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Diagnosis of Urinary Incontinence—Reply
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In Reply: As outlined by Dr Kessler, a bladder diary can be used in the assessment of urinary incontinence and also to evaluate response to treatment. No articles regarding the role of bladder diaries in diagnosing the type of urinary incontinence were identified in our systematic review of the literature. The absence of evidence supporting the use of bladder diaries does not necessarily mean that bladder diaries are not a useful part of the clinical assessment for incontinence but rather suggests that studies should be performed to evaluate their accuracy.
We hope our review has highlighted gaps in the literature such as this one, which may be tackled by clinicians and researchers. We agree that diaries can be helpful for identifying lifestyle changes and for monitoring outcomes.1 In the absence of supporting evidence, clinicians should use their clinical judgment when it comes to the use of this tool.
Financial Disclosures: . . . [Full Text of this Article]
Jayna M. Holroyd-Leduc, MD, FRCPC
jayna.holroyd-leduc@calgaryhealthregion.ca
University of Calgary
Calgary, Alberta, Canada
Cara Tannenbaum, MD, MSc
Institut Universitaire de Geriatrie de Montreal
Montreal, Quebec, Canada
Sharon E. Straus, MD, MSc, FRCPC
University of Calgary
RELATED ARTICLE
What Type of Urinary Incontinence Does This Woman Have?
Jayna M. Holroyd-Leduc, Cara Tannenbaum, Kevin E. Thorpe, and Sharon E. Straus
JAMA. 2008;299(12):1446-1456.
ABSTRACT
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RELATED LETTER
Diagnosis of Urinary Incontinence
Thomas M. Kessler
JAMA. 2008;300(3):283.
EXTRACT
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