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Jan D. Van Gool - One of the best experts on this subject based on the ideXlab platform.
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Investigator bias in urodynamic studies for Functional urinary Incontinence.
The Journal of Urology, 2009Co-Authors: An Bael, John Verhulst, Hildegard Lax, Herbert Hirche, Jan D. Van GoolAbstract:Purpose: In the setting of the European Bladder Dysfunction Study, a multicenter, randomized, controlled trial of treatment options for Functional Incontinence in children, we assessed the concordance between reported and reviewed urodynamic scores.Materials and Methods: A total of 97 children with clinically diagnosed urge syndrome and 105 with clinically diagnosed dysFunctional voiding enrolled in the European Bladder Dysfunction Study and underwent full urodynamic studies before and immediately after treatment for urinary Incontinence. Photocopies of 72% of the original urodynamic recordings were available for blinded review.Results: The concordance for detrusor overactivity throughout the filling phase was 37% in urge syndrome cases and for increased pelvic floor activity during voiding it was 81% in dysFunctional voiding cases. Differences in original and reviewed scores were equally distributed among participating centers.Conclusions: Concordance between original and reviewed urodynamic scores was l...
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Investigator bias in urodynamic studies for Functional urinary Incontinence.
The Journal of urology, 2009Co-Authors: An Bael, John Verhulst, Hildegard Lax, Herbert Hirche, Jan D. Van GoolAbstract:In the setting of the European Bladder Dysfunction Study, a multicenter, randomized, controlled trial of treatment options for Functional Incontinence in children, we assessed the concordance between reported and reviewed urodynamic scores. A total of 97 children with clinically diagnosed urge syndrome and 105 with clinically diagnosed dysFunctional voiding enrolled in the European Bladder Dysfunction Study and underwent full urodynamic studies before and immediately after treatment for urinary Incontinence. Photocopies of 72% of the original urodynamic recordings were available for blinded review. The concordance for detrusor overactivity throughout the filling phase was 37% in urge syndrome cases and for increased pelvic floor activity during voiding it was 81% in dysFunctional voiding cases. Differences in original and reviewed scores were equally distributed among participating centers. Concordance between original and reviewed urodynamic scores was low for detrusor overactivity. Concordance was acceptable for increased pelvic floor activity during voiding but was not specific for dysFunctional voiding. Since interpreting urodynamic studies is based on pattern recognition, investigator bias can only be compensated for by blinded review of the actual recordings.
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Investigator Bias in Urodynamic Studies for Functional Urinary Incontinence
Journal of Urology, 2009Co-Authors: An Bael, John Verhulst, Hildegard Lax, Herbert Hirche, Jan D. Van GoolAbstract:Purpose: In the setting of the European Bladder Dysfunction Study, a multi-center, randomized, controlled trial of treatment options for Functional Incontinence in children, we assessed the concordance between reported and reviewed urodynamic scores. Materials and Methods: A total of 97 children with clinically diagnosed urge syndrome and 105 with clinically diagnosed dysFunctional voiding enrolled in the European Bladder Dysfunction Study and underwent full urodynamic studies before and immediately after treatment for urinary Incontinence. Photocopies of 72% of the original urodynamic recordings were available for blinded review. Results: The concordance for detrusor overactivity throughout the filling phase was 37% in urge syndrome cases and for increased pelvic floor activity during voiding it was 81% in dysFunctional voiding cases. Differences in original and reviewed scores were equally distributed among participating centers. Conclusions: Concordance between original and reviewed urodynamic scores was low for detrusor overactivity. Concordance was acceptable for increased pelvic floor activity during voiding but was not specific for dysFunctional voiding. Since interpreting urodynamic studies is based on pattern recognition, investigator bias can only be compensated for by blinded review of the actual recordings
An Bael - One of the best experts on this subject based on the ideXlab platform.
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Investigator bias in urodynamic studies for Functional urinary Incontinence.
