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Incontinence

Robert L Grant, Vari M Drennan, Greta Rait, Irene Petersen, Steve Iliffe

Type
Disease or Syndrome
ID
PH474
Version ID
1515
Data Sources
The Health Improvement Network (THIN)
Valid event data range
01/01/2001 - 31/12/2010
Sex
Female, Male
Agreement Date
2013-08-01
Coding system
Read codes v2
Tags /Collections
ClinicalCodes Repository Phenotype Library

Definition

We extracted data on 54,816 people aged 60–89 with dementia and an age-gender stratifiedsample of 205,795 people without dementia from 2001 to 2010 from The Health Improvement Network (THIN), a United Kingdom primary care database. THIN includes data on patients and primary care consultations but does not identify care home residents. Rate ratios were adjusted for age, sex, and co-morbidity using multilevel Poisson regression. The rates of first diagnosis per 1,000 person-years at risk (95% confidence interval) for urinary incontinence in the dementia cohort, among men and women, respectively, were 42.3 (40.9–43.8) and 33.5 (32.6–34.5). In the non-dementia cohort, the rates were 19.8 (19.4–20.3) and 18.6 (18.2–18.9). The rates of first diagnosis for faecal incontinence in the dementia cohort were 11.1 (10.4–11.9) and 10.1 (9.6–10.6). In the non-dementia cohort, the rates were 3.1 (2.9–3.3) and 3.6 (3.5–3.8). The adjusted rate ratio for first diagnosis of urinary incontinence was 3.2 (2.7–3.7) in men and 2.7 (2.3–3.2) in women, and for faecal incontinence was 6.0 (5.1–7.0) in men and 4.5 (3.8–5.2) in women. The adjusted rate ratio for pharmacological treatment of urinary incontinence was 2.2 (1.4–3.7) for both genders, and for indwelling urinary catheters was 1.6 (1.3–1.9) in men and 2.3 (1.9–2.8) in women.

Publications

  • Robert L Grant, Vari M Drennan, Greta Rait, Irene Petersen, Steve Iliffe, First Diagnosis and Management of Incontinence in Older People with and without Dementia in Primary Care A Cohort Study Using The Health Improvement Network Primary Care Database. PLOS medicine, 10:8, 2013.

