
bull Custos elevados dos tratamentos
bull Impacto dos mesmos sobre a renda familiar
Site wwwincontinenciaurinariabcsorgEmail associacaobrasileirabcstuartcom
bull Regiatildeo do continente americano que engloba os paiacuteses onde satildeo faladas primordialmente liacutenguas romacircnicas (derivadas do latim) mdash espanhol portuguecircs e francecircs
bull Aacuterea de cerca de 21 069 501 km2
bull Populaccedilatildeo de 569 milhotildees de pessoas em 2008
Iacutendice de Desenvolvimento Humano
medida comparativa usada para classificar os paiacuteses ( igravendice de educaccedilatildeo longevidade e renda per capita)
bull Desenvolvidos desenvolvimento humano muito alto
bull Em desenvolvimento desenvolvimento humano meacutedio e alto
bull Subdesenvolvidos desenvolvimento humano baixo
Concluindo
bull Regiatildeo heterogecircnea com povos culturalmente distintos e de iacutendices de desenvolvimento extremamente variaacuteveis
bull Impacto direto acesso ao tratamento meacutedico e na disponibilidade de informaccedilotildees epidemioloacutegicas
Dados disponiacuteveis
bull Pubmed
bull Lilacs
bull Scielo
Overactive bladder prevalence and implications in BrazilTeloken C Caraver F Weber FA Teloken PE Moraes JF Sogari PR Graziottin TM EurUrol 2006 Jun49(6)1087-92 Epub 2006 Feb 9
OBJECTIVES
To assess overactive bladder (OAB) prevalence associated factors and implications in a young population
METHODS
An independent population-based study was carried out A self-applicative questionnaire covering urinary symptoms coping strategies quality of life and treatment seeking behavior was developed
RESULTS
A total of 848 subjects between 15 and 55 years completed the questionnaire The overall prevalence of OAB was 189 Women were significantly more affected than men (p = 0001) All age groups were equally affected (p = 0152) Subjects with OAB reported significant impairment on household chores (p = 0009) physical activities (p = 0016) sleep (p lt 0001) work (p lt 0001) social life (p lt 0001) and sexual life (p lt 0001) In addition OAB individuals present higher prevalence of depression (p = 0036) anxiety (p lt 0001) shame (p lt 0001) and tiredness (p lt 0001) OAB was independently associated to sexual life impairment (OR = 336 95 CI=120-939) Only 275 of OAB subjects sought for medical counseling
CONCLUSIONS
OAB is a highly prevalent condition even in such a young population It affects both genders yet it is more frequently observed in women OAB is an important health condition with serious impact on quality of life and sexual function A large percentual of individuals remain unrecognized under treated and consequently suffer for long periods of time
Association between urinary incontinence in elderly patients and caregiver burden in the city of Sao PauloBrazil Health Wellbeing and Ageing StudyTamanini JT1 Santos JL Lebratildeo ML Duarte YA Laurenti R Neurourol Urodyn 2011 Sep30(7)1281-5 doi 101002nau21040 Epub 2011 May 10
Some elderly patients with incontinence require the care of third parties known as caregivers Such care can occur on a daily basis leaving little opportunity for the caregiver to take care of himselfherself The aims are to assess the association between urinary incontinence in elderly patients and caregiver burden and identify independent factors for caregivers burden in the city of Sao Paulo Brazil
METHODS
The Pan-American Health Organization and World Health Organization coordinated a multicenter study named Health Wellbeing and Aging (SABE Study) in elderly people living in seven countries of Latin America and the Caribbean In Brazil the study population carried out in Satildeo Paulo in the year 2000 and reassessed in 2006 (COHORT A) Urinary incontinence was assessed by ICIQ-SF and caregiver burden by means of Zarit Burden Scale
RESULTS
A total of 327 patients with caregivers were included in the study The general prevalence of urinary incontinence was 258 higher among the women There was a significant positive association between caregiver burden and incontinent patients demonstrating that urinary incontinence in elderly patients produced greater caregiver burden In the present study the variables with significant correlations were assessed using the multivariate logistic regression model Category 2 of the ICIQ-SF (incontinent patients) increased the chances of caregiver burden 196-fold in comparison to Category 1 (continent patients) Likewise the category of impaired cognition increased the chances of caregiver burden 234-fold
CONCLUSIONS
Urinary incontinence and cognitive impairment in elderly patients were associated to an increase in caregiver burden
Analysis of the prevalence of and factors associated with urinary incontinence among elderly people in the Municipality of Satildeo Paulo Brazil SABE Study (Health Wellbeing and Aging)Tamanini JT Lebratildeo ML Duarte YA Santos JL Laurenti R Cad Saude Publica 2009 Aug25(8)1756-62
Abstract
To investigate the prevalence of urinary incontinence among elderly people living in Satildeo Paulo Brazil and their associated risk factors The Pan-American Health Organization and World Health Organization coordinated a multicenter study named Health Wellbeing and Aging (SABE Study) in elderly people (over 60 years old) living in seven countries in Latin America and the Caribbean In Brazil the study was carried out in Satildeo Paulo in the year 2000 The total Brazilian sample included 2143 people The prevalence of self reported urinary incontinence was 118 among men and 262 for women It was verified that among those reporting urinary incontinence 37 also reported stroke and 34 depression It was found that the greater the dependence that the elderly people presented the greater the prevalence of urinary incontinence The associated factors found were depression (odds ratio = 249) female (242) advanced age (235) important functional limitation (201) Urinary incontinence is a highly prevalent symptom among the elderly population of the municipality of Satildeo Paulo especially among women The adoption of preventive measures can reduce the negative effects of urinary incontinence
bull Frente agrave falta informaccedilatildeo teacutecnica disponiacutevel
