Challenges in the pharmacological management of nursing home residents with overactive bladder or urinary incontinence

Barbara J. Zarowitz; Carrie Allen; Terrence O'Shea; Eric George Tangalos; Todd Berner; Joseph G. Ouslander

doi:10.1111/jgs.13713

Challenges in the pharmacological management of nursing home residents with overactive bladder or urinary incontinence

Barbara J. Zarowitz, Carrie Allen, Terrence O'Shea, Eric George Tangalos, Todd Berner, Joseph G. Ouslander

Primary Care Internal Medicine

Research output: Contribution to journal › Article › peer-review

11 Scopus citations

Abstract

Objectives To determine the proportion of nursing home (NH) residents (NHR) with overactive bladder (OAB) or urinary incontinence (UI) with potential pharmacodynamic contraindications to antimuscarinic treatment because of concomitant anticholinergic medications or acetylcholinesterase inhibitors (AChEIs) and nonpharmacological limitations to antimuscarinic treatment. Design Cross-sectional retrospective analysis. Setting U.S. skilled nursing facilities. Participants Nursing home residents with a diagnosis of OAB or UI. Measurements Linked and deidentified pharmacy claims and Minimum Data Set (MDS) 3.0 records (October 1, 2010 to September 30, 2012). Results Of NHRs, 71.3% received at least one anticholinergic medication. Medications that can cause or worsen UI were used commonly. AChEIs and antimuscarinic treatment were prescribed concurrently in 24% of NHRs with OAB or UI. NHRs with OAB or UI were more likely to have concurrent moderate to severe cognitive impairment (MSCI) (70.1%) than those without (29.9%) (P

Original language	English (US)
Pages (from-to)	2298-2307
Number of pages	10
Journal	Journal of the American Geriatrics Society
Volume	63
Issue number	11
DOIs	https://doi.org/10.1111/jgs.13713
State	Published - Nov 1 2015

Keywords

nursing home
overactive bladder
urinary incontinence

ASJC Scopus subject areas

Geriatrics and Gerontology

Access to Document

10.1111/jgs.13713

Cite this

@article{c6977853bfc74bb1897942200efbe3e8,

title = "Challenges in the pharmacological management of nursing home residents with overactive bladder or urinary incontinence",

abstract = "Objectives To determine the proportion of nursing home (NH) residents (NHR) with overactive bladder (OAB) or urinary incontinence (UI) with potential pharmacodynamic contraindications to antimuscarinic treatment because of concomitant anticholinergic medications or acetylcholinesterase inhibitors (AChEIs) and nonpharmacological limitations to antimuscarinic treatment. Design Cross-sectional retrospective analysis. Setting U.S. skilled nursing facilities. Participants Nursing home residents with a diagnosis of OAB or UI. Measurements Linked and deidentified pharmacy claims and Minimum Data Set (MDS) 3.0 records (October 1, 2010 to September 30, 2012). Results Of NHRs, 71.3% received at least one anticholinergic medication. Medications that can cause or worsen UI were used commonly. AChEIs and antimuscarinic treatment were prescribed concurrently in 24% of NHRs with OAB or UI. NHRs with OAB or UI were more likely to have concurrent moderate to severe cognitive impairment (MSCI) (70.1%) than those without (29.9%) (P ",

keywords = "nursing home, overactive bladder, urinary incontinence",

author = "Zarowitz, {Barbara J.} and Carrie Allen and Terrence O'Shea and Tangalos, {Eric George} and Todd Berner and Ouslander, {Joseph G.}",

year = "2015",

month = nov,

day = "1",

doi = "10.1111/jgs.13713",

language = "English (US)",

volume = "63",

pages = "2298--2307",

journal = "Journal of the American Geriatrics Society",

issn = "0002-8614",

publisher = "Wiley-Blackwell",

number = "11",

}

TY - JOUR

T1 - Challenges in the pharmacological management of nursing home residents with overactive bladder or urinary incontinence

AU - Zarowitz, Barbara J.

AU - Allen, Carrie

AU - O'Shea, Terrence

AU - Tangalos, Eric George

AU - Berner, Todd

AU - Ouslander, Joseph G.

PY - 2015/11/1

Y1 - 2015/11/1

N2 - Objectives To determine the proportion of nursing home (NH) residents (NHR) with overactive bladder (OAB) or urinary incontinence (UI) with potential pharmacodynamic contraindications to antimuscarinic treatment because of concomitant anticholinergic medications or acetylcholinesterase inhibitors (AChEIs) and nonpharmacological limitations to antimuscarinic treatment. Design Cross-sectional retrospective analysis. Setting U.S. skilled nursing facilities. Participants Nursing home residents with a diagnosis of OAB or UI. Measurements Linked and deidentified pharmacy claims and Minimum Data Set (MDS) 3.0 records (October 1, 2010 to September 30, 2012). Results Of NHRs, 71.3% received at least one anticholinergic medication. Medications that can cause or worsen UI were used commonly. AChEIs and antimuscarinic treatment were prescribed concurrently in 24% of NHRs with OAB or UI. NHRs with OAB or UI were more likely to have concurrent moderate to severe cognitive impairment (MSCI) (70.1%) than those without (29.9%) (P

AB - Objectives To determine the proportion of nursing home (NH) residents (NHR) with overactive bladder (OAB) or urinary incontinence (UI) with potential pharmacodynamic contraindications to antimuscarinic treatment because of concomitant anticholinergic medications or acetylcholinesterase inhibitors (AChEIs) and nonpharmacological limitations to antimuscarinic treatment. Design Cross-sectional retrospective analysis. Setting U.S. skilled nursing facilities. Participants Nursing home residents with a diagnosis of OAB or UI. Measurements Linked and deidentified pharmacy claims and Minimum Data Set (MDS) 3.0 records (October 1, 2010 to September 30, 2012). Results Of NHRs, 71.3% received at least one anticholinergic medication. Medications that can cause or worsen UI were used commonly. AChEIs and antimuscarinic treatment were prescribed concurrently in 24% of NHRs with OAB or UI. NHRs with OAB or UI were more likely to have concurrent moderate to severe cognitive impairment (MSCI) (70.1%) than those without (29.9%) (P

KW - nursing home

KW - overactive bladder

KW - urinary incontinence

UR - http://www.scopus.com/inward/record.url?scp=84948402437&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84948402437&partnerID=8YFLogxK

U2 - 10.1111/jgs.13713

DO - 10.1111/jgs.13713

M3 - Article

C2 - 26503458

AN - SCOPUS:84948402437

SN - 0002-8614

VL - 63

SP - 2298

EP - 2307

JO - Journal of the American Geriatrics Society

JF - Journal of the American Geriatrics Society

IS - 11

ER -

Challenges in the pharmacological management of nursing home residents with overactive bladder or urinary incontinence

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this