Vårdprogram för inkontinens nådde inte sitt syfte: Antalet remisser ökade och utredningar görs fortsatt på för hög sjukvårdsnivå
2006 (Swedish)In: Läkartidningen, ISSN 0023-7205, Vol. 103, no 49, 3941-3945 p.Article in journal (Refereed) Published
To evaluate the impact of a new guideline on management of urinary incontinence, we scrutinised all the referred letters to the specialist setting at the university hospital in Uppsala, 18 months before and 18 months after the introduction of the recommended guideline. The results showed that the number of cases referred to the specialist, from the general practitioner and private gynaecologist were increased after the introduction. A low rate of performed medical history and symptoms assessment, such as frequency volume chart and estimation of post void residual urine were observed both before and after the introduction of the new guideline. Pelvic floor exercise were used as the first line treatment at the primary settings, twice as often after the introduction of the recommended guideline (20% after / 11% before). However, it seems that the new guideline did not change the primary management of urinary incontinence significantly.
Place, publisher, year, edition, pages
2006. Vol. 103, no 49, 3941-3945 p.
Urininkontinens, Remiss och konsultation, Regionala vårdprogram
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:uu:diva-113610PubMedID: 17212274OAI: oai:DiVA.org:uu-113610DiVA: diva2:291405