bull AVALIEMOS A NOSSA REALIDADE
Salaacuterios na Ameacuterica LatinabullSalaacuterios Miacutenimos (em Doacutelares mecircs)
bull Brasil 22300 (R$78800)bull Argentina 56100bull Boliacutevia 11600bull Colocircmbia 35700bull Chile 45200bull Cuba 4000bull Equador 23300bull Paraguai 41400bull Peru 36200bull Uruguai 40000bull Venezuela 9600
bullSALAacuteRIO MEacuteDIO NO BRASIL R$ 111684
Custos de medicaccedilotildees no Brasil
bull Retemic UD10 mg 7806 (107 SM)
bull Vesicare (solifenacina) 5 mg 13296 ( 183 SM)
10 mg 16267
bull Enablex (darifenacina) 75 mg 16188 (22 SM)
15 mg 18068
Sondas uretrais 150 unidades mecircs = 12500 (17 SM)
Xilocaina gel 2 2619 (36 SM)
40 renda mensal
cirurgia
Devices
Conclusotildees
bull Grande deficiecircncia de dados para anaacutelise levando agrave dificuldade de definir poliacutetica de sauacutede adequada voltada para o problema
bull Condiccedilatildeo que afeta grande nuacutemero de pessoas de todas as idades e de ambos os sexos ( poucos procuram ou tem acesso aos tratamentos)
bull Impacto direto na qualidade de vida auto imagem trabalho vida sexual levando aacute depressatildeo vergonha timidez
bull Custos elevados dos tratamentos
bull Impacto dos mesmos sobre a renda familiar
Site wwwincontinenciaurinariabcsorgEmail associacaobrasileirabcstuartcom
Iacutendice de Desenvolvimento Humano
medida comparativa usada para classificar os paiacuteses ( igravendice de educaccedilatildeo longevidade e renda per capita)
bull Desenvolvidos desenvolvimento humano muito alto
bull Em desenvolvimento desenvolvimento humano meacutedio e alto
bull Subdesenvolvidos desenvolvimento humano baixo
Concluindo
bull Regiatildeo heterogecircnea com povos culturalmente distintos e de iacutendices de desenvolvimento extremamente variaacuteveis
bull Impacto direto acesso ao tratamento meacutedico e na disponibilidade de informaccedilotildees epidemioloacutegicas
Dados disponiacuteveis
bull Pubmed
bull Lilacs
bull Scielo
Overactive bladder prevalence and implications in BrazilTeloken C Caraver F Weber FA Teloken PE Moraes JF Sogari PR Graziottin TM EurUrol 2006 Jun49(6)1087-92 Epub 2006 Feb 9
OBJECTIVES
To assess overactive bladder (OAB) prevalence associated factors and implications in a young population
METHODS
An independent population-based study was carried out A self-applicative questionnaire covering urinary symptoms coping strategies quality of life and treatment seeking behavior was developed
RESULTS
A total of 848 subjects between 15 and 55 years completed the questionnaire The overall prevalence of OAB was 189 Women were significantly more affected than men (p = 0001) All age groups were equally affected (p = 0152) Subjects with OAB reported significant impairment on household chores (p = 0009) physical activities (p = 0016) sleep (p lt 0001) work (p lt 0001) social life (p lt 0001) and sexual life (p lt 0001) In addition OAB individuals present higher prevalence of depression (p = 0036) anxiety (p lt 0001) shame (p lt 0001) and tiredness (p lt 0001) OAB was independently associated to sexual life impairment (OR = 336 95 CI=120-939) Only 275 of OAB subjects sought for medical counseling
CONCLUSIONS
OAB is a highly prevalent condition even in such a young population It affects both genders yet it is more frequently observed in women OAB is an important health condition with serious impact on quality of life and sexual function A large percentual of individuals remain unrecognized under treated and consequently suffer for long periods of time
Association between urinary incontinence in elderly patients and caregiver burden in the city of Sao PauloBrazil Health Wellbeing and Ageing StudyTamanini JT1 Santos JL Lebratildeo ML Duarte YA Laurenti R Neurourol Urodyn 2011 Sep30(7)1281-5 doi 101002nau21040 Epub 2011 May 10
Some elderly patients with incontinence require the care of third parties known as caregivers Such care can occur on a daily basis leaving little opportunity for the caregiver to take care of himselfherself The aims are to assess the association between urinary incontinence in elderly patients and caregiver burden and identify independent factors for caregivers burden in the city of Sao Paulo Brazil
METHODS
The Pan-American Health Organization and World Health Organization coordinated a multicenter study named Health Wellbeing and Aging (SABE Study) in elderly people living in seven countries of Latin America and the Caribbean In Brazil the study population carried out in Satildeo Paulo in the year 2000 and reassessed in 2006 (COHORT A) Urinary incontinence was assessed by ICIQ-SF and caregiver burden by means of Zarit Burden Scale
RESULTS
A total of 327 patients with caregivers were included in the study The general prevalence of urinary incontinence was 258 higher among the women There was a significant positive association between caregiver burden and incontinent patients demonstrating that urinary incontinence in elderly patients produced greater caregiver burden In the present study the variables with significant correlations were assessed using the multivariate logistic regression model Category 2 of the ICIQ-SF (incontinent patients) increased the chances of caregiver burden 196-fold in comparison to Category 1 (continent patients) Likewise the category of impaired cognition increased the chances of caregiver burden 234-fold
CONCLUSIONS
Urinary incontinence and cognitive impairment in elderly patients were associated to an increase in caregiver burden
Analysis of the prevalence of and factors associated with urinary incontinence among elderly people in the Municipality of Satildeo Paulo Brazil SABE Study (Health Wellbeing and Aging)Tamanini JT Lebratildeo ML Duarte YA Santos JL Laurenti R Cad Saude Publica 2009 Aug25(8)1756-62
Abstract
