Sleep Analysis of Patients With Nocturia and Benign Prostatic Obstruction

Bal, Kaan; Ayık, Sibel; Issi, Yaşar; Bölükbaşı, Ahmet; Akhan, Galip

doi:10.1016/j.urology.2011.12.067

Cited by 12 publications

(11 citation statements)

References 17 publications

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“…Neurologic conditions can interact in multiple ways; iatrogenic severed nerves lead to ED, inflamed nerves to pelvic pain ( 18 ) and interrupted nerve pathways to neurogenic bladder. Finally, OSA is also associated with ED ( 4 ), LUTS ( 19 ) and CPPS ( 20 ).…”

Section: Discussionmentioning

confidence: 99%

Correlation of self-reported urologic symptoms with systemic health conditions in minority men

Vij

Turk

Gao

et al. 2017

Transl. Androl. Urol.

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BackgroundTo investigate the correlation between presence and severity of urologic symptoms and self-reported systemic health conditions in minority men.MethodsQuestionnaires were distributed at a Men’s Minority Health Fair. Urologic symptoms were assessed with the International Prostate Symptom Score (IPSS), Sexual Health Inventory for Men (SHIM) and NIH Chronic Prostatitis Symptom Score (CPSI). Each was graded as absent/mild [0], moderate [1] or severe [2] by standard criteria for each and totaled for a urologic score (US). Other questions included age, height/weight and queried heart disease, diabetes, anxiety/stress, sleep apnea and neurologic disease. A systemic score (SS) graded each plus obesity for 6 domains (0–2 for each).ResultsA total of 52 men completed the surveys with a mean age of 58.8 (range, 37–76) years. By symptom score criteria, 17 (33%) had 1 urologic condition, 19 (37%) had 2 and 5 (10%) had all 3. Mean total US was 1.9 (range, 0–6) and mean SS was 2.9 (range, 0–10). There was a strong correlation between US and SS (Spearman Rho =0.73, P<0.0001). The hierarchy of systemic condition impact on US was cardiovascular > anxiety > obesity > diabetes > sleep apnea > neurologic. By multivariable analysis, after adjusting for age, each systemic component strongly correlated with the US. The multivariable model with age plus all of the systemic scores predicted US more accurately than with any one of its components alone.ConclusionsSelf-reported systemic health conditions correlate strongly with presence and severity of urologic symptoms in minority men.

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Section: Discussionmentioning

confidence: 99%

Correlation of self-reported urologic symptoms with systemic health conditions in minority men

Vij

Turk

Gao

et al. 2017

Transl. Androl. Urol.

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“…Lopez could also be at risk of a lawsuit by the defendant for providing misleading testimonyShe could also be subject to sanction by the court or at risk of a lawsuit by the defendant for providing misleading testimony. As RJ Kohlman notes, "The concept of medicolegal malpractice liability has been recognized by courts; this means an expert hired to testify for a lawyer in medical litigation can become the target of litigation arising from this activity" [6]. Dr. Lopez has a legal obligation to the party she is aiding and to the legal process to ensure that her testimony does not perpetuate falsehoods.…”

Section: Bioethical Appealsmentioning

confidence: 99%

“…The AMA Code of Medical Ethics Opinion 9.07 expressly states that physicians who serve as expert witnesses must deliver honest testimony grounded in "recent and substantive experience or knowledge in the area in which they testify, and be committed to evaluating cases objectively and to providing an independent opinion." The proffered opinions should be based on generally accepted scientific theories or, if the theory is "not widely accepted in the profession, the witness should characterize the theory as such" [6]. The opinion also states that physicians cannot let financial concerns drive the nature of testimony, and it calls on medical professional societies and state licensing board to sanction those who give false or misleading testimony.…”

