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Cited by 44Frailty in Older AdultsPelvic floor disorders treatmentsPharmaceutical Practices and Patient Outcomes

Frailty, cognitive impairment, and functional disability in older women with female pelvic floor dysfunction

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Erekson, Elisabeth A., Fried, Terri R., Martin, Deanna K., Rutherford, Thomas J., Strohbehn, Kris, Bynum, Julie P. W.·2015·International Urogynecology Journal
DOI 10.1007/s00192-014-2596-2PMC PMC4713028
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Abstract

Introduction and hypothesis There is a growing body of evidence demonstrating frailty as an important predictor of surgical outcomes in older adults undergoing major surgeries. The age-related onset of many symptoms of female pelvic floor dysfunction (PFD) in women suggests that many women seeking treatment for PFD may also have a high prevalence of frailty, which could potentially impact the risks and benefits of surgical treatment options. Our primary objective was to determine the prevalence of frailty, cognitive impairment, and functional disability in older women seeking treatment for PFD. Methods We conducted a cross-sectional study with prospective recruitment between September 2011 and September 2012. Women, age 65 years and older, were recruited at the conclusion of their new patient consultation for PFD at a tertiary center. A comprehensive geriatric screening including frailty measurements (Fried Frailty Index), cognitive screening (Saint Louis University Mental Status score), and functional status evaluation for activities of daily living (Katz ADL score) was conducted. Results Sixteen percent (n/N = 25/150) of women were categorized as frail according to the Fried Frailty Index score. After adjusting for education level, 21.3 % of women (n/N = 32/150) screened positive for dementia and 46 (30.7 %) reported functional difficulty or dependence in performing at least one Katz ADL. Sixty-nine women (46.0 %) chose surgical options for treatment of their PFD at the conclusion of their new patient visit with their physician. Conclusions Frailty, cognitive impairment, and functional disability are common in older women seeking treatment for PFD.

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Authors
Erekson, E. A., Fried, T. R., Martin, D. K., Rutherford, T. J., Strohbehn, K., & Bynum, J. P. W.
Affiliations
  • Dartmouth College (US)
  • Yale University (US)
Corresponding author
Erekson, Elisabeth A.
ORCID
Venue
International Urogynecology Journal
Publisher
Springer Science and Business Media LLC
Published
2014-12-17
Volume
26
Issue
6
Pages
823-830
ISSN
  • 0937-3462 (ISSN-L)
  • 1433-3023
DOI
10.1007/s00192-014-2596-2
PMC
PMC4713028
OpenAlex
W2036272644
Cited by
44
References
2
Citations by year
2026: 1 · 2025: 1 · 2024: 3 · 2023: 4 · 2022: 3 · 2021: 5 · 2020: 6 · 2019: 4 · 2018: 3 · 2017: 8 · 2016: 5
FWCI
2.21
Type
journal article
Language
en
Open access
Licence
www.springer.com/tdm (tdm)
Locations
  • International Urogynecology Journal (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • Yale University
  • American Urogynecologic Society
  • Saint Louis University
  • National Institutes of Health (KL2TR001088, UL1TR001086)
  • National Institute on Aging (P30AG021342)
  • National Center for Advancing Translational Sciences
Topics
  • Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
  • Health Sciences › Medicine › Rheumatology › Pelvic floor disorders treatments
  • Health Sciences › Medicine › Geriatrics and Gerontology › Pharmaceutical Practices and Patient Outcomes
Keywords
frailty, cognitive impairment, functional disability, female pelvic floor dysfunction, older women, Fried Frailty Index, dementia, activities of daily living, geriatric screening, surgical treatment decision, pelvic floor surgery
MeSH terms
Activities of Daily Living, Aged, Aged, 80 and over, Cognition Disorders, Cross-Sectional Studies, Female, Humans, Geriatric Assessment, Comorbidity, Frail Elderly, Pelvic Organ Prolapse, Pelvic Floor Disorders

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