{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T19:18:39Z","timestamp":1790623119540,"version":"4.1.0"},"reference-count":29,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2018,5,28]],"date-time":"2018-05-28T00:00:00Z","timestamp":1527465600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"publisher","award":["1R01HS024106\u201001"],"award-info":[{"award-number":["1R01HS024106\u201001"]}],"id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:sec><jats:title>Aims<\/jats:title><jats:p>To analyze the risk of falls associated with Overactive bladder (OAB), and the effects of OAB treatment on falls among older adult Medicare fee\u2010for\u2010service enrollees.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Population based retrospective longitudinal cohort design study using 5% Medicare claims between 2006 and 2010. Patients with a diagnosis of OAB (ICD 9: 596.51); Urinary Incontinence (ICD 9: 788.3); Urinary incontinence, unspecified (ICD 9: 788.30); Urge incontinence (ICD 9: 788.31); Mixed incontinence (male, female) (ICD 9: 788.33); Urinary frequency (ICD 9: 788.41); Nocturia (ICD 9: 788.43); or Urgency of urination (ICD 9: 788.63) were identified and followed retrospectively for 2 years. Falls was the main outcome of the study. Using logistic regressions, we analyzed the association between OAB and falls; and the protective effect of OAB treatment on falls. Propensity score and instrumental variable were used to minimize bias.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We identified 33\u2009631 Medicare enrollees (mean age\u2009=\u200977.8 years, sd\u2009=\u20097.6) with OAB. Higher proportion of OAB patients had falls, compared to those without OAB (11% vs 7%, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001). Diagnosis of OAB was associated with higher odds of falls (OR\u2009=\u20091.59; 95% CI\u2009=\u20091.53, 1.65) compared to those without OAB. Fourteen percent of OAB patients received OAB treatment. Treatment for OAB was associated with lower odds of falls (OR\u2009=\u20090.88; 95% CI\u2009=\u20090.80, 0.98) compared to those OAB patients who were not treated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Older adults with OAB experience increased risk of falls. Treatment for OAB may reduce this risk. These findings emphasize the need to effectively identify and treat OAB in older adults.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.23719","type":"journal-article","created":{"date-parts":[[2018,5,28]],"date-time":"2018-05-28T07:09:16Z","timestamp":1527491356000},"page":"2688-2694","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":30,"title":["Association between overactive bladder treatment and falls among older adults"],"prefix":"10.1002","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2638-0051","authenticated-orcid":false,"given":"Ravishankar","family":"Jayadevappa","sequence":"first","affiliation":[{"name":"Department of Medicine Perelman School of Medicine University of Pennsylvania Philadelphia Pennsylvania"},{"name":"Leonard Davis Institute of Health Economics University of Pennsylvania Philadelphia Pennsylvania"},{"name":"Division of Urology Department of Surgery Perelman School of Medicine University of Pennsylvania Philadelphia Pennsylvania"},{"name":"Corporal Michael J. 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