Clinical Code List

Rows: 85
Code Description Category Coding System (Read) Entity type
1593 H/O: stress incontinence diagnostic Read res11: incontinence
16F..00 Double incontinence diagnostic Read res11: incontinence
19E3.00 Incontinent of faeces diagnostic Read res11: incontinence
19E3.11 Incontinent of faeces symptom diagnostic Read res11: incontinence
1A23.00 Incontinence of urine diagnostic Read res11: incontinence
1A24.00 Stress incontinence diagnostic Read res11: incontinence
1A24.11 Stress incontinence - symptom diagnostic Read res11: incontinence
1A25.00 Urgency diagnostic Read res11: incontinence
1A25.11 Urgency of micturition diagnostic Read res11: incontinence
1A26.00 Urge incontinence of urine diagnostic Read res11: incontinence
1A27.00 Urge to pass urine again shortly after finishing voiding diagnostic Read res11: incontinence
1A27.11 Pis en deux diagnostic Read res11: incontinence
1A36.00 Terminal dribbling of urine diagnostic Read res11: incontinence
1A37.00 Dribbling of urine diagnostic Read res11: incontinence
222K.00 Smells of urine diagnostic Read res11: incontinence
393..11 Bowels - continence diagnostic Read res11: incontinence
393..12 Bowels-incontinence assessment diagnostic Read res11: incontinence
3930 Bowels: incontinent diagnostic Read res11: incontinence
3931 Bowels: occasional accident diagnostic Read res11: incontinence
394..11 Bladder-incontinence assessmnt diagnostic Read res11: incontinence
394..12 Bladder- continence assessment diagnostic Read res11: incontinence
3940 Bladder: incontinent diagnostic Read res11: incontinence
3941 Bladder: occasional accident diagnostic Read res11: incontinence
39H..00 Continence assessment diagnostic Read res11: incontinence
39H0.00 Continence reassessment diagnostic Read res11: incontinence
679H.00 Health education - continence diagnostic Read res11: incontinence
679H.11 Promotion of continence diagnostic Read res11: incontinence
7B31200 Colposuspension of bladder neck diagnostic Read res11: incontinence
7B31211 Burch colposuspension diagnostic Read res11: incontinence
7B33800 Insertion retropubic device stress urinary incontinence NEC diagnostic Read res11: incontinence
7B33C00 Insertion retropubic dev fem stress urinary incontinence NEC diagnostic Read res11: incontinence
7B42100 Insertion of bulbar urethral prosthesis diagnostic Read res11: incontinence
7B42111 Insertion of Kaufman prosthesis for male incontinence diagnostic Read res11: incontinence
7B42112 Insertion of prosthesis for compression bulb of male urethra diagnostic Read res11: incontinence
7B42113 Insertion of Rosen prosthesis for male incontinence diagnostic Read res11: incontinence
7D17.11 Colporrhaphy and amputation of cervix uteri diagnostic Read res11: incontinence
8C14.00 Incontinence care diagnostic Read res11: incontinence
8C14.11 Continence care diagnostic Read res11: incontinence
8D7..00 Urinary bladder control diagnostic Read res11: incontinence
8D7..11 Bladder control diagnostic Read res11: incontinence
8D7..12 Incontinence control diagnostic Read res11: incontinence
8D71.00 Incontinence control diagnostic Read res11: incontinence
8D74.00 Indwelling urethral catheter diagnostic Read res11: incontinence
8D74.11 Catheter in situ diagnostic Read res11: incontinence
8D75.00 Penile sheath provision diagnostic Read res11: incontinence
8D7Z.00 Urinary bladder control NOS diagnostic Read res11: incontinence
8E97.00 Bladder training diagnostic Read res11: incontinence
8E97000 Bladder drill diagnostic Read res11: incontinence
8H7w.00 Referral to continence nurse diagnostic Read res11: incontinence
8HR6.00 Refer to Urodynamic studies diagnostic Read res11: incontinence
8HTX.00 Referral to incontinence clinic diagnostic Read res11: incontinence
9Nl8.00 Seen by continence nurse diagnostic Read res11: incontinence
K198.00 Stress incontinence diagnostic Read res11: incontinence
K586.00 Stress incontinence - female diagnostic Read res11: incontinence
Kyu5A00 [X]Other specified urinary incontinence diagnostic Read res11: incontinence
R076.00 [D]Incontinence of faeces diagnostic Read res11: incontinence
R076100 [D]Sphincter ani incontinence diagnostic Read res11: incontinence
R076z00 [D]Incontinence of faeces NOS diagnostic Read res11: incontinence
R083.00 [D]Incontinence of urine diagnostic Read res11: incontinence
R083100 [D]Urethral sphincter incontinence diagnostic Read res11: incontinence
R083200 [D] Urge incontinence diagnostic Read res11: incontinence
R083z00 [D]Incontinence of urine NOS diagnostic Read res11: incontinence
R086200 [D] Urgency of micturition diagnostic Read res11: incontinence
Z121400 Assisting with toileting diagnostic Read res11: incontinence
Z1J..00 Procedures to aid continence diagnostic Read res11: incontinence
Z1J1.00 Taking the patient to toilet diagnostic Read res11: incontinence
Z1J2.00 Attaching penile sheath diagnostic Read res11: incontinence
Z1J3.00 Putting incontinence pad on diagnostic Read res11: incontinence
Z1J4.00 Changing incontinence pad diagnostic Read res11: incontinence
Z1S..00 Toileting regimes diagnostic Read res11: incontinence
Z1S1.00 Regular toileting diagnostic Read res11: incontinence
Z1S2.00 Planned voiding diagnostic Read res11: incontinence
Z1S2100 Planned voiding two hourly diagnostic Read res11: incontinence
Z89A.00 Ability to perform toileting activities diagnostic Read res11: incontinence
Z89A100 Does not perform toileting activities diagnostic Read res11: incontinence
Z89A200 Difficulty performing toileting activities diagnostic Read res11: incontinence
Z89AE00 Unable to use urine bottle diagnostic Read res11: incontinence
Z915.00 Urinary catheter appliance procedures diagnostic Read res11: incontinence
Z915.11 Urinary catheter care diagnostic Read res11: incontinence
ZL22400 Under care of continence nurse diagnostic Read res11: incontinence
ZL62400 Referral to continence nurse diagnostic Read res11: incontinence
ZLA2400 Seen by continence nurse diagnostic Read res11: incontinence
ZLD7400 Discharge by continence nurse diagnostic Read res11: incontinence
ZQ3C.00 Bowels incontinence assessment diagnostic Read res11: incontinence
ZRas400 OPCS continence disability scale diagnostic Read res11: incontinence

API

To Export Phenotype Details:

Format API
XML site_root/api/v1/public/phenotypes/PH474/version/1515/detail/?format=xml
JSON site_root/api/v1/public/phenotypes/PH474/version/1515/detail/?format=json
R Package

# Download here

library(ConceptLibraryClient)


# Connect to API

client = connect_to_API(public=TRUE)


# Get details of phenotype

details = get_phenotype_detail_by_version('PH474', '1515', api_client=client)

To Export Phenotype Code List:

Format API
XML site_root/api/v1/public/phenotypes/PH474/version/1515/export/codes/?format=xml
JSON site_root/api/v1/public/phenotypes/PH474/version/1515/export/codes/?format=json
CSV site_root/phenotypes/PH474/version/1515/export/codes/
R Package

# Download here

library(ConceptLibraryClient)


# Connect to API

client = connect_to_API(public=TRUE)


# Get codelists of phenotype

codelists = get_phenotype_code_list('PH474', '1515', api_client=client)

Version History

Version
ID
Name Owner Publish date
1515 Incontinence ieuan.scanlon 2021-10-26 currently shown

Export - export all codes into a csv file/JSON/XML for the current phenotype version.

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