Muscle Training Effective in Treating Urinary Incontinence for Women

Electronic Newsletter, Issue 340

The AHRQ Electronic Newsletter is issued periodically and summarizes Agency research and programmatic activities.

April 10, 2012

Today's Headlines

  1. Muscle training effective in treating urinary incontinence for women
  2. Register for AHRQ's Primary Care Practice Facilitation Web conference on April 11
  3. New clinician and consumer research summaries available for treatment-resistant depression
  4. Evidence insufficient to determine most effective low bone density medication
  5. March issue of AHRQ Web M&M examines preventable hospital readmission
  6. Updated AHRQ program brief on women's health topics now available
  7. April 27 Web Conference to explore strategies to reduce ED crowding, improve patient flow
  8. Highlights from most recent monthly newsletter
  9. AHRQ in the professional literature

1. Muscle Training Effective in Treating Urinary Incontinence for Women

A type of exercise called pelvic floor muscle training is effective for treating adult women with urinary incontinence (the involuntary loss of urine) without risk of side effects, according to a new report from AHRQ's Effective Health Care Program. The report also found that drug-based treatments can be effective, but the degree of benefit is low and side effects are common. The report, Nonsurgical Treatments for Urinary Incontinence in Adult Women: Diagnosis and Comparative Effectiveness, was prepared by AHRQ's Minnesota Evidence-based Practice Center and was published in today's Annals of Internal Medicine. Select to access the full report and summary publications for consumers and clinicians on AHRQ's Effective Health Care Program Web site. Select to read our press release.

2. Register for AHRQ's Primary Care Practice Facilitation Web Conference on April 11

AHRQ is sponsoring a Web conference on setting up a Practice Facilitation program that will discuss the skills and attributes needed by facilitators and training approaches to obtain them. The Web conference, "Hiring and Training Practice Facilitators," is scheduled for April 11 from 12:30 p.m. to 2:00 p.m. ET. Key questions to be addressed include: What should you look for when you are hiring a facilitator? What type of training do facilitators need to be effective? Select to register Select for more information about Primary Care Practice Facilitation and AHRQ's new how-to guide (PDF) (Plugin Software Help) on developing and running a practice facilitation program.

3. New Clinician and Consumer Research Summaries Available for Treatment-Resistant Depression

New clinician and consumer research summaries on nonpharamacologic therapies for treatment-resistant depression (TRD) are now available from AHRQ's Effective Healthcare Program. The summaries are based on the research review, Nonpharmacologic Interventions for Treatment-Resistant Depression in Adults that found insufficient evidence to evaluate the effectiveness of such treatments. The products summarize evidence of the effectiveness and efficacy of four non-pharmacologic treatments: electroconvulsive therapy, repetitive transcranial magnetic stimulation, vagus nerve stimulation, and cognitive behavioral therapy or interpersonal psychotherapy. These findings are available in the full review, consumer summary, Therapies for Treatment-Resistant Depression, clinician summary, Nonpharmacologic Interventions for Treatment-Resistant Depression in Adults, CME activity, and a faculty slide set.

4. Evidence Insufficient to Determine Most Effective Low Bone Density Medication

Evidence is insufficient to determine whether one type of medication to prevent loss of bone mass to reduce the risk of backbone, hip, and other fractures in women with osteoporosis is more effective than another, according to a newly updated review from AHRQ's Effective Health Care Program. Approximately 52 million people in the United States are affected by osteoporosis or low bone density. The review is entitled Treatment To Prevent Fractures in Men and Women With Low Bone Density or Osteoporosis: Update of a 2007 Report.

