Non-surgical Treatments for Urinary Incontinence in Adult Women: Diagnosis and Comparative Effectiveness
Monitoring UI Treatment Success
Typical treatment outcomes in clinical studies are number of episodes per day, amount of urine in pad tests, and urodynamic evaluation.
In clinical studies, results showing a difference in number of episodes per day or changes in urodynamics may be statistically significant but not clinically meaningful. For example, a statistically significant reduction of two episodes per day for a patient with severe UI may not provide a perception of improvement in severity or quality of life.
Meaningful differences in questionnaires or scales have not been systematically reviewed. The minimal clinically important differences for diagnostic tools have not been systematically reviewed.
- Shamliyan T, Wyman J, Sainfort F, et al. Nonsurgical Treatments for Urinary Incontinence in Adult Women: Diagnosis and Comparative Effectiveness. Comparative Effectiveness Review No. 36 (Prepared by the Minnesota Evidence-based Practice Center under Contract No. 290-2007-10064-I). Rockville, MD: Agency for Healthcare Research and Quality; April 2012. AHRQ Publication No. 11(12)-EHC074-EF. Available at www.effectivehealthcare.ahrq.gov/ui.cfm.
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