Occupation and lower urinary tract symptoms in women: A rapid review and meta-analysis from the PLUS research consortium.
Occupation and lower urinary tract symptoms in women: A rapid review and meta-analysis from the PLUS research consortium.
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女性的职业和较低的尿路症状：加上研究联盟的快速审查和荟萃分析。
DOI：
10.1002/nau.23806
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发表时间：
2018-11
影响因子：
2
通讯作者：
Prevention of Lower Urinary Tract Symptoms (PLUS) Research Consortium
中科院分区：
文献类型：
--
作者：
Markland A;Chu H;Epperson CN;Nodora J;Shoham D;Smith A;Sutcliffe S;Townsend M;Zhou J;Bavendam T;Prevention of Lower Urinary Tract Symptoms (PLUS) Research Consortium
慢性罕见排尿可能是女性下尿路症状(LUTS)的危险因素。为了证实这一假说，我们进行了一项快速的文献回顾和荟萃分析，将LUTS按职业分类作为一种间接测量罕见排尿行为的指标。两名独立的医学图书馆员搜索了PubMed.gov关于成年女性的职业、行业、工作环境和LUTS结果的研究(1990-2017)：膀胱过度活动(OAB)、尿失禁(UI)、尿路感染(UTI)以及个体排尿和储尿性LUTS。两位作者审查了符合内容标准的全文文章。在具有相似UI定义的研究中，我们使用随机效应荟萃分析模型估计了每月UI的流行率。在确定的1078条独特引文中，113条经过了全文审查，33条符合纳入标准。其中26项研究审查了具体的职业群体，包括护士/助产士(n=6项研究)、医护人员/支助人员(n=6)、军事人员(n=3)、教师(n=3)和其他群体(n=7)，而8项研究比较了广泛职业群体的研究结果。30项研究报告了尿路感染(23%使用了有效的测量方法)，6项研究报告了OAB(50%有效)，2项研究报告了尿路感染(未经验证)。在合并模型中，研究中的异质性程度太高(I2=96.9-99.2%)，无法进行LUTS的有效患病率估计。目前的文献限制了根据职业类型评估LUTS的能力。未来的研究应按职业以一致的方式表征排尿频率和厕所使用情况，并探讨其与LUTS发展的关系。
Chronic, infrequent voiding may be a risk factor for lower urinary tract symptoms (LUTS) in women. To inform this hypothesis, we conducted a rapid literature review and meta-analysis of LUTS by occupation as an indirect measure of infrequent voiding behaviors. Two independent medical librarians searched Pubmed.gov studies (1990–2017) on adult women for occupations, industries, and workplace environment and LUTS outcomes: overactive bladder (OAB), urinary incontinence (UI), urinary tract infections (UTIs), and individual voiding and storage LUTS. Two authors reviewed full text articles meeting content criteria. Among studies with similar UI definitions, we estimated the prevalence of monthly UI using a random effects meta-analysis model. Of 1078 unique citations identified, 113 underwent full article review and 33 met inclusion criteria. Twenty-six of these studies examined specific occupation groups, including nurses/midwives (n = 6 studies), healthcare workers/support staff (n = 6), military personnel (n = 3), teachers (n = 3), and other groups (n = 7), whereas eight compared findings across broad occupation groups. UI was reported in 30 studies (23% using validated measures), OAB in 6 (50% validated), and UTIs in 2 (non-validated). In pooled models, the degree of heterogeneity was too high (I2 = 96.9–99.2%) among the studies to perform valid prevalence estimates for LUTS. Current literature limits the ability to evaluate LUTS by occupation types. Future studies should characterize voiding frequency and toilet access in a consistent manner by occupation and explore its relation to LUTS development.
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影响因子：
5.1
作者：
Fultz, N;Girts, T;Sternfeld, B
通讯作者：
Sternfeld, B
影响因子：
2
作者：
Chen, Yuke;Yu, Wei;Bai, Wenpei
通讯作者：
Bai, Wenpei
影响因子：
1.3
作者：
Kaya, Yeliz;Kaya, Coskun;Demirustu, Canan
通讯作者：
Demirustu, Canan
影响因子：
2.1
作者：
Araki, I;Beppu, M;Takeda, M
通讯作者：
Takeda, M
影响因子：
23.4
作者：
Irwin, Debra E.;Milsom, Ian;Abrams, Paul
通讯作者：
Abrams, Paul