The effects of involving a nurse practitioner in primary care for adult patients with urinary incontinence
- Conditions
- rinary incontinenceUrological and Genital DiseasesUnspecified urinary incontinence
- Registration Number
- ISRCTN62722772
- Lead Sponsor
- niversity Hospital Maastricht (The Netherlands)
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 350
All consecutive patients (both male and female) consulting their GP within one year for symptoms and signs of stress, urge and mixed urinary incontinence (according to the guidelines of the Dutch College of General Practitioners on urinary incontinence).
1. Patients below 18
2. Women with prolaps degree III or more
3. Patients with signs of reflex- or overflow incontinence
4. Patients with tumours in the abdomen
5. Patients with severe neurological diseases associated with incontinence (multiple sclerosis, CVA, diabetes, cauda equina syndrome), actual urinary tract infection, hematuria without urinary tract infection
6. Men below 65 with unclear reason for incontinence
7. Failure after operation or failure of conservative therapy
8. Severe cognitive problems
9. Patients not well versed in the Dutch language
10. Patients who refuse to participate/cooperate
11. Patients for whom the GP considers the management via the nurse practitioner as impossible/undesired, or unexpected circumstances not related to the trial (such as moving away, sickness)
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method 1. Severity of involuntary loss of urine: measured by the self-completed condition specific International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF) which measures frequency, volume and impact on daily life of involuntary urine loss (see supplement for questions and scoring). The outcome is a sum score of the first two weighted items and the VAS score of impact on daily life. The questionnaire underwent extensive psychometric testing. It is expected that the International Consultation on Incontinence (ICI) will rate this questionnaire as Grade A, meaning highly recommendable. <br>2. Medical costs (the use of diagnostics, treatment and incontinence pads) and non-medical costs (productivity costs, time costs and travel costs): collected using both registration systems and cost diaries during four weeks.
- Secondary Outcome Measures
Name Time Method