title: Fast track accelerated diagnostic investigation for urinary incontinence in women.
abstract: BACKGROUND
  We have developed a one-hour standardised, accelerated diagnostic investigation programme to evaluate women with urinary incontinence (UI). The purpose of the study was to record how many patients followed the programme and had a diagnosis and a treatment plan after a one-hour visit and to describe the causes of deviation from the programme. A second purpose was to monitor patient satisfaction.
  
  
  METHODS
  In this retrospective cohort study, 276 women with the diagnosis UI participated. All patients completed a standardised investigation programme that included their medical history and an evaluation of the fluid/urination schedule. Before patients left the clinic, they were given a diagnosis and a treatment plan.
  
  
  RESULTS
  A total of 91% of the patients underwent examination and had a treatment plan after one consultation; 9% made multiple visits. The median patient age was 59 years (range 17-99 years); body mass index was 27 kg/m² (range 18-50 kg/m²); and the number of childbirths was 2.4; no significant difference were observed between the two groups. In the multiple-visits group, the number of previous gynaecological surgical procedures was significantly larger (67% versus 32%). These patients had significantly more chronic diseases (88% versus 58%). A total of 81 patients completed a post-examination questionnaire and (99%) were satisfied with the accelerated programme.
  
  
  CONCLUSIONS
  A total of 91% of the patients underwent an examination and received a treatment plan after one consultation; 9% paid several visits due to chronic diseases and previous gynaecological surgery. The patients expressed great satisfaction with the accelerated investigation programme.
  
  
  BACKGROUND
  not relevant.
  
  
  BACKGROUND
  not relevant.
authors.affiliation: Department of Gynaecology & Obstetrics, Næstved Hospital, Denmark.
authors.forename: Margrethe Foss
authors.initials: MF
authors.lastname: Hansen
authors.forename: Jens Christian
authors.initials: JC
authors.lastname: Prien-Larsen
authors.forename: Lars
authors.initials: L
authors.lastname: Hemmingsen
authors.forename: Jens Vej
authors.initials: JV
authors.lastname: Olesen
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015331:Cohort Studies; D017598:Efficiency, Organizational; D005260:Female; D052776:Female Urogenital Diseases / Q000175:diagnosis / Q000473:pathology; D006801:Humans; D008875:Middle Aged; D016730:Program Development; D015397:Program Evaluation; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D013997:Time Factors; D014549:Urinary Incontinence / Q000175:diagnosis* / Q000473:pathology; D014563:Urodynamics; D055815:Young Adult