To investigate the prevalence of urinary incontinence among elderly people living in Satildeo Paulo Brazil and their associated risk factors The Pan-American Health Organization and World Health Organization coordinated a multicenter study named Health Wellbeing and Aging (SABE Study) in elderly people (over 60 years old) living in seven countries in Latin America and the Caribbean In Brazil the study was carried out in Satildeo Paulo in the year 2000 The total Brazilian sample included 2143 people The prevalence of self reported urinary incontinence was 118 among men and 262 for women It was verified that among those reporting urinary incontinence 37 also reported stroke and 34 depression It was found that the greater the dependence that the elderly people presented the greater the prevalence of urinary incontinence The associated factors found were depression (odds ratio = 249) female (242) advanced age (235) important functional limitation (201) Urinary incontinence is a highly prevalent symptom among the elderly population of the municipality of Satildeo Paulo especially among women The adoption of preventive measures can reduce the negative effects of urinary incontinence
bull Frente agrave falta informaccedilatildeo teacutecnica disponiacutevel
bull AVALIEMOS A NOSSA REALIDADE
Salaacuterios na Ameacuterica LatinabullSalaacuterios Miacutenimos (em Doacutelares mecircs)
bull Brasil 22300 (R$78800)bull Argentina 56100bull Boliacutevia 11600bull Colocircmbia 35700bull Chile 45200bull Cuba 4000bull Equador 23300bull Paraguai 41400bull Peru 36200bull Uruguai 40000bull Venezuela 9600
bullSALAacuteRIO MEacuteDIO NO BRASIL R$ 111684
Custos de medicaccedilotildees no Brasil
bull Retemic UD10 mg 7806 (107 SM)
bull Vesicare (solifenacina) 5 mg 13296 ( 183 SM)
10 mg 16267
bull Enablex (darifenacina) 75 mg 16188 (22 SM)
15 mg 18068
Sondas uretrais 150 unidades mecircs = 12500 (17 SM)
Xilocaina gel 2 2619 (36 SM)
40 renda mensal
cirurgia
Devices
Conclusotildees
bull Grande deficiecircncia de dados para anaacutelise levando agrave dificuldade de definir poliacutetica de sauacutede adequada voltada para o problema
bull Condiccedilatildeo que afeta grande nuacutemero de pessoas de todas as idades e de ambos os sexos ( poucos procuram ou tem acesso aos tratamentos)
bull Impacto direto na qualidade de vida auto imagem trabalho vida sexual levando aacute depressatildeo vergonha timidez
bull Custos elevados dos tratamentos
bull Impacto dos mesmos sobre a renda familiar
Site wwwincontinenciaurinariabcsorgEmail associacaobrasileirabcstuartcom
Concluindo
bull Regiatildeo heterogecircnea com povos culturalmente distintos e de iacutendices de desenvolvimento extremamente variaacuteveis
bull Impacto direto acesso ao tratamento meacutedico e na disponibilidade de informaccedilotildees epidemioloacutegicas
Dados disponiacuteveis
bull Pubmed
bull Lilacs
bull Scielo
Overactive bladder prevalence and implications in BrazilTeloken C Caraver F Weber FA Teloken PE Moraes JF Sogari PR Graziottin TM EurUrol 2006 Jun49(6)1087-92 Epub 2006 Feb 9
OBJECTIVES
To assess overactive bladder (OAB) prevalence associated factors and implications in a young population
METHODS
An independent population-based study was carried out A self-applicative questionnaire covering urinary symptoms coping strategies quality of life and treatment seeking behavior was developed
RESULTS
A total of 848 subjects between 15 and 55 years completed the questionnaire The overall prevalence of OAB was 189 Women were significantly more affected than men (p = 0001) All age groups were equally affected (p = 0152) Subjects with OAB reported significant impairment on household chores (p = 0009) physical activities (p = 0016) sleep (p lt 0001) work (p lt 0001) social life (p lt 0001) and sexual life (p lt 0001) In addition OAB individuals present higher prevalence of depression (p = 0036) anxiety (p lt 0001) shame (p lt 0001) and tiredness (p lt 0001) OAB was independently associated to sexual life impairment (OR = 336 95 CI=120-939) Only 275 of OAB subjects sought for medical counseling
CONCLUSIONS
OAB is a highly prevalent condition even in such a young population It affects both genders yet it is more frequently observed in women OAB is an important health condition with serious impact on quality of life and sexual function A large percentual of individuals remain unrecognized under treated and consequently suffer for long periods of time
Association between urinary incontinence in elderly patients and caregiver burden in the city of Sao PauloBrazil Health Wellbeing and Ageing StudyTamanini JT1 Santos JL Lebratildeo ML Duarte YA Laurenti R Neurourol Urodyn 2011 Sep30(7)1281-5 doi 101002nau21040 Epub 2011 May 10
Some elderly patients with incontinence require the care of third parties known as caregivers Such care can occur on a daily basis leaving little opportunity for the caregiver to take care of himselfherself The aims are to assess the association between urinary incontinence in elderly patients and caregiver burden and identify independent factors for caregivers burden in the city of Sao Paulo Brazil
METHODS
The Pan-American Health Organization and World Health Organization coordinated a multicenter study named Health Wellbeing and Aging (SABE Study) in elderly people living in seven countries of Latin America and the Caribbean In Brazil the study population carried out in Satildeo Paulo in the year 2000 and reassessed in 2006 (COHORT A) Urinary incontinence was assessed by ICIQ-SF and caregiver burden by means of Zarit Burden Scale
RESULTS
A total of 327 patients with caregivers were included in the study The general prevalence of urinary incontinence was 258 higher among the women There was a significant positive association between caregiver burden and incontinent patients demonstrating that urinary incontinence in elderly patients produced greater caregiver burden In the present study the variables with significant correlations were assessed using the multivariate logistic regression model Category 2 of the ICIQ-SF (incontinent patients) increased the chances of caregiver burden 196-fold in comparison to Category 1 (continent patients) Likewise the category of impaired cognition increased the chances of caregiver burden 234-fold
CONCLUSIONS
Urinary incontinence and cognitive impairment in elderly patients were associated to an increase in caregiver burden
Analysis of the prevalence of and factors associated with urinary incontinence among elderly people in the Municipality of Satildeo Paulo Brazil SABE Study (Health Wellbeing and Aging)Tamanini JT Lebratildeo ML Duarte YA Santos JL Laurenti R Cad Saude Publica 2009 Aug25(8)1756-62