The Journal of Urology, 2009Co-Authors: An Bael, John Verhulst, Hildegard Lax, Herbert Hirche, Jan D. Van GoolAbstract:Purpose: In the setting of the European Bladder Dysfunction Study, a multicenter, randomized, controlled trial of treatment options for Functional Incontinence in children, we assessed the concordance between reported and reviewed urodynamic scores.Materials and Methods: A total of 97 children with clinically diagnosed urge syndrome and 105 with clinically diagnosed dysFunctional voiding enrolled in the European Bladder Dysfunction Study and underwent full urodynamic studies before and immediately after treatment for urinary Incontinence. Photocopies of 72% of the original urodynamic recordings were available for blinded review.Results: The concordance for detrusor overactivity throughout the filling phase was 37% in urge syndrome cases and for increased pelvic floor activity during voiding it was 81% in dysFunctional voiding cases. Differences in original and reviewed scores were equally distributed among participating centers.Conclusions: Concordance between original and reviewed urodynamic scores was l...
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Investigator bias in urodynamic studies for Functional urinary Incontinence.
The Journal of urology, 2009Co-Authors: An Bael, John Verhulst, Hildegard Lax, Herbert Hirche, Jan D. Van GoolAbstract:In the setting of the European Bladder Dysfunction Study, a multicenter, randomized, controlled trial of treatment options for Functional Incontinence in children, we assessed the concordance between reported and reviewed urodynamic scores. A total of 97 children with clinically diagnosed urge syndrome and 105 with clinically diagnosed dysFunctional voiding enrolled in the European Bladder Dysfunction Study and underwent full urodynamic studies before and immediately after treatment for urinary Incontinence. Photocopies of 72% of the original urodynamic recordings were available for blinded review. The concordance for detrusor overactivity throughout the filling phase was 37% in urge syndrome cases and for increased pelvic floor activity during voiding it was 81% in dysFunctional voiding cases. Differences in original and reviewed scores were equally distributed among participating centers. Concordance between original and reviewed urodynamic scores was low for detrusor overactivity. Concordance was acceptable for increased pelvic floor activity during voiding but was not specific for dysFunctional voiding. Since interpreting urodynamic studies is based on pattern recognition, investigator bias can only be compensated for by blinded review of the actual recordings.
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Investigator Bias in Urodynamic Studies for Functional Urinary Incontinence
Journal of Urology, 2009Co-Authors: An Bael, John Verhulst, Hildegard Lax, Herbert Hirche, Jan D. Van GoolAbstract:Purpose: In the setting of the European Bladder Dysfunction Study, a multi-center, randomized, controlled trial of treatment options for Functional Incontinence in children, we assessed the concordance between reported and reviewed urodynamic scores. Materials and Methods: A total of 97 children with clinically diagnosed urge syndrome and 105 with clinically diagnosed dysFunctional voiding enrolled in the European Bladder Dysfunction Study and underwent full urodynamic studies before and immediately after treatment for urinary Incontinence. Photocopies of 72% of the original urodynamic recordings were available for blinded review. Results: The concordance for detrusor overactivity throughout the filling phase was 37% in urge syndrome cases and for increased pelvic floor activity during voiding it was 81% in dysFunctional voiding cases. Differences in original and reviewed scores were equally distributed among participating centers. Conclusions: Concordance between original and reviewed urodynamic scores was low for detrusor overactivity. Concordance was acceptable for increased pelvic floor activity during voiding but was not specific for dysFunctional voiding. Since interpreting urodynamic studies is based on pattern recognition, investigator bias can only be compensated for by blinded review of the actual recordings
Grace Dorey - One of the best experts on this subject based on the ideXlab platform.
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Male patients with lower urinary tract symptoms. 2: Treatment.
