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夜尿症和夜间多尿症的新定义及分类会改善我们对患者的管理吗?2014年国际尿控学会研究研讨会

Would a new definition and classification of nocturia and nocturnal polyuria improve our management of patients? ICI-RS 2014.

作者信息

Bosch J L H Ruud, Everaert Karel, Weiss Jeffrey P, Hashim Hashim, Rahnama'i M Sajjad, Goessaert An-Sofie, Aizen Joshua

机构信息

Department of Urology, University Medical Center Utrecht, Utrecht, The Netherlands.

Department of Urology, Ghent University Hospital, Gent, Belgium.

出版信息

Neurourol Urodyn. 2016 Feb;35(2):283-7. doi: 10.1002/nau.22772. Epub 2015 Apr 10.

DOI:10.1002/nau.22772
PMID:25865757
Abstract

The following is a report of the proceedings of the Nocturia Think Tank sessions of the annual International Consultation on Incontinence-Research Society, which took place September 22-24, 2014 in Bristol, UK. The report is organized into sections pertaining to the main topic of discussion focussing on the question as to whether a new definition and classification of nocturia and nocturnal polyuria would improve the outcome of management in our patients. First, discussions identified theoretical and practical shortcomings of current definitions. Secondly, the utility of several nocturnal polyuria definitions was tested in a real life population in relation to the symptom nocturia, in order to display weaknesses of these definitions. Thirdly, we explored in a clinical population the utility of bladder diary based parameters by asking the question: when nocturia improves, which of these parameters improve most? Based on the above explorations the Think Tank summarized elements of the current definitions that need reconsideration and suggests proposals for further research to reach more practical and more clinically meaningful definitions.

摘要

以下是关于2014年9月22日至24日在英国布里斯托尔举行的年度国际尿失禁咨询会-研究学会夜尿症智囊团会议议程的报告。该报告按照与主要讨论主题相关的部分进行组织,重点围绕夜尿症和夜间多尿症的新定义及分类是否会改善我们患者的治疗结果这一问题展开。首先,讨论确定了当前定义在理论和实践方面的缺陷。其次,在现实生活人群中针对夜尿症状测试了几种夜间多尿症定义的效用,以展示这些定义的不足之处。第三,我们在临床人群中通过提出以下问题探讨了基于膀胱日记的参数的效用:当夜尿症改善时,这些参数中哪一个改善最为明显?基于上述探索,智囊团总结了当前定义中需要重新考虑的要素,并提出了进一步研究的建议,以得出更实用且更具临床意义的定义。

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