RESUMO
Urinary incontinence is a dysfunction that affects 20%-50% of the women in Spain, depending on age. Even though it does not involve a prognosis of severity, it reduces self-esteem, limits independence and clear deteriorates quality of life. The diagnosis is generally made following the international criteria collected in the clinical practice guidelines. Even if it is true that the symptoms make it possible to suspect the nature of the functional disorder, this is not always sufficient or conclusive and there may be errors even in the clearest cases. Even so, the need to conduct a urodynamic study in the assessment of women with urinary incontinence diagnosed according to the symptoms mentioned continues to be debatable and there are no unified and defined criteria in our setting in regards to when it is necessary to request urodynamic tests.
Assuntos
Incontinência Urinária/diagnóstico , Feminino , Humanos , Inquéritos e Questionários , UrodinâmicaRESUMO
La incontinencia urinaria es una disfunción que afecta en España al 20%-50% de las mujeres dependiendo de la edad, y a pesar de que no implica un pronóstico de gravedad, reduce la autoestima, limita la autonomía y deteriora sensiblemente la calidad de vida. El diagnóstico se realiza generalmente siguiendo los criterios internacionales recogidos en las guías de práctica clínica, y si bien es verdad que la clínica permite sospechar la naturaleza del desorden funcional, ésta no siempre es suficiente ni concluyente e incluso en los casos más claros puede haber errores. Aun así, la necesidad de realizar estudio urodinámico en la valoración de las mujeres con incontinencia urinaria diagnosticada según la sintomatología referida sigue siendo controvertido y no existe en nuestro medio criterios unificados y definidos en cuanto a cuándo es preciso solicitar pruebas de urodinamia
Urinary incontinence is a dysfunction that affects 20%-50% of the women in Spain, depending on age. Even though it does not involve a prognosis of severity, it reduces self-esteem, limits independence and clear deteriorates quality of life 1. The diagnosis is generally made following the international criteria collected in the clinical practice guidelines. Even if it is true that the symptoms make it possible to suspect the nature of the functional disorder, this is not always sufficient or conclusive and there may be errors even in the clearest cases. Even so, the need to conduct a urodynamic study in the assessment of women with urinary incontinence diagnosed according to the symptoms mentioned continues to be debatable and there are no unified and defined criteria in our setting in regards to when it is necessary to request urodynamic tests
Assuntos
Feminino , Humanos , Incontinência Urinária/diagnóstico , Inquéritos e Questionários , UrodinâmicaRESUMO
OBJECTIVE: Although the genetic component in colorectal carcinoma (CRC) is well established, some environmental factors, mainly dietary, can favor its development. The objective of this study is to evaluate the relationship between daily consumption of specific food groups and development of CRC. METHODS: We carried out a case-control study in an area of Madrid; 196 patients with diagnosis of CRC with confirmed histology and registered to May 1998 in the Community of Madrid tumor register were included, and they were compared with 196 controls matched by age, sex, and geographical area. All of them filled out a questionnaire with information on diet, substance abuse, physical activity, drugs, and family history of CRC. RESULTS: The logistic regression analysis showed a weakly positive association with meat (OR: 1.02; CI: 1.01-1.04), viscera (OR: 1.12; CI: 1.02-1.23), and sausage (OR: 1.07; CI: 1.03-1.1) consumption, and a modest inverse association with consumption of yogurt (OR: 0.97; CI: 0.95-0.98), tomato (OR: 0.99; CI: 0.98-0.99), strawberries and cherries (OR: 0.97; CI: 0.95-0.99), oranges, grapefruits, and natural fruit juices (OR: 0.99; CI: 0.98-1). CONCLUSIONS: These results are an additional empirical evidence that must be confirmed through prospective studies.
Assuntos
Neoplasias Colorretais/epidemiologia , Comportamento Alimentar , Estudos de Casos e Controles , Inquéritos sobre Dietas , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Razão de Chances , Fatores de Risco , Fatores Socioeconômicos , Espanha/epidemiologia , Inquéritos e QuestionáriosAssuntos
Incontinência Urinária/terapia , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Biorretroalimentação Psicológica , Criança , Ensaios Clínicos Controlados como Assunto , Terapia por Estimulação Elétrica , Eletromiografia , Feminino , Humanos , Masculino , Prevalência , Ensaios Clínicos Controlados Aleatórios como Assunto , Incontinência Urinária/induzido quimicamente , Incontinência Urinária/diagnóstico , Incontinência Urinária/tratamento farmacológico , Incontinência Urinária/epidemiologia , Incontinência Urinária/fisiopatologia , Incontinência Urinária por Estresse/induzido quimicamente , Incontinência Urinária por Estresse/diagnóstico , Incontinência Urinária por Estresse/tratamento farmacológico , Incontinência Urinária por Estresse/epidemiologia , Incontinência Urinária por Estresse/fisiopatologia , Incontinência Urinária por Estresse/terapiaRESUMO
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