British Journal of Nursing, 2000Co-Authors: Grace DoreyAbstract:The first part of this article (Dorey, 2000) described the subjective and objective assessment of men with lower urinary tract symptoms (LUTS). This article will examine treatment protocols for stress Incontinence, urge Incontinence, post-prostatectomy Incontinence, post-micturition dribble, overflow Incontinence, reflex Incontinence and Functional Incontinence. Pelvic floor muscle exercises, biofeedback, electrical stimulation, urge suppression techniques, and fluid intake are discussed. It is concluded that men with LUTS can benefit from conservative treatment.
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Male patients with lower urinary tract symptoms. 1: Assessment.
British journal of nursing (Mark Allen Publishing), 2000Co-Authors: Grace DoreyAbstract:Male lower urinary tract symptoms include frequency, nocturia, urgency, urge Incontinence, stress Incontinence, post-micturition dribble and post-prostatectomy Incontinence. All of these symptoms can be treated conservatively. In this article, the first of two parts, a detailed subjective and objective assessment is provided based on a Delphi study undertaken by the author. The objective assessment includes a digital rectal examination to assess the pelvic floor muscle strength in order to provide a patient-specific exercise programme. The diagnosis of stress Incontinence, urge Incontinence, post-prostatectomy Incontinence, post-micturition dribble and Functional Incontinence is made from the assessment. Men with lower urinary tract symptoms need a detailed subjective and objective assessment before a diagnosis is made and individual treatment is planned.
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Physiotherapy for the Relief of Male Lower Urinary Tract Symptoms
Physiotherapy, 2000Co-Authors: Grace DoreyAbstract:Summary Purpose To explore the physiotherapy currently used for the relief of male lower urinary tract symptoms. Design The Delphi study used 14 experts from differing urology specialties in five countries. Method A survey consisting of four rounds of questions was sent to the experts. After each round the results were correlated and sent back to the experts to correct previous data and provide further information. After four rounds the multiple data produced were summarised. Results A new classification system for male urinary Incontinence was generated. New subjective and objective assessment forms were developed. Treatment options and advice were generated for stress Incontinence, urge Incontinence, post micturition dribble, post-prostatectomy Incontinence, and Functional Incontinence. Conclusion Further randomised controlled trials are needed to add to this poorly researched specialty.
Herbert Hirche - One of the best experts on this subject based on the ideXlab platform.
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Investigator bias in urodynamic studies for Functional urinary Incontinence.
The Journal of Urology, 2009Co-Authors: An Bael, John Verhulst, Hildegard Lax, Herbert Hirche, Jan D. Van GoolAbstract:Purpose: In the setting of the European Bladder Dysfunction Study, a multicenter, randomized, controlled trial of treatment options for Functional Incontinence in children, we assessed the concordance between reported and reviewed urodynamic scores.Materials and Methods: A total of 97 children with clinically diagnosed urge syndrome and 105 with clinically diagnosed dysFunctional voiding enrolled in the European Bladder Dysfunction Study and underwent full urodynamic studies before and immediately after treatment for urinary Incontinence. Photocopies of 72% of the original urodynamic recordings were available for blinded review.Results: The concordance for detrusor overactivity throughout the filling phase was 37% in urge syndrome cases and for increased pelvic floor activity during voiding it was 81% in dysFunctional voiding cases. Differences in original and reviewed scores were equally distributed among participating centers.Conclusions: Concordance between original and reviewed urodynamic scores was l...
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Investigator bias in urodynamic studies for Functional urinary Incontinence.
