Christopher Chapple led the peer-review process as the Associate Editor responsible for the paper.
Article first published online: 5 NOV 2012
Copyright © 2012 Wiley Periodicals, Inc.
Neurourology and Urodynamics
Volume 32, Issue 4, pages 314–324, April 2013
How to Cite
Drennan, V. M., Rait, G., Cole, L., Grant, R. and Iliffe, S. (2013), The prevalence of incontinence in people with cognitive impairment or dementia living at home: A systematic review. Neurourol. Urodyn., 32: 314–324. doi: 10.1002/nau.22333
Conflict of Interest: None.
- Issue published online: 15 APR 2013
- Article first published online: 5 NOV 2012
- Manuscript Accepted: 17 SEP 2012
- Manuscript Received: 12 JUL 2012
- National Institute for Health Research (NIHR) under its Program Grants for Applied Research scheme. Grant Number: RP-PG-0606-1005
- community dwelling;
- fecal incontinence, prevalence;
- systematic review;
- urinary incontinence
To investigate the prevalence of urinary and fecal incontinence in people with cognitive impairment or dementia, living at home.
We searched electronic databases, MEDLINE, EMBASE, CINAHL, PsycINFO, BNI, and the Cochrane Library (including DARE, NTIS), from January 1, 1990 to 2012 week 13 (April 4) for studies reporting prevalence data of urinary and fecal incontinence in the population of interest. Quality assessments of studies considered risk of bias in criteria for prevalence studies. Due to the heterogeneity of the included study populations and results, meta-analysis was not appropriate and a narrative analysis was undertaken.
From 427 references, eight studies met the inclusion criteria. Seven studies provided prevalence rates as findings incidental to their primary question. Populations and assessment tools were varied. Reported prevalence of urinary incontinence ranged from 1.1% in a general community population to 38% in those receiving home care services. Reported rates of fecal incontinence were from 0.9% in a community population to 27% in a population attending an old age psychiatry outpatient clinic.
The prevalence of incontinence in people with dementia or cognitive impairment living at home has not been clearly established. Population level data is required to inform clinicians and to reliably underpin decision-making in service planning, resource allocation and interventions for people with dementia and incontinence. Neurourol. Urodynam. 32: 314–324, 2013. © 2012 Wiley Periodicals, Inc.