Abstract
To investigate the prevalence of urinary incontinence among elderly people living in Satildeo Paulo Brazil and their associated risk factors The Pan-American Health Organization and World Health Organization coordinated a multicenter study named Health Wellbeing and Aging (SABE Study) in elderly people (over 60 years old) living in seven countries in Latin America and the Caribbean In Brazil the study was carried out in Satildeo Paulo in the year 2000 The total Brazilian sample included 2143 people The prevalence of self reported urinary incontinence was 118 among men and 262 for women It was verified that among those reporting urinary incontinence 37 also reported stroke and 34 depression It was found that the greater the dependence that the elderly people presented the greater the prevalence of urinary incontinence The associated factors found were depression (odds ratio = 249) female (242) advanced age (235) important functional limitation (201) Urinary incontinence is a highly prevalent symptom among the elderly population of the municipality of Satildeo Paulo especially among women The adoption of preventive measures can reduce the negative effects of urinary incontinence
bull Frente agrave falta informaccedilatildeo teacutecnica disponiacutevel
bull AVALIEMOS A NOSSA REALIDADE
Salaacuterios na Ameacuterica LatinabullSalaacuterios Miacutenimos (em Doacutelares mecircs)
bull Brasil 22300 (R$78800)bull Argentina 56100bull Boliacutevia 11600bull Colocircmbia 35700bull Chile 45200bull Cuba 4000bull Equador 23300bull Paraguai 41400bull Peru 36200bull Uruguai 40000bull Venezuela 9600
bullSALAacuteRIO MEacuteDIO NO BRASIL R$ 111684
Custos de medicaccedilotildees no Brasil
bull Retemic UD10 mg 7806 (107 SM)
bull Vesicare (solifenacina) 5 mg 13296 ( 183 SM)
10 mg 16267
bull Enablex (darifenacina) 75 mg 16188 (22 SM)
15 mg 18068
Sondas uretrais 150 unidades mecircs = 12500 (17 SM)
Xilocaina gel 2 2619 (36 SM)
40 renda mensal
cirurgia
Devices
Conclusotildees
bull Grande deficiecircncia de dados para anaacutelise levando agrave dificuldade de definir poliacutetica de sauacutede adequada voltada para o problema
bull Condiccedilatildeo que afeta grande nuacutemero de pessoas de todas as idades e de ambos os sexos ( poucos procuram ou tem acesso aos tratamentos)
bull Impacto direto na qualidade de vida auto imagem trabalho vida sexual levando aacute depressatildeo vergonha timidez
bull Custos elevados dos tratamentos
bull Impacto dos mesmos sobre a renda familiar
Site wwwincontinenciaurinariabcsorgEmail associacaobrasileirabcstuartcom
Dados disponiacuteveis
bull Pubmed
bull Lilacs
bull Scielo
Overactive bladder prevalence and implications in BrazilTeloken C Caraver F Weber FA Teloken PE Moraes JF Sogari PR Graziottin TM EurUrol 2006 Jun49(6)1087-92 Epub 2006 Feb 9
OBJECTIVES
To assess overactive bladder (OAB) prevalence associated factors and implications in a young population
METHODS
An independent population-based study was carried out A self-applicative questionnaire covering urinary symptoms coping strategies quality of life and treatment seeking behavior was developed
RESULTS
A total of 848 subjects between 15 and 55 years completed the questionnaire The overall prevalence of OAB was 189 Women were significantly more affected than men (p = 0001) All age groups were equally affected (p = 0152) Subjects with OAB reported significant impairment on household chores (p = 0009) physical activities (p = 0016) sleep (p lt 0001) work (p lt 0001) social life (p lt 0001) and sexual life (p lt 0001) In addition OAB individuals present higher prevalence of depression (p = 0036) anxiety (p lt 0001) shame (p lt 0001) and tiredness (p lt 0001) OAB was independently associated to sexual life impairment (OR = 336 95 CI=120-939) Only 275 of OAB subjects sought for medical counseling
CONCLUSIONS
OAB is a highly prevalent condition even in such a young population It affects both genders yet it is more frequently observed in women OAB is an important health condition with serious impact on quality of life and sexual function A large percentual of individuals remain unrecognized under treated and consequently suffer for long periods of time
Association between urinary incontinence in elderly patients and caregiver burden in the city of Sao PauloBrazil Health Wellbeing and Ageing StudyTamanini JT1 Santos JL Lebratildeo ML Duarte YA Laurenti R Neurourol Urodyn 2011 Sep30(7)1281-5 doi 101002nau21040 Epub 2011 May 10
Some elderly patients with incontinence require the care of third parties known as caregivers Such care can occur on a daily basis leaving little opportunity for the caregiver to take care of himselfherself The aims are to assess the association between urinary incontinence in elderly patients and caregiver burden and identify independent factors for caregivers burden in the city of Sao Paulo Brazil
METHODS
The Pan-American Health Organization and World Health Organization coordinated a multicenter study named Health Wellbeing and Aging (SABE Study) in elderly people living in seven countries of Latin America and the Caribbean In Brazil the study population carried out in Satildeo Paulo in the year 2000 and reassessed in 2006 (COHORT A) Urinary incontinence was assessed by ICIQ-SF and caregiver burden by means of Zarit Burden Scale
RESULTS
A total of 327 patients with caregivers were included in the study The general prevalence of urinary incontinence was 258 higher among the women There was a significant positive association between caregiver burden and incontinent patients demonstrating that urinary incontinence in elderly patients produced greater caregiver burden In the present study the variables with significant correlations were assessed using the multivariate logistic regression model Category 2 of the ICIQ-SF (incontinent patients) increased the chances of caregiver burden 196-fold in comparison to Category 1 (continent patients) Likewise the category of impaired cognition increased the chances of caregiver burden 234-fold
CONCLUSIONS
