Practice
Guidelines Overactive Bladder in the Elderly
Practice
Guidelines
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| AHRQ |  |
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| In 1996 the federally funded Agency for Health Care Policy and Research developed clinical practices on urinary incontinence in adults. The agency is now called the Agency for Healthcare Research and Quality (AHRQ) and no longer develops or updates guidelines. The 1996 guidelines were long considered the standard for managing UI. With the advent of new treatment options, including new medications, the guidelines are outdated. The AHRQ website clearly states that the 1996 guidelines are outdated and are provided only for archival purposes. | |
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| AMDA |  |
The American Medical Directors Association (AMDA) has developed a clinical practice guideline on urinary incontinence that relates specifically to the long-term care setting. The evidence-based guidelines were written by a group of experts in the field of UI; contributors to the guidelines include physicians, pharmacists, and nurses. AMDA clinical practice guidelines are well respected by health care professionals in the long-term care community, and are non-biased. The most recent update of the guidelines was 2005. |
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| The definition of UI as determined by the International Continence Society (ICS) is frequently used in research as the standard definition. In addition to definitions related to UI, the ICS publishes evidenced-based guidelines, with the most recent update in September 2005. | |
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| The National Institute for Health and Clinical Excellence (NICE) is an independent organization that provides national guidelines “on promoting good health and preventing and treating ill health.” They have written guidelines on UI in women that contain algorithms for UI or OAB in women and stress UI. | |
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| EAU |  |
| European Association of Urology (EAU) 2006 guidelines on UI. Recently updated guidelines from the International Consultation on Incontinence (ICI) and the European Association of Urology (EAU) take account of important new developments in the management of bladder problems in both primary and secondary care. | |
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Additional References
Viktrup L, Summers KH, Dennett SL. Clinical practice guidelines on the initial assessment and treatment of urinary incontinence in women: a US focused review. Int J Gynaecol Obstet. 2004 Jul;86 Suppl 1:S25-37.
Corcos J, Gajewski J, Heritz D, et al. Canadian Urological Association guidelines on urinary incontinence. Can J Urol. 2006 Jun;13(3):3127-38.
Kirby M, Artibani W, Cardozo L, Chapple C, et al. Overactive bladder: the importance of new guidance. Int J Clin Pract. 2006 Oct; 60(10):1263-1271.