Success rates of retropubic sling in Latina women compare with those published in
the clinical trial literature. Urinary urgency and urgency incontinence symptoms may
be more predominant in Latina women, and Gonzalez et al. emphasize need for further
investigation of potential underlying structural, cultural, environmental, or lifestyle-related
factors that may be at play. This amplifies generalizability of sling clinical trial
results to an important demographic that is otherwise not well-represented in phase
III trials for stress urinary incontinence.
1
Representation is essential to generalizability, and this is an important study in
that regard.
2
Overactive bladder can persist or become exacerbated after surgical therapies for
stress incontinence, and lack of access to adequate treatment for OAB disproportionately
affects underrepresented racial and ethnic minorities, even as we work to improve
their representation in research.
3
This has significant public health implications that require further discussion.To read this article in full you will need to make a payment
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References
- Transvaginal retropubic sling systems: efficacy and patient acceptability.Int J Women's Health. 2015; 7: 227-237https://doi.org/10.2147/IJWH.S59265
- Why cultural safety rather than cultural competency is required to achieve health equity: a literature review and recommended definition.Int J Equity Health. 2019; 18: 2-4https://doi.org/10.1186/S12939-019-1082-3
- Prevalence, risk factors, and treatment for overactive bladder in a racially diverse population.Urology. 2019; 126: 70-75https://doi.org/10.1016/J.UROLOGY.2018.12.021
- Underrepresentation of hispanics and other minorities in clinical trials: recruiters’ perspectives.J Racial Ethnic Health Disparities. 2018; 5: 322-332https://doi.org/10.1007/S40615-017-0373-X
Mastroianni AC, Faden R, Federman D. Inclusion of latino women in clinical and research studies: scientific suggestions for assuring legal and ethical integrity. Published online 1999. Available at: https://www.ncbi.nlm.nih.gov/books/NBK236579/. Accesed September 1, 2021
- Challenging assumptions about minority participation in us clinical research.Am Journal of Public Health. 2011; 101: 2217https://doi.org/10.2105/AJPH.2011.300279
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