5. March Issue of AHRQ Web M&M Examines Preventable Hospital Readmission

The March 2012 issue of AHRQ Web M&M features a Spotlight Case involving a patient who had been admitted for treatment of community-acquired pneumonia and discharged to home. With her symptoms returning in a few days, the patient tried but was unable to see her primary care physician and then considered going to the hospital emergency department. Before she did so, the patient received a telephone call from a nurse at the hospital where she had been treated, who, upon learning about her symptoms, arranged for the patient to start on a new medication regimen. The patient's condition improved, preventing a trip to the ED or a hospital readmission. A commentary on the case is provided by Michelle Mouran, M.D., and Stephanie Rennke, M.D., both assistant clinical professors of medicine at the University of California, San Francisco. The Perspectives on Safety section features an interview with Richard C. Boothman, J.D., the chief risk officer for the University of Michigan Health System and the pioneer of an innovative approach to addressing medical errors and risk management. Physicians and nurses can receive free CME, CEU, or training certification by taking the Spotlight Quiz. Select to access AHRQ Web M&M site.

6. Updated AHRQ Program Brief on Women's Health Topics Now Available

An undated program brief that summarizes findings on women's health topics from AHRQ-funded research published from January 2008 through December 2011 is now available. Select to access the program brief.

7. April 27 Web Conference to Explore Strategies to Reduce ED Crowding, Improve Patient Flow

With nearly half of all emergency departments (ED) operating at or above capacity and the majority of hospitals holding patients in the ED while they wait for an inpatient bed, hospitals are seeking ways to reduce ED crowding. A Web conference sponsored by the Health Research & Educational Trust, an affiliate of the American Hospital Association, will discuss steps for implementing strategies that hospital leaders can use to reduce ED crowding by improving patient flow. These steps are outlined in a recent AHRQ-funded publication, Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals. They include: forming a patient flow improvement team, measuring ED performance, selecting and implementing the right policies to improve patient flow, and address implementation challenges. The free Web conference will be held at 3:00 p.m. ET on April 27. Select to register. Select for more information on the AHRQ-funded ED guide.

8. Highlights from Most Recent Monthly Newsletter

The April issue of Research Activities is available online. Key articles include

  • Improving quality of care for falls and urinary incontinence also improves quality of life in elderly patients.

    Urinary incontinence and falls, conditions common in the elderly, can produce considerable disability, morbidity, and decreased quality of life. When recommended care is used for these two conditions, patients report better quality of life outcomes, according to a new study that used data from a practice-based educational intervention to improve recommended care. Select to read this article.

Other articles include:

  • Majority of conditions treated in emergency departments are treatable in primary care clinics.
  • A "diabetes dashboard" screen helps clinicians quickly and accurately access patient data needed for quality diabetes care.
  • Injection of hyaluronic acid, a natural joint lubricant, appears effective in reducing pain from wear and tear on the knee.
  • Blood pressure control persists after physician-pharmacist intervention ends.

Select to read these articles and others.

9. AHRQ in the Professional Literature

We are providing the following hyperlinks to journal abstracts through PubMed® for your convenience. Access to the abstracts may be blocked because of firewalls or specific settings on individual computer systems. If you are having problems, ask your technical support staff for possible remedies.

Birnberg JM, Drum ML, Huang ES, et al. Development of a safety net medical home scale for clinics. J Gen Intern Med 2011 Dec; 26(12):1418-25. Select to access the abstract on PubMed®.

Panepinto JA, Owens PL, Mosso AL, et al. Concentration of hospital care for acute sickle cell disease-related visits. Pediatr Blood Cancer 2011 Dec 16. Select to access the abstract on PubMed®.

Shih SC, McCullough CM, Wang JJ, et al. Health information systems in small practices. Improving the delivery of clinical preventive services. Am J Prev Med 2011 Dec; 41(6):603-9. Select to access the abstract on PubMed®.

Glance LG, Dick AW, Mukamel DB, et al. Association between trauma quality indicators and outcomes for injured patients. Arch Surg 2011 Dec 19. Select to access the abstract on PubMed®.

Hafner JM, Williams SC, Koss RG, et al. The perceived impact of public reporting hospital performance data: interviews with hospital staff. Int J Qual Health Care 2011 Dec; 23(6):697-704. Select to access the abstract on PubMed®.

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Current as of April 2012
Internet Citation: Muscle Training Effective in Treating Urinary Incontinence for Women: Electronic Newsletter, Issue 340. April 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/newsletters/e-newsletter/340.html