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Treatment of Urinary Incontinence for Am Indian Women in the Northern Plains

北部平原印第安妇女尿失禁的治疗

基本信息

批准号：
8630884
负责人：
Kevin D. Benson
金额：
$ 17.05万
依托单位：
UNIVERSITY OF SOUTH DAKOTA
依托单位国家：
美国
项目类别：
财政年份：
2014
资助国家：
美国
起止时间：
2014-03-01 至 2017-02-28
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8630884
关键词：
Address Affect Ambulatory Surgical Procedures American Indians Caring Caucasians Caucasoid Race Client satisfaction Clinic Clinical Trials Communities Data Diabetes Mellitus Disease Distress Effectiveness Epidemiology Equipment and supply inventories Extravasation Funding Genitourinary system Goals Health Incontinence Indian reservation Inpatients Intervention Local anesthesia Minority Modeling Operative Surgical Procedures Outpatients Participant Patient Self-Report Patients Population Population Study Procedures Research Reservations Resources Risk Factors Rural Rural Population Safety Sampling Secure Severities Sioux Falls Smoking South Dakota Specialist Stress Stress Urinary Incontinence Surveys System Time Tribes United States Indian Health Service Urinary Incontinence Vagina Vascular Diseases Woman base design follow-up medical specialties minimally invasive northern plains parity research study rural area success tool urinary

项目摘要

The focus of this project is to evaluate the feasibility and effectiveness of an out-patient, minimally invasive surgery to American Indian women from a rural reservation community in the Northern Plains who are suffering from stress urinary inconfinence. This study is unique because it is the first research study in which epidemiological discovery will be followed by outpatient treatment for urinary incontinence in this population. There is little data on urinary inconfinence with American Indian women, although they are faced with several of the risk factors for urinary inconfinence, including high rates of parity, diabetes, and smoking (1,2). American Indian women who completed the Urinary Distress Inventory will be followed-up for possible treatment, which ulfimately depends on the type, severity, and underlying cause of urinary incontinence. Participants with moderate to severe stress incontinence will receive outpatient surgical intervenfions at Sanford Health in Sioux Falls, South Dakota. The surgery that will be used for this project is a procedure called the tension-free vaginal tape secure system (TVT System), a procedure that can be performed under local anesthesia and is completed in about 30 minutes. Patients will be followed-up at 1, 3, and 12 months after the inifial procedure. A retrospecfive chart abstraction will be completed to compare this group of American Indian women receiving the TVT procedure with other populations of women. While many other interventions for incontinence are focused on inpatient surgical interventions for stress urinary incontinence, an outpatient, office-based procedure from urogynecological specialists is essential for a rural and minority population of women. Ideally, this research will be the first step in designing larger, long-term clinical trials for American Indian women in the Northern Plains who are affected by urinary incontinence yet are not receiving the care they need. The greatest goal of the study is to evaluate an outpatient intervention with a group of rural, minority women with an overlooked but serious problem.

本项目的重点是评估门诊微创手术的可行性和有效性