Occupation and lower urinary tract symptoms in women: A rapid review and meta-analysis from the PLUS research consortium

Prevention of Lower Urinary Tract Symptoms (PLUS) Research Consortium

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12 Scopus citations

Abstract

Aims: 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. Methods: 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. Results: 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. Conclusions: 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.

Original languageEnglish (US)
Pages (from-to)2881-2892
Number of pages12
JournalNeurourology and Urodynamics
Volume37
Issue number8
DOIs
StatePublished - Nov 2018

Bibliographical note

Funding Information:
The Prevention of Lower Urinary Tract Symptoms (PLUS) Research Consortium is supported by National Institutes of Health (NIH) National Institute of Diabetes and Digestive and Kidney Diseases through cooperative agreements, Grant numbers: U01DK106786, U01DK106853, U01DK106858, U01DK106898, U01DK106893, U01DK106827, U01DK106908, U01DK106892;

Funding Information:
The content of this article is solely the responsibility of the authors and does not necessarily represent the official views of the NIH. The Prevention of Lower Urinary Tract Symptoms (PLUS) Research Consortium is supported by National Institutes of Health (NIH) National Institute of Diabetes and Digestive and Kidney Diseases through cooperative agreements (grants U01DK106786, U01DK106853, U01DK106858, U01DK106898, U01DK106893, U01DK106827, U01DK10-6908, U01DK106892). National Institute on Aging, NIH Office of Research on Women's Health and Office of Behavioral and Social Sciences Research.

Funding Information:
The content of this article is solely the responsibility of the authors and does not necessarily represent the official views of the NIH. The Prevention of Lower Urinary Tract Symptoms (PLUS) Research Consortium is supported by National Institutes of Health (NIH) National Institute of Diabetes and Digestive and Kidney Diseases through cooperative agreements (grants U01DK106786, U01DK106853, U01DK106858, U01DK106898, U01DK106893, U01DK106827, U01DK106908, U01DK106892). National Institute on Aging, NIH Office of Research on Women's Health and Office of Behavioral and Social Sciences Research.

Publisher Copyright:
Published 2018. This article is a U.S. Government work and is in the public domain in the USA.

Keywords

  • LUTS
  • occupation
  • productivity
  • risk factors
  • urinary incontinence
  • women
  • workforce

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