{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T18:02:33Z","timestamp":1775671353657,"version":"3.50.1"},"reference-count":16,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,5,2]],"date-time":"2025-05-02T00:00:00Z","timestamp":1746144000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>This study aims to explore the relationship between urinary incontinence (UI) and mortality in women, with a focus on the potential role of frailty and variations across UI subtypes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We analyzed 8967 women aged 40 and above who were part of the National Health and Nutrition Examination Survey (NHANES). Kaplan\u2010Meier survival curves and Cox regression analyses were performed to assess the relationship between urge UI (UUI), stress UI (SUI), other UI (OUI) and all\u2010cause mortality. These models were adjusted for demographic variables and frailty scores.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Approximately 45.8% of participants reported UI in the past year. Initial analysis showed a significant association between UI and increased mortality risk (hazard ratio [HR] = 1.478, 95% confidence interval [CI] 1.317\u20131.657, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), persisting after controlling for frailty (HR\u2009=\u20091.151, 95% CI 1.022\u20131.297, <jats:italic>p<\/jats:italic>\u2009=\u20090.021). However, after adjusting for frailty and demographic factors, this association became non\u2010significant.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Women with UI exhibited a significantly increased risk of all\u2010cause mortality, but this association did not hold after accounting for both key demographics and frailty.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.70064","type":"journal-article","created":{"date-parts":[[2025,5,2]],"date-time":"2025-05-02T12:17:40Z","timestamp":1746188260000},"page":"1149-1155","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["The Relationship Between Urinary Incontinence, Mortality, and Frailty: Insights From a Large Cohort Study"],"prefix":"10.1002","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2238-862X","authenticated-orcid":false,"given":"Niharika","family":"Malviya","sequence":"first","affiliation":[{"name":"Albert Einstein College of Medicine Bronx New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tracy","family":"Cheung","sequence":"additional","affiliation":[{"name":"Albert Einstein College of Medicine Bronx New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Urology Montefiore Medical Center Bronx New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kelli","family":"Aibel","sequence":"additional","affiliation":[{"name":"Department of Urology Montefiore Medical Center Bronx New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chihiro","family":"Okada","sequence":"additional","affiliation":[{"name":"Albert Einstein College of Medicine Bronx New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nitya","family":"Abraham","sequence":"additional","affiliation":[{"name":"Albert Einstein College of Medicine Bronx New York USA"},{"name":"Department of Urology Montefiore Medical Center Bronx New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,5,2]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2017.12137"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/13697137.2018.1543263"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.7326\/AITC202002040"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0158992"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/17455057231179061"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/56.3.M146"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2017.03.058"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1155\/2020\/2425945"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000000574"},{"key":"e_1_2_10_11_1","unstructured":"National Center for Health Statistics.About the National Health and Nutrition Examination Survey(2024)."},{"key":"e_1_2_10_12_1","unstructured":"CDC\/National Center for Health Statistics.2019 Public\u2010Use Linked Mortality Files(2022)."},{"key":"e_1_2_10_13_1","unstructured":"Center for Health Statistics N.The Linkage of National Center for Health Statistics Survey Data to the National Death Index\u20102019 Linked Mortality File (LMF): Linkage Methodology and Analytic Considerations(2021).https:\/\/www.cdc.gov\/nchs\/data-linkage\/mortality-methods.htm."},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2666-7568(20)30059-3"},{"key":"e_1_2_10_15_1","unstructured":"CDC\/National Center for Health Statistics.NHANES Survey Methods and Analytic Guidelines(2024)."},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMcp1914037"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pop.2019.02.004"}],"container-title":["Neurourology and Urodynamics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nau.70064","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,13]],"date-time":"2025-06-13T11:42:57Z","timestamp":1749814977000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/nau.70064"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,2]]},"references-count":16,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,6]]}},"alternative-id":["10.1002\/nau.70064"],"URL":"https:\/\/doi.org\/10.1002\/nau.70064","archive":["Portico"],"relation":{},"ISSN":["0733-2467","1520-6777"],"issn-type":[{"value":"0733-2467","type":"print"},{"value":"1520-6777","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,2]]},"assertion":[{"value":"2024-09-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-15","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-02","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}