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The Journal of the American Board of Family Medicine 20 (6): 608-610 (2007)
DOI: 10.3122/jabfm.2007.06.070151
© 2007 American Board of Family Medicine
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Research Letter

Comorbidities Associated with Urinary Incontinence: A Case-Control Study from the Second Dutch National Survey of General Practice

Maaike van Gerwen, MD, François Schellevis, MD, PhD and Toine Lagro-Janssen, MD, PhD

Department of General Practice, Radboud University Nijmegen Medical Centre (MAGvG and ALML-J), Nijmegen, The Netherlands
Nivel, Netherlands Institute for Health Services Research and Department of General Practice/EMGO Institute, Vrije Universiteit Medical Center, Amsterdam, The Netherlands (FGS)

Correspondence: Corresponding author: A.L.M. Lagro-Janssen, Radboud University Nijmegen Medical Centre, Department of General Practice, Women's Studies Medicine, Postbus 9101, 6500 HB Nijmegen, The Netherlands (E-mail: a.Lagro-Janssen{at}hag.umcn.nl)

Purpose: The aim of this study was to identify which comorbidities are more common in patients with urinary incontinence compared with patients without this diagnosis.

Design of study: Case-control study.

Setting/methods: The data for this study were obtained from the Second Dutch National Survey of General Practice (DNSGP-2) performed in 2001 and were extracted from the electronic medical records of all patients registered in the participating practices in the year of study (2001). Conditional logistic regression was performed using the PHREG (proportional hazards regression) procedure.

Results: Urinary tract infections, constipation, and depression were more prevalent in both men and women with urinary incontinence than in controls. In men, heart failure is more common than among controls, and in women, diabetes mellitus, genitourinary prolapse, and chronic obstructive pulmonary disease (COPD)/asthma are more common than among controls.

Conclusion: General practitioners could ask for the presence of urinary incontinence in patients with the above described comorbidities.






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