1017 THE PREVALENCE OF CATHETER UTILIZATION IN PATIENTS WITH MULTIPLE SCLEROSIS AND THE IMPACT ON QUALITY OF LIFE
Notice bibliographique
Résumé
You have accessJournal of UrologyUrodynamics/Incontinence/Female Urology: Neurogenic Voiding Dysfunction1 Apr 20101017 THE PREVALENCE OF CATHETER UTILIZATION IN PATIENTS WITH MULTIPLE SCLEROSIS AND THE IMPACT ON QUALITY OF LIFE Sangeeta Mahajan, Pragna Patel, and Ruth Ann Marrie Sangeeta MahajanSangeeta Mahajan Shaker Heights, OH , Pragna PatelPragna Patel Cleveland, OH , and Ruth Ann MarrieRuth Ann Marrie Winnipeg, Canada View All Author Informationhttps://doi.org/10.1016/j.juro.2010.02.2031AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Urinary catheterization is common in Mutliple Sclerosis (MS). However, the rates of use, gender preferences, the impact on patient quality of life (QoL) remain unknown METHODS After obtaining IRB exemption, results from the Fall 2005 North American Research Committee On Multiple Sclerosis survey were reviewed, including questions regarding quality of life, degree of disability and prior urologic evaluation and treatment. Responses to the urge, incontinence, frequency and nocturia question were scored and summed to create an OAB symptom score, possible score 0 (none) to 12 (severe). Data were analyzed using descriptive statistics, the chi-square and Student's t-tests, analysis of variance, and multivariate logistic regression. RESULTS Of 16,858 surveys mailed, 9702 (58%) were returned (75% women and 25% men). Participants with a surgically altered bladder were excluded (N=21). Of 6981 respondents, 4606, (48% male and 52% female) reported at least one moderate to severe urinary symptom (UDI-6 score>2). Of these patients, 1719 (37%) currently or previously use some form of urinary catheterization, including intermittent self-catheterization (ISC,25%), indwelling transurethral foley catheterization (FC,11%) or supra-pubic catheterization (SPC,1%). Females had a strong preference for ISC while males preferred FC (p<0.001). Catheter use of any kind was associated with longer disease duration (OR 1.41) and a higher OAB symptom score (OR 1.08). When separated by catheter type, no significant differences in PCS-12 scores were noted (TFC=29.9, ISC=30.4, SPC=31.0; p=0.507). In contrast, significantly lower MCS-12 scores were noted in SPC users versus TFC or ISC using (TFC=44.5, ISC=43.1, SPC=40.0; p=0.005). When divided by mental and physical components, catheterizing patients demonstrated significantly lower mean QoL scores and greater physical disability than non-catheterizing, with MCS-12 of 44.1 (12.2), PCS-12 score of 30.5 (9.2) and PDDS score of 5.4 (2.0) in catheterizing patients versus a mean MCS-12 score of 45.7 (11.5), PCS-12 score of 38.1 (11.8), and PDDS score of 3.2 (2.3) in non-catheterizing patients (t=4.9, 23.9, 35.6 respectively, all p<0.001). CONCLUSIONS Catheter use is common in MS patients and strong gender-based preferences exist. Although necessary, catheter use is associated with reduced QoL, increased physical disability, longer disease duration, and increased OAB symptoms. © 2010 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 183Issue 4SApril 2010Page: e396 Advertisement Copyright & Permissions© 2010 by American Urological Association Education and Research, Inc.MetricsAuthor Information Sangeeta Mahajan Shaker Heights, OH More articles by this author Pragna Patel Cleveland, OH More articles by this author Ruth Ann Marrie Winnipeg, Canada More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,004 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,001 | 0,002 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,001 | 0,001 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,001 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,007 | 0,001 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».