Urinary incontinence and cognitive impairment in elderly patients were associated to an increase in caregiver burden
Analysis of the prevalence of and factors associated with urinary incontinence among elderly people in the Municipality of Satildeo Paulo Brazil SABE Study (Health Wellbeing and Aging)Tamanini JT Lebratildeo ML Duarte YA Santos JL Laurenti R Cad Saude Publica 2009 Aug25(8)1756-62
Abstract
To investigate the prevalence of urinary incontinence among elderly people living in Satildeo Paulo Brazil and their associated risk factors The Pan-American Health Organization and World Health Organization coordinated a multicenter study named Health Wellbeing and Aging (SABE Study) in elderly people (over 60 years old) living in seven countries in Latin America and the Caribbean In Brazil the study was carried out in Satildeo Paulo in the year 2000 The total Brazilian sample included 2143 people The prevalence of self reported urinary incontinence was 118 among men and 262 for women It was verified that among those reporting urinary incontinence 37 also reported stroke and 34 depression It was found that the greater the dependence that the elderly people presented the greater the prevalence of urinary incontinence The associated factors found were depression (odds ratio = 249) female (242) advanced age (235) important functional limitation (201) Urinary incontinence is a highly prevalent symptom among the elderly population of the municipality of Satildeo Paulo especially among women The adoption of preventive measures can reduce the negative effects of urinary incontinence
bull Frente agrave falta informaccedilatildeo teacutecnica disponiacutevel
bull AVALIEMOS A NOSSA REALIDADE
Salaacuterios na Ameacuterica LatinabullSalaacuterios Miacutenimos (em Doacutelares mecircs)
bull Brasil 22300 (R$78800)bull Argentina 56100bull Boliacutevia 11600bull Colocircmbia 35700bull Chile 45200bull Cuba 4000bull Equador 23300bull Paraguai 41400bull Peru 36200bull Uruguai 40000bull Venezuela 9600
bullSALAacuteRIO MEacuteDIO NO BRASIL R$ 111684
Custos de medicaccedilotildees no Brasil
bull Retemic UD10 mg 7806 (107 SM)
bull Vesicare (solifenacina) 5 mg 13296 ( 183 SM)
10 mg 16267
bull Enablex (darifenacina) 75 mg 16188 (22 SM)
15 mg 18068
Sondas uretrais 150 unidades mecircs = 12500 (17 SM)
Xilocaina gel 2 2619 (36 SM)
40 renda mensal
cirurgia
Devices
Conclusotildees
bull Grande deficiecircncia de dados para anaacutelise levando agrave dificuldade de definir poliacutetica de sauacutede adequada voltada para o problema
bull Condiccedilatildeo que afeta grande nuacutemero de pessoas de todas as idades e de ambos os sexos ( poucos procuram ou tem acesso aos tratamentos)
bull Impacto direto na qualidade de vida auto imagem trabalho vida sexual levando aacute depressatildeo vergonha timidez
bull Custos elevados dos tratamentos
bull Impacto dos mesmos sobre a renda familiar
Site wwwincontinenciaurinariabcsorgEmail associacaobrasileirabcstuartcom
Overactive bladder prevalence and implications in BrazilTeloken C Caraver F Weber FA Teloken PE Moraes JF Sogari PR Graziottin TM EurUrol 2006 Jun49(6)1087-92 Epub 2006 Feb 9
OBJECTIVES
To assess overactive bladder (OAB) prevalence associated factors and implications in a young population
METHODS
An independent population-based study was carried out A self-applicative questionnaire covering urinary symptoms coping strategies quality of life and treatment seeking behavior was developed
RESULTS
A total of 848 subjects between 15 and 55 years completed the questionnaire The overall prevalence of OAB was 189 Women were significantly more affected than men (p = 0001) All age groups were equally affected (p = 0152) Subjects with OAB reported significant impairment on household chores (p = 0009) physical activities (p = 0016) sleep (p lt 0001) work (p lt 0001) social life (p lt 0001) and sexual life (p lt 0001) In addition OAB individuals present higher prevalence of depression (p = 0036) anxiety (p lt 0001) shame (p lt 0001) and tiredness (p lt 0001) OAB was independently associated to sexual life impairment (OR = 336 95 CI=120-939) Only 275 of OAB subjects sought for medical counseling
CONCLUSIONS
OAB is a highly prevalent condition even in such a young population It affects both genders yet it is more frequently observed in women OAB is an important health condition with serious impact on quality of life and sexual function A large percentual of individuals remain unrecognized under treated and consequently suffer for long periods of time
Association between urinary incontinence in elderly patients and caregiver burden in the city of Sao PauloBrazil Health Wellbeing and Ageing StudyTamanini JT1 Santos JL Lebratildeo ML Duarte YA Laurenti R Neurourol Urodyn 2011 Sep30(7)1281-5 doi 101002nau21040 Epub 2011 May 10
Some elderly patients with incontinence require the care of third parties known as caregivers Such care can occur on a daily basis leaving little opportunity for the caregiver to take care of himselfherself The aims are to assess the association between urinary incontinence in elderly patients and caregiver burden and identify independent factors for caregivers burden in the city of Sao Paulo Brazil
METHODS
The Pan-American Health Organization and World Health Organization coordinated a multicenter study named Health Wellbeing and Aging (SABE Study) in elderly people living in seven countries of Latin America and the Caribbean In Brazil the study population carried out in Satildeo Paulo in the year 2000 and reassessed in 2006 (COHORT A) Urinary incontinence was assessed by ICIQ-SF and caregiver burden by means of Zarit Burden Scale
RESULTS
A total of 327 patients with caregivers were included in the study The general prevalence of urinary incontinence was 258 higher among the women There was a significant positive association between caregiver burden and incontinent patients demonstrating that urinary incontinence in elderly patients produced greater caregiver burden In the present study the variables with significant correlations were assessed using the multivariate logistic regression model Category 2 of the ICIQ-SF (incontinent patients) increased the chances of caregiver burden 196-fold in comparison to Category 1 (continent patients) Likewise the category of impaired cognition increased the chances of caregiver burden 234-fold
