A Cost-Effectiveness Analysis of Post-Void Residual Bladder Scan Thresholds in the Postoperative Setting

Donaldson, Katelyn; Woll, Abbigail; Jansen, Sierra M; Edenfield, Autumn L.; Swift, Steven; Heisler, Christine A.

doi:10.1007/s00192-021-05065-6

Cited by 2 publications

(1 citation statement)

References 17 publications

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“…For example, Donaldson and colleagues reported that PVR volume measured by bladder scanners can be used for decision-making and cost-effectiveness analysis for health care utilization (ambulatory office emergency visits) among postoperative patients. 30 Chen and colleagues reported that using portable bladder scanners reduced the incidence of urinary tract infections for patients with acute ischemic stroke. 31 In addition to the clinical evidence, decision-makers may wish to consider whether local health care providers' or caregivers' knowledge of ultrasound, the related cost for the device and potential training, or other practical issues impact the application of bladder scanners.…”

Section: Conclusion and Implications For Decision-or Policy-makingmentioning

confidence: 99%

Bladder Scanners in Personal Care Homes

Qin¹,

Mahood²

2023

cjht

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For older adults with incontinence in a personal care home setting, using a bladder scanner to assist traditional urinary incontinence care may reduce the amount of daytime urine loss and use of incontinence pads without increasing caregivers’ care burden. Adding a bladder scanner to urinary incontinence care may not impact patient quality of life, mental state, depression, physical function, and level of motivation. These findings were based on 2 studies, 1 of which lacked a control group and did not directly measure the effect of adding a bladder scanner to urinary incontinence care on patients’ urine loss. This may limit our confidence in the findings. We did not find any studies that reported on the effect of using bladder scanners in the personal care setting on rates of catheterization, emergency department visits, urinary tract infections, or other harms. We also did not identify any cost-effectiveness studies or evidence-based guidelines that met inclusion criteria for this report.

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Section: Conclusion and Implications For Decision-or Policy-makingmentioning

confidence: 99%

Bladder Scanners in Personal Care Homes

Qin¹,

Mahood²

2023

cjht

View full text Add to dashboard Cite

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Comparison of Diagnostic Accuracies of Commonly Used Trial of Void Parameters

Shinnick,

Raker,

Geller

et al. 2024

UROGC

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Importance Understanding the diagnostic accuracy of postoperative trial of void (TOV) parameters is important for decision making related to postoperative catheterization. Objective The aim of the study was to compare the diagnostic accuracies of common postoperative TOV parameters. Design The study population comprised a prospective cohort undergoing outpatient urogynecologic procedures at a tertiary referral center from September 2018 to June 2021. Participants recorded their postvoid residual volume (PVR), voided volume, and subjective force of stream (sFOS) for all postoperative voids until meeting criteria to stop. The primary outcome was the sensitivity of TOV parameters in predicting postoperative urinary retention, defined as PVR ≥1/2 voided volume on the first 2 postoperative voids. Sample size was set at 183 to detect a 20% difference (α = 0.05, β = 0.2, up to 20% with missing data) in sensitivity between TOV parameters. Diagnostic accuracies were compared with McNemar’s test for paired proportions, with Youden’s index calculated to determine optimal thresholds. Results The 160 participants had a mean age of 52.1 ± 11.4 years and a mean body mass index of 28.9 ± 5.8 kg/m2 (calculated as weight in kilograms divided by height in meters squared). Mean preoperative PVR was 25.8 ± 29.9 mL. Most participants had surgery that included a midurethral sling (137/160, 85.6%). Thirty-four (34/160, 21.3%) participants met criteria for postoperative urinary retention. The optimal recovery room TOV thresholds to predict postoperative urinary retention were PVR ≥87 mL (sensitivity 96.8%, specificity 60.0%), voided volume ≤ 150 mL (sensitivity 83.9%, specificity 72.3%), and sFOS ≤60% (sensitivity 100%, specificity 50.8%). Voided volume ≤ 150 mL had greater diagnostic accuracy than PVR ≥100 mL (156.2 vs 151.8). Conclusions In this cohort, PVR ≥87 mL, voided volume ≤ 150 mL, and sFOS ≤60% had optimal diagnostic accuracy for postoperative urinary retention.

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A Cost-Effectiveness Analysis of Post-Void Residual Bladder Scan Thresholds in the Postoperative Setting

Cited by 2 publications

References 17 publications

Bladder Scanners in Personal Care Homes

Bladder Scanners in Personal Care Homes

Comparison of Diagnostic Accuracies of Commonly Used Trial of Void Parameters

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