American Journal of Epidemiology Advance Access published online on January 7, 2008
American Journal of Epidemiology, doi:10.1093/aje/kwm353
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American Journal of Epidemiology © The Author 2008. Published by the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org.
Tennstedt et al. Respond to "BACH and the Epidemiology of Urinary Incontinence"
1 New England Research Institutes, Watertown, MA
2 University of Virginia Health System, Charlottesville, VA
Correspondence to Dr. Sharon L. Tennstedt, New England Research Institutes, 9 Galen Street, Watertown, MA 02472 (e-mail: stennstedt@neriscience.com).
Received for publication October 29, 2007. Accepted for publication November 2, 2007.
| The first 10% of the full text of this article appears below. |
In his commentary (1) on our article (2), Dr. David Thom has identified an important issue in epidemiologic studies of urinary incontinence: the selection of an operational definition. The International Continence Society's definition (3) requires objective demonstration of urine leakage, precluding its use in many epidemiologic studies, which often cannot include invasive