MP07-15 WHAT IS THE ASSOCIATION OF SEVERE BOWEL SYMPTOMS AND TYPE OF NEUROGENIC BLADDER MANAGEMENT IN PATIENTS WITH SPINAL CORD INJURY
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Résumé
You have accessJournal of UrologyUrodynamics/Lower Urinary Tract Dysfunction/Female Pelvic Medicine: Neurogenic Voiding Dysfunction (MP07)1 Apr 2019MP07-15 WHAT IS THE ASSOCIATION OF SEVERE BOWEL SYMPTOMS AND TYPE OF NEUROGENIC BLADDER MANAGEMENT IN PATIENTS WITH SPINAL CORD INJURY Paholo Barboglio Romo*, Iryna Crescenze, Sara Lenherr, Jeremy Myers, Blayne Welk, Sean Elliott, Diana O'Dell, Angela Presson, and John Stoffel Paholo Barboglio Romo*Paholo Barboglio Romo* More articles by this author , Iryna CrescenzeIryna Crescenze More articles by this author , Sara LenherrSara Lenherr More articles by this author , Jeremy MyersJeremy Myers More articles by this author , Blayne WelkBlayne Welk More articles by this author , Sean ElliottSean Elliott More articles by this author , Diana O'DellDiana O'Dell More articles by this author , Angela PressonAngela Presson More articles by this author , and John StoffelJohn Stoffel More articles by this author View All Author Informationhttps://doi.org/10.1097/01.JU.0000555099.30133.4bAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVES: Bowel dysfunction and severe bowel symptoms are common in Spinal Cord Injured (SCI) patients. The aim of this study was to investigate predictors for severe bowel symptoms in SCI patients and whether type of neurogenic bladder management plan was associated with more severe bowel symptoms. METHODS: The Neurogenic Bladder Research Group (NBRG) registry is a multicenter, prospective, observational study, which measures neurogenic bladder (NGB) related quality of life (QOL) after SCI. Eligibility included: age ≥18 years and acquired SCI. Over 1.5 years, 1479 eligible participants were enrolled. Univariate analysis and mixed binomial logistic regression analysis was used evaluate associations between QoL and demographic variables. Bowel symptoms were assessed by Neurogenic Bowel Dysfunction score and patients scoring > 14 were categorized as having severe bowel symptoms. Bladder management was categorized as: voiding, clean intermittent catheterization (CIC), surgery (augmentation/diversion) or indwelling catheter. RESULTS: Baseline demographics are displayed in Table 1. There were 585 (40%) individuals with severe symptoms and 894 with non-severe. SCI patients performing CIC had the highest percentage of people reporting severe bowel symptoms (48%) followed by indwelling (25%), surgery (16%), and voiding (12%) (p<0.001). Other variables associated with severe bowel symptoms were high (>T6) level of injury (p=0.005), incomplete injury (p=0.025) and autonomic dysreflexia (p=0.048). The presence of colostomy (p<0.001) and SF-12 (physical) questionnaire (p=0.037) were protective. All these were modeled into mixed binomial logistic regression analysis and only AD (p<0.001) and type of management were significantly associated with more severe symptoms. The odds risk (OR) for CIC was 0.74 (95%CI:0.56-0.97), surgery OR 0.52 (95%CI:0.38-0.71), Indwelling OR 0.39 (95%CI:0.29-0.52) when compared to voiding. CONCLUSIONS: Severe bowel symptoms are significantly associated to the management type of neurogenic bladder and the presence of AD. Patients with indwelling catheter and those who underwent surgery had lower risk of severe bowel symptoms. Urologist should assess both bladder and bowel symptoms when counseling on type of management for neurogenic bladder. Source of Funding: none Ann Arbor, MI; Salt Lake City, UT; London, Canada; Minneapolis, MN; Ann Arbor, MI; Salt Lake City, UT; Ann Arbor, MI© 2019 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 201Issue Supplement 4April 2019Page: e96-e96 Advertisement Copyright & Permissions© 2019 by American Urological Association Education and Research, Inc.MetricsAuthor Information Paholo Barboglio Romo* More articles by this author Iryna Crescenze More articles by this author Sara Lenherr More articles by this author Jeremy Myers More articles by this author Blayne Welk More articles by this author Sean Elliott More articles by this author Diana O'Dell More articles by this author Angela Presson More articles by this author John Stoffel More articles by this author Expand All 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 | 0,008 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,001 |
| Bibliométrie | 0,002 | 0,002 |
| Études des sciences et des technologies | 0,001 | 0,000 |
| Communication savante | 0,001 | 0,001 |
| Science ouverte | 0,001 | 0,001 |
| Intégrité de la recherche | 0,002 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,121 | 0,025 |
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 ».