CONCLUSIONS
Urinary incontinence and cognitive impairment in elderly patients were associated to an increase in caregiver burden
Analysis of the prevalence of and factors associated with urinary incontinence among elderly people in the Municipality of Satildeo Paulo Brazil SABE Study (Health Wellbeing and Aging)Tamanini JT Lebratildeo ML Duarte YA Santos JL Laurenti R Cad Saude Publica 2009 Aug25(8)1756-62
Abstract
To investigate the prevalence of urinary incontinence among elderly people living in Satildeo Paulo Brazil and their associated risk factors The Pan-American Health Organization and World Health Organization coordinated a multicenter study named Health Wellbeing and Aging (SABE Study) in elderly people (over 60 years old) living in seven countries in Latin America and the Caribbean In Brazil the study was carried out in Satildeo Paulo in the year 2000 The total Brazilian sample included 2143 people The prevalence of self reported urinary incontinence was 118 among men and 262 for women It was verified that among those reporting urinary incontinence 37 also reported stroke and 34 depression It was found that the greater the dependence that the elderly people presented the greater the prevalence of urinary incontinence The associated factors found were depression (odds ratio = 249) female (242) advanced age (235) important functional limitation (201) Urinary incontinence is a highly prevalent symptom among the elderly population of the municipality of Satildeo Paulo especially among women The adoption of preventive measures can reduce the negative effects of urinary incontinence
bull Frente agrave falta informaccedilatildeo teacutecnica disponiacutevel
bull AVALIEMOS A NOSSA REALIDADE
Salaacuterios na Ameacuterica LatinabullSalaacuterios Miacutenimos (em Doacutelares mecircs)
bull Brasil 22300 (R$78800)bull Argentina 56100bull Boliacutevia 11600bull Colocircmbia 35700bull Chile 45200bull Cuba 4000bull Equador 23300bull Paraguai 41400bull Peru 36200bull Uruguai 40000bull Venezuela 9600
bullSALAacuteRIO MEacuteDIO NO BRASIL R$ 111684
Custos de medicaccedilotildees no Brasil
bull Retemic UD10 mg 7806 (107 SM)
bull Vesicare (solifenacina) 5 mg 13296 ( 183 SM)
10 mg 16267
bull Enablex (darifenacina) 75 mg 16188 (22 SM)
15 mg 18068
Sondas uretrais 150 unidades mecircs = 12500 (17 SM)
Xilocaina gel 2 2619 (36 SM)
40 renda mensal
cirurgia
Devices
Conclusotildees
bull Grande deficiecircncia de dados para anaacutelise levando agrave dificuldade de definir poliacutetica de sauacutede adequada voltada para o problema
bull Condiccedilatildeo que afeta grande nuacutemero de pessoas de todas as idades e de ambos os sexos ( poucos procuram ou tem acesso aos tratamentos)
bull Impacto direto na qualidade de vida auto imagem trabalho vida sexual levando aacute depressatildeo vergonha timidez
bull Custos elevados dos tratamentos
bull Impacto dos mesmos sobre a renda familiar
Site wwwincontinenciaurinariabcsorgEmail associacaobrasileirabcstuartcom
Association between urinary incontinence in elderly patients and caregiver burden in the city of Sao PauloBrazil Health Wellbeing and Ageing StudyTamanini JT1 Santos JL Lebratildeo ML Duarte YA Laurenti R Neurourol Urodyn 2011 Sep30(7)1281-5 doi 101002nau21040 Epub 2011 May 10
Some elderly patients with incontinence require the care of third parties known as caregivers Such care can occur on a daily basis leaving little opportunity for the caregiver to take care of himselfherself The aims are to assess the association between urinary incontinence in elderly patients and caregiver burden and identify independent factors for caregivers burden in the city of Sao Paulo Brazil
METHODS
The Pan-American Health Organization and World Health Organization coordinated a multicenter study named Health Wellbeing and Aging (SABE Study) in elderly people living in seven countries of Latin America and the Caribbean In Brazil the study population carried out in Satildeo Paulo in the year 2000 and reassessed in 2006 (COHORT A) Urinary incontinence was assessed by ICIQ-SF and caregiver burden by means of Zarit Burden Scale
RESULTS
A total of 327 patients with caregivers were included in the study The general prevalence of urinary incontinence was 258 higher among the women There was a significant positive association between caregiver burden and incontinent patients demonstrating that urinary incontinence in elderly patients produced greater caregiver burden In the present study the variables with significant correlations were assessed using the multivariate logistic regression model Category 2 of the ICIQ-SF (incontinent patients) increased the chances of caregiver burden 196-fold in comparison to Category 1 (continent patients) Likewise the category of impaired cognition increased the chances of caregiver burden 234-fold
CONCLUSIONS
Urinary incontinence and cognitive impairment in elderly patients were associated to an increase in caregiver burden
Analysis of the prevalence of and factors associated with urinary incontinence among elderly people in the Municipality of Satildeo Paulo Brazil SABE Study (Health Wellbeing and Aging)Tamanini JT Lebratildeo ML Duarte YA Santos JL Laurenti R Cad Saude Publica 2009 Aug25(8)1756-62
Abstract
To investigate the prevalence of urinary incontinence among elderly people living in Satildeo Paulo Brazil and their associated risk factors The Pan-American Health Organization and World Health Organization coordinated a multicenter study named Health Wellbeing and Aging (SABE Study) in elderly people (over 60 years old) living in seven countries in Latin America and the Caribbean In Brazil the study was carried out in Satildeo Paulo in the year 2000 The total Brazilian sample included 2143 people The prevalence of self reported urinary incontinence was 118 among men and 262 for women It was verified that among those reporting urinary incontinence 37 also reported stroke and 34 depression It was found that the greater the dependence that the elderly people presented the greater the prevalence of urinary incontinence The associated factors found were depression (odds ratio = 249) female (242) advanced age (235) important functional limitation (201) Urinary incontinence is a highly prevalent symptom among the elderly population of the municipality of Satildeo Paulo especially among women The adoption of preventive measures can reduce the negative effects of urinary incontinence
