Análisis coste-efectividad de las principales herramientas diagnósticas en mujeres con vejiga hiperactiva: historia clínica, diario miccional y estudio urodinámico

Lavalle, Luís López-Fando; Carracedo, David Sánchez; Jiménez, M. Quero; Vicente, Javier; Martínez, Luis Alberto Corona; Cañizo, C. Gómez del; Gómez, Vicente; Burgos, Francisco

doi:10.1016/j.acuro.2014.03.002

Cited by 10 publications

(2 citation statements)

References 12 publications

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“…Incluso, cuando el cuestionario autoadministrado se complementa con una mínima entrevista clínica, que pretende identificar molestias y estrategias de afrontamiento asociadas, la precisión para llevar a cabo el diagnóstico de VH aumenta al 92%. Otros autores han buscado diferentes herramientas que definen molestias y síntomas característicos de VH, con intención de evaluar el proceso de la forma más certera posible25, 26. Posiblemente la herramienta más empleada en este sentido haya sido el Cuestionario de Autoevaluación del Control de la Vejiga (CACV), conocido también por sus siglas en inglés B-SAQ, que se ha empleado tanto en mujeres como en hombres26, 27, 28.…”

Section: Discussionunclassified

Prevalencia y caracterización de la vejiga hiperactiva detectada en una población de Madrid con el cuestionario OAB-V3 autoadministrado en atención primaria

Angulo¹,

Calderín²,

Fernández³

et al. 2018

Atención Primaria

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Section: Discussionunclassified

Prevalencia y caracterización de la vejiga hiperactiva detectada en una población de Madrid con el cuestionario OAB-V3 autoadministrado en atención primaria

Angulo¹,

Calderín²,

Fernández³

et al. 2018

Atención Primaria

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“…Currently, the diagnostic process of OAB consists of: medical history (MH), physical and neurological examination, questionnaires and/or bladder diary (BD), urine analysis and urodynamic study (UDS) [4]. UDS is an invasive assessment of the lower urinary tract (LUT) that requires trained specialists.…”

Section: Introductionmentioning

confidence: 99%

Reliability of the Polish version of the Overactive Bladder Symptom Score (OABSS) questionnaire

et al. 2019

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Introduction and hypothesisOveractive bladder (OAB) and mixed urinary incontinence (MUI) are significant problems worldwide. Their broad definition makes them difficult to diagnose; therefore, specialists need a tool to confirm diagnosis. The Overactive Bladder Symptom Score (OABSS) is used in the objective diagnosis of OAB. We aimed to develop and evaluate the effectiveness of OABSS for patients in Poland suffering from OAB and MUI and to correlate it with UDI-6 and IIQ-7.MethodsA total of 824 women suffering from urinary incontinence (UI) aged between 18 and 75 years were included. SUI (n = 290); OAB (n = 285) and MUI (n = 249) were confirmed by medical history and urodynamic study. Of the subjects, 821 women completed the Polish version of OABSS on two separate visits: weeks 0 and 2. In addition, they undertook UDI-6 and IIQ-7 during Week 2. The Cronbach’s alpha (α) was used to estimate the internal consistency. Scores were compared using the intraclass correlation coefficient (ICC).ResultsWe observed statistically significant differences (p < 0.0005) between mean scores of OABSS among patients from the study groups OAB-SUI and MUI-SUI. We did not observe statistically significant differences between patients from the MUI and OAB groups (p > 0.11). Analysis also did not show statistically significant differences between visits.The internal consistency was very good: α = 0.89 (SUI); = 0.9 (OAB); = 0.82 (MUI). In all groups, test–retest reliability was excellent; ICC was >0.99.ConclusionsThe Polish version of the OABSS is a reliable tool for females suffering from UI. However, OABSS does not distinguish patients with MUI from patients with OAB.

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P2X2 and P2X5 Receptors Mediate Bladder Hyperesthesia in ICC in Female Overactive Bladder

Mao

Zheng

Yan

et al. 2015

Cell Biochem Biophys

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This study was set to explore the role of P2X2 and P2X5 as the important molecules in sensory afferent of bladder in female overactive bladder (OAB) patients with the bladder hyperesthesia. Sixty-eight OAB patients admitted in Southwest Hospital affiliated to the Third Military Medical University during September, 2011-December, 2012 were selected and included in the experimental group (OAB group) and 30 healthy volunteers during the same period were included as the control group. We recorded voiding diary and urodynamic results, and immunohistochemistry analysis was used to detect P2X2 and P2X5 receptor in interstitial cell of Caja (ICC) in bladder tissue of female OAB patients and healthy volunteers, to tentatively explore the effect of P2X2 and P2X5 in bladder hyperesthesia. Urodynamic study has important diagnostic value in the diagnosis and differential diagnosis of OAB. P2X2 receptor was significantly up-regulated in bladder ICC in OAB group. The blockage of P2X2 receptor could significantly inhibit the contraction of bladder muscle strips, decrease the bladder pressure and the electric discharge of pelvic nerve. PET and urodynamic study showed that micturition desire sense in PAG area of pons in OAB patients was significantly increased compared with the control group. The up-regulation of P2X2 in ICC is an important factor to cause bladder hyperesthesia in OAB patients. PET and urodynamic study indicate that the bladder-originated nervous impulses are important cause of OAB. This study provides a basis for the study of P2X2 receptor in ICC in bladder hyperesthesia of OAB patients.

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Análisis coste-efectividad de las principales herramientas diagnósticas en mujeres con vejiga hiperactiva: historia clínica, diario miccional y estudio urodinámico

Cited by 10 publications

References 12 publications

Prevalencia y caracterización de la vejiga hiperactiva detectada en una población de Madrid con el cuestionario OAB-V3 autoadministrado en atención primaria

Prevalencia y caracterización de la vejiga hiperactiva detectada en una población de Madrid con el cuestionario OAB-V3 autoadministrado en atención primaria

Reliability of the Polish version of the Overactive Bladder Symptom Score (OABSS) questionnaire

P2X2 and P2X5 Receptors Mediate Bladder Hyperesthesia in ICC in Female Overactive Bladder

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