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Call for clinical trials into incontinence interventions in care homes

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The results of a systematic review has suggested that there should be long term clinical trials of strategies to manage incontinence among residents of care homes.
The researchers identified 14 clinical trails published between January 1985 and May 2008, involving 1161 patients. The authors identified that;
  • Prompted voiding and prompted voiding with exercise were associated with modest short-term improvement in daytime urinary incontinence in care homes.
  • Exercise alone did not appear to improve urinary incontinence.
  • Oxybutynin may provide small additional benefit when used with prompted voiding.

The authors suggest that further clinical trials should include measures of urinary incontinence, patient quality of life, and costs.

Mayo Clinic Proceedings (2008);83:12,1332-43.

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