bull Frente agrave falta informaccedilatildeo teacutecnica disponiacutevel
bull AVALIEMOS A NOSSA REALIDADE
Salaacuterios na Ameacuterica LatinabullSalaacuterios Miacutenimos (em Doacutelares mecircs)
bull Brasil 22300 (R$78800)bull Argentina 56100bull Boliacutevia 11600bull Colocircmbia 35700bull Chile 45200bull Cuba 4000bull Equador 23300bull Paraguai 41400bull Peru 36200bull Uruguai 40000bull Venezuela 9600
bullSALAacuteRIO MEacuteDIO NO BRASIL R$ 111684
Custos de medicaccedilotildees no Brasil
bull Retemic UD10 mg 7806 (107 SM)
bull Vesicare (solifenacina) 5 mg 13296 ( 183 SM)
10 mg 16267
bull Enablex (darifenacina) 75 mg 16188 (22 SM)
15 mg 18068
Sondas uretrais 150 unidades mecircs = 12500 (17 SM)
Xilocaina gel 2 2619 (36 SM)
40 renda mensal
cirurgia
Devices
Conclusotildees
bull Grande deficiecircncia de dados para anaacutelise levando agrave dificuldade de definir poliacutetica de sauacutede adequada voltada para o problema
bull Condiccedilatildeo que afeta grande nuacutemero de pessoas de todas as idades e de ambos os sexos ( poucos procuram ou tem acesso aos tratamentos)
bull Impacto direto na qualidade de vida auto imagem trabalho vida sexual levando aacute depressatildeo vergonha timidez
bull Custos elevados dos tratamentos
bull Impacto dos mesmos sobre a renda familiar
Site wwwincontinenciaurinariabcsorgEmail associacaobrasileirabcstuartcom
Analysis of the prevalence of and factors associated with urinary incontinence among elderly people in the Municipality of Satildeo Paulo Brazil SABE Study (Health Wellbeing and Aging)Tamanini JT Lebratildeo ML Duarte YA Santos JL Laurenti R Cad Saude Publica 2009 Aug25(8)1756-62
Abstract
To investigate the prevalence of urinary incontinence among elderly people living in Satildeo Paulo Brazil and their associated risk factors The Pan-American Health Organization and World Health Organization coordinated a multicenter study named Health Wellbeing and Aging (SABE Study) in elderly people (over 60 years old) living in seven countries in Latin America and the Caribbean In Brazil the study was carried out in Satildeo Paulo in the year 2000 The total Brazilian sample included 2143 people The prevalence of self reported urinary incontinence was 118 among men and 262 for women It was verified that among those reporting urinary incontinence 37 also reported stroke and 34 depression It was found that the greater the dependence that the elderly people presented the greater the prevalence of urinary incontinence The associated factors found were depression (odds ratio = 249) female (242) advanced age (235) important functional limitation (201) Urinary incontinence is a highly prevalent symptom among the elderly population of the municipality of Satildeo Paulo especially among women The adoption of preventive measures can reduce the negative effects of urinary incontinence
bull Frente agrave falta informaccedilatildeo teacutecnica disponiacutevel
bull AVALIEMOS A NOSSA REALIDADE
Salaacuterios na Ameacuterica LatinabullSalaacuterios Miacutenimos (em Doacutelares mecircs)
bull Brasil 22300 (R$78800)bull Argentina 56100bull Boliacutevia 11600bull Colocircmbia 35700bull Chile 45200bull Cuba 4000bull Equador 23300bull Paraguai 41400bull Peru 36200bull Uruguai 40000bull Venezuela 9600
bullSALAacuteRIO MEacuteDIO NO BRASIL R$ 111684
Custos de medicaccedilotildees no Brasil
bull Retemic UD10 mg 7806 (107 SM)
bull Vesicare (solifenacina) 5 mg 13296 ( 183 SM)
10 mg 16267
bull Enablex (darifenacina) 75 mg 16188 (22 SM)
15 mg 18068
Sondas uretrais 150 unidades mecircs = 12500 (17 SM)
Xilocaina gel 2 2619 (36 SM)
40 renda mensal
cirurgia
Devices
Conclusotildees
bull Grande deficiecircncia de dados para anaacutelise levando agrave dificuldade de definir poliacutetica de sauacutede adequada voltada para o problema
bull Condiccedilatildeo que afeta grande nuacutemero de pessoas de todas as idades e de ambos os sexos ( poucos procuram ou tem acesso aos tratamentos)
bull Impacto direto na qualidade de vida auto imagem trabalho vida sexual levando aacute depressatildeo vergonha timidez
bull Custos elevados dos tratamentos
bull Impacto dos mesmos sobre a renda familiar
Site wwwincontinenciaurinariabcsorgEmail associacaobrasileirabcstuartcom
bull Frente agrave falta informaccedilatildeo teacutecnica disponiacutevel
bull AVALIEMOS A NOSSA REALIDADE
Salaacuterios na Ameacuterica LatinabullSalaacuterios Miacutenimos (em Doacutelares mecircs)
bull Brasil 22300 (R$78800)bull Argentina 56100bull Boliacutevia 11600bull Colocircmbia 35700bull Chile 45200bull Cuba 4000bull Equador 23300bull Paraguai 41400bull Peru 36200bull Uruguai 40000bull Venezuela 9600
bullSALAacuteRIO MEacuteDIO NO BRASIL R$ 111684
Custos de medicaccedilotildees no Brasil
bull Retemic UD10 mg 7806 (107 SM)
bull Vesicare (solifenacina) 5 mg 13296 ( 183 SM)
10 mg 16267
bull Enablex (darifenacina) 75 mg 16188 (22 SM)
15 mg 18068
Sondas uretrais 150 unidades mecircs = 12500 (17 SM)
Xilocaina gel 2 2619 (36 SM)
40 renda mensal
cirurgia
Devices
Conclusotildees
bull Grande deficiecircncia de dados para anaacutelise levando agrave dificuldade de definir poliacutetica de sauacutede adequada voltada para o problema
bull Condiccedilatildeo que afeta grande nuacutemero de pessoas de todas as idades e de ambos os sexos ( poucos procuram ou tem acesso aos tratamentos)
bull Impacto direto na qualidade de vida auto imagem trabalho vida sexual levando aacute depressatildeo vergonha timidez
bull Custos elevados dos tratamentos
bull Impacto dos mesmos sobre a renda familiar
Site wwwincontinenciaurinariabcsorgEmail associacaobrasileirabcstuartcom
Salaacuterios na Ameacuterica LatinabullSalaacuterios Miacutenimos (em Doacutelares mecircs)