Section: Bioethical Appealsmentioning

confidence: 99%

Ethical Challenges for the Medical Expert Witness

Kass

Rose

2016

AMA Journal of Ethics

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Dr. Lopez is a well-respected, board-certified academic behavioral neurologist who primarily treats patients with cognitive dysfunction and has a special interest in traumatic brain injury (TBI). On rare occasions she has served as an expert witness but, as a rule, does not testify against physicians in her community in malpractice cases. Now a plaintiff's attorney, Mr. Sewell, has contacted her to engage her services in a case brought against a crosscountry trucking company. One year ago the plaintiff, Ms. Dewey, was pulling out of a parking lot when her car was hit by a truck from the defendant's fleet. She alleged a variety of injuries sustained as a result of the accident, including chronic headaches and residual cognitive dysfunction from a mild traumatic brain injury (TBI). The mild TBI category, which is the most prevalent type of TBI, includes concussions and other brain trauma that have initial symptoms such as loss of consciousness and/or "a state of being dazed, confused or disoriented" [1]. Mr. Sewell told Dr. Lopez that she would be given an opportunity to review the documents and would then be asked whether she could testify that it was more likely than not that the mild traumatic brain injury sustained during the motor vehicle accident was the proximate cause of Ms. Dewey's cognitive dysfunction. Intrigued by the facts and interested in serving as an expert witness for a case not involving malpractice, Dr. Lopez agreed to review the documents once Mr. Sewell agreed to the terms of her fee schedule and she received her retainer fee for document review.

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“… 9 , 10 Considerable number of patients with benign prostate hyperplasia, bladder outlet obstruction, overactive bladder, or other diseases that affect urinary function may suffer from nocturia, and there are some reports focusing on nocturia and sleep. 6 , 11 , 12 However, studies on the quantitative effect of nocturia on both sleep quality and daytime function, specifically in adult patients with LUTS, are sparse. In this cross-sectional study of 728 individuals with LUTS, we used three survey tools to evaluate the effect of nocturia on sleep quality and daytime sleepiness.…”

Section: Introductionmentioning

confidence: 99%

The effect of nocturia on sleep quality and daytime function in patients with lower urinary tract symptoms: a cross-sectional study

Shao

Hsu

et al. 2016

CIA

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BackgroundNocturia has been proven to have a negative impact on the quality of life and sleep quality in general elderly population. However, there are limited studies on the quantitative effect of nocturia on sleep quality and daytime dysfunction, specifically in patients with lower urinary tract symptoms.Patients and methodsDuring March 1, 2015 to December 31, 2015, a total of 728 patients who visited our urology department due to voiding dysfunction and experienced nocturia at least once per night were enrolled. Three questionnaires were administered to them after obtaining their written consents. Pittsburgh Sleep Quality Index (PSQI) questionnaire, Epworth Sleepiness Scale (ESS) questionnaire, and International Prostate Symptom Score (IPSS) questionnaire were applied to evaluate their sleep quality, daytime dysfunction, and voiding problems, respectively. Statistical analysis of the impact of nocturia on sleep quality and daytime dysfunction was performed.ResultsThe mean age of patients was 61 years, with a male-to-female ratio of 2.7. The mean nocturia number was 3.03. The IPSS, PSQI, and ESS scores were 17.56, 8.35, and 8.22, respectively. The nocturia number increased with age and was significantly correlated to ESS score (daytime dysfunction) and PSQI total score (sleep quality) in overall group. Among subgroups divided by age and sex, there was a significant correlation between nocturia number and daytime dysfunction in male patients or patients younger than 65 years.ConclusionIn patients with lower urinary tract symptoms, nocturia number increased with age and was significantly correlated with poor sleep quality. Nocturia plays an important role in patients younger than 65 years in daytime dysfunction.

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Sleep Analysis of Patients With Nocturia and Benign Prostatic Obstruction

Cited by 12 publications

References 17 publications

Correlation of self-reported urologic symptoms with systemic health conditions in minority men

Correlation of self-reported urologic symptoms with systemic health conditions in minority men

Ethical Challenges for the Medical Expert Witness

The effect of nocturia on sleep quality and daytime function in patients with lower urinary tract symptoms: a cross-sectional study

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