bull Brasil 22300 (R$78800)bull Argentina 56100bull Boliacutevia 11600bull Colocircmbia 35700bull Chile 45200bull Cuba 4000bull Equador 23300bull Paraguai 41400bull Peru 36200bull Uruguai 40000bull Venezuela 9600
bullSALAacuteRIO MEacuteDIO NO BRASIL R$ 111684
Custos de medicaccedilotildees no Brasil
bull Retemic UD10 mg 7806 (107 SM)
bull Vesicare (solifenacina) 5 mg 13296 ( 183 SM)
10 mg 16267
bull Enablex (darifenacina) 75 mg 16188 (22 SM)
15 mg 18068
Sondas uretrais 150 unidades mecircs = 12500 (17 SM)
Xilocaina gel 2 2619 (36 SM)
40 renda mensal
cirurgia
Devices
Conclusotildees
bull Grande deficiecircncia de dados para anaacutelise levando agrave dificuldade de definir poliacutetica de sauacutede adequada voltada para o problema
bull Condiccedilatildeo que afeta grande nuacutemero de pessoas de todas as idades e de ambos os sexos ( poucos procuram ou tem acesso aos tratamentos)
bull Impacto direto na qualidade de vida auto imagem trabalho vida sexual levando aacute depressatildeo vergonha timidez
bull Custos elevados dos tratamentos
bull Impacto dos mesmos sobre a renda familiar
Site wwwincontinenciaurinariabcsorgEmail associacaobrasileirabcstuartcom
bullSALAacuteRIO MEacuteDIO NO BRASIL R$ 111684
Custos de medicaccedilotildees no Brasil
bull Retemic UD10 mg 7806 (107 SM)
bull Vesicare (solifenacina) 5 mg 13296 ( 183 SM)
10 mg 16267
bull Enablex (darifenacina) 75 mg 16188 (22 SM)
15 mg 18068
Sondas uretrais 150 unidades mecircs = 12500 (17 SM)
Xilocaina gel 2 2619 (36 SM)
40 renda mensal
cirurgia
Devices
Conclusotildees
bull Grande deficiecircncia de dados para anaacutelise levando agrave dificuldade de definir poliacutetica de sauacutede adequada voltada para o problema
bull Condiccedilatildeo que afeta grande nuacutemero de pessoas de todas as idades e de ambos os sexos ( poucos procuram ou tem acesso aos tratamentos)
bull Impacto direto na qualidade de vida auto imagem trabalho vida sexual levando aacute depressatildeo vergonha timidez
bull Custos elevados dos tratamentos
bull Impacto dos mesmos sobre a renda familiar
Site wwwincontinenciaurinariabcsorgEmail associacaobrasileirabcstuartcom
Custos de medicaccedilotildees no Brasil
bull Retemic UD10 mg 7806 (107 SM)
bull Vesicare (solifenacina) 5 mg 13296 ( 183 SM)
10 mg 16267
bull Enablex (darifenacina) 75 mg 16188 (22 SM)
15 mg 18068
Sondas uretrais 150 unidades mecircs = 12500 (17 SM)
Xilocaina gel 2 2619 (36 SM)
40 renda mensal
cirurgia
Devices
Conclusotildees
bull Grande deficiecircncia de dados para anaacutelise levando agrave dificuldade de definir poliacutetica de sauacutede adequada voltada para o problema
bull Condiccedilatildeo que afeta grande nuacutemero de pessoas de todas as idades e de ambos os sexos ( poucos procuram ou tem acesso aos tratamentos)
bull Impacto direto na qualidade de vida auto imagem trabalho vida sexual levando aacute depressatildeo vergonha timidez
bull Custos elevados dos tratamentos
bull Impacto dos mesmos sobre a renda familiar
Site wwwincontinenciaurinariabcsorgEmail associacaobrasileirabcstuartcom
Sondas uretrais 150 unidades mecircs = 12500 (17 SM)
Xilocaina gel 2 2619 (36 SM)
40 renda mensal
cirurgia
Devices
Conclusotildees
bull Grande deficiecircncia de dados para anaacutelise levando agrave dificuldade de definir poliacutetica de sauacutede adequada voltada para o problema
bull Condiccedilatildeo que afeta grande nuacutemero de pessoas de todas as idades e de ambos os sexos ( poucos procuram ou tem acesso aos tratamentos)
bull Impacto direto na qualidade de vida auto imagem trabalho vida sexual levando aacute depressatildeo vergonha timidez
bull Custos elevados dos tratamentos
bull Impacto dos mesmos sobre a renda familiar
Site wwwincontinenciaurinariabcsorgEmail associacaobrasileirabcstuartcom
40 renda mensal
cirurgia
Devices
Conclusotildees
bull Grande deficiecircncia de dados para anaacutelise levando agrave dificuldade de definir poliacutetica de sauacutede adequada voltada para o problema
bull Condiccedilatildeo que afeta grande nuacutemero de pessoas de todas as idades e de ambos os sexos ( poucos procuram ou tem acesso aos tratamentos)
bull Impacto direto na qualidade de vida auto imagem trabalho vida sexual levando aacute depressatildeo vergonha timidez
bull Custos elevados dos tratamentos
bull Impacto dos mesmos sobre a renda familiar
Site wwwincontinenciaurinariabcsorgEmail associacaobrasileirabcstuartcom
cirurgia
Devices
Conclusotildees
bull Grande deficiecircncia de dados para anaacutelise levando agrave dificuldade de definir poliacutetica de sauacutede adequada voltada para o problema
bull Condiccedilatildeo que afeta grande nuacutemero de pessoas de todas as idades e de ambos os sexos ( poucos procuram ou tem acesso aos tratamentos)
bull Impacto direto na qualidade de vida auto imagem trabalho vida sexual levando aacute depressatildeo vergonha timidez
bull Custos elevados dos tratamentos
bull Impacto dos mesmos sobre a renda familiar
Site wwwincontinenciaurinariabcsorgEmail associacaobrasileirabcstuartcom
Devices
Conclusotildees
bull Grande deficiecircncia de dados para anaacutelise levando agrave dificuldade de definir poliacutetica de sauacutede adequada voltada para o problema
bull Condiccedilatildeo que afeta grande nuacutemero de pessoas de todas as idades e de ambos os sexos ( poucos procuram ou tem acesso aos tratamentos)
bull Impacto direto na qualidade de vida auto imagem trabalho vida sexual levando aacute depressatildeo vergonha timidez
bull Custos elevados dos tratamentos
bull Impacto dos mesmos sobre a renda familiar
Site wwwincontinenciaurinariabcsorgEmail associacaobrasileirabcstuartcom
Conclusotildees
bull Grande deficiecircncia de dados para anaacutelise levando agrave dificuldade de definir poliacutetica de sauacutede adequada voltada para o problema
bull Condiccedilatildeo que afeta grande nuacutemero de pessoas de todas as idades e de ambos os sexos ( poucos procuram ou tem acesso aos tratamentos)
bull Impacto direto na qualidade de vida auto imagem trabalho vida sexual levando aacute depressatildeo vergonha timidez
bull Custos elevados dos tratamentos
bull Impacto dos mesmos sobre a renda familiar
Site wwwincontinenciaurinariabcsorgEmail associacaobrasileirabcstuartcom
Site wwwincontinenciaurinariabcsorgEmail associacaobrasileirabcstuartcom