The Journal of urology, 2009Co-Authors: An Bael, John Verhulst, Hildegard Lax, Herbert Hirche, Jan D. Van GoolAbstract:In the setting of the European Bladder Dysfunction Study, a multicenter, randomized, controlled trial of treatment options for Functional Incontinence in children, we assessed the concordance between reported and reviewed urodynamic scores. A total of 97 children with clinically diagnosed urge syndrome and 105 with clinically diagnosed dysFunctional voiding enrolled in the European Bladder Dysfunction Study and underwent full urodynamic studies before and immediately after treatment for urinary Incontinence. Photocopies of 72% of the original urodynamic recordings were available for blinded review. The concordance for detrusor overactivity throughout the filling phase was 37% in urge syndrome cases and for increased pelvic floor activity during voiding it was 81% in dysFunctional voiding cases. Differences in original and reviewed scores were equally distributed among participating centers. Concordance between original and reviewed urodynamic scores was low for detrusor overactivity. Concordance was acceptable for increased pelvic floor activity during voiding but was not specific for dysFunctional voiding. Since interpreting urodynamic studies is based on pattern recognition, investigator bias can only be compensated for by blinded review of the actual recordings.
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Investigator Bias in Urodynamic Studies for Functional Urinary Incontinence
Journal of Urology, 2009Co-Authors: An Bael, John Verhulst, Hildegard Lax, Herbert Hirche, Jan D. Van GoolAbstract:Purpose: In the setting of the European Bladder Dysfunction Study, a multi-center, randomized, controlled trial of treatment options for Functional Incontinence in children, we assessed the concordance between reported and reviewed urodynamic scores. Materials and Methods: A total of 97 children with clinically diagnosed urge syndrome and 105 with clinically diagnosed dysFunctional voiding enrolled in the European Bladder Dysfunction Study and underwent full urodynamic studies before and immediately after treatment for urinary Incontinence. Photocopies of 72% of the original urodynamic recordings were available for blinded review. Results: The concordance for detrusor overactivity throughout the filling phase was 37% in urge syndrome cases and for increased pelvic floor activity during voiding it was 81% in dysFunctional voiding cases. Differences in original and reviewed scores were equally distributed among participating centers. Conclusions: Concordance between original and reviewed urodynamic scores was low for detrusor overactivity. Concordance was acceptable for increased pelvic floor activity during voiding but was not specific for dysFunctional voiding. Since interpreting urodynamic studies is based on pattern recognition, investigator bias can only be compensated for by blinded review of the actual recordings
John Verhulst - One of the best experts on this subject based on the ideXlab platform.
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Investigator bias in urodynamic studies for Functional urinary Incontinence.
The Journal of Urology, 2009Co-Authors: An Bael, John Verhulst, Hildegard Lax, Herbert Hirche, Jan D. Van GoolAbstract:Purpose: In the setting of the European Bladder Dysfunction Study, a multicenter, randomized, controlled trial of treatment options for Functional Incontinence in children, we assessed the concordance between reported and reviewed urodynamic scores.Materials and Methods: A total of 97 children with clinically diagnosed urge syndrome and 105 with clinically diagnosed dysFunctional voiding enrolled in the European Bladder Dysfunction Study and underwent full urodynamic studies before and immediately after treatment for urinary Incontinence. Photocopies of 72% of the original urodynamic recordings were available for blinded review.Results: The concordance for detrusor overactivity throughout the filling phase was 37% in urge syndrome cases and for increased pelvic floor activity during voiding it was 81% in dysFunctional voiding cases. Differences in original and reviewed scores were equally distributed among participating centers.Conclusions: Concordance between original and reviewed urodynamic scores was l...
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Investigator bias in urodynamic studies for Functional urinary Incontinence.
The Journal of urology, 2009Co-Authors: An Bael, John Verhulst, Hildegard Lax, Herbert Hirche, Jan D. Van GoolAbstract:In the setting of the European Bladder Dysfunction Study, a multicenter, randomized, controlled trial of treatment options for Functional Incontinence in children, we assessed the concordance between reported and reviewed urodynamic scores. A total of 97 children with clinically diagnosed urge syndrome and 105 with clinically diagnosed dysFunctional voiding enrolled in the European Bladder Dysfunction Study and underwent full urodynamic studies before and immediately after treatment for urinary Incontinence. Photocopies of 72% of the original urodynamic recordings were available for blinded review. The concordance for detrusor overactivity throughout the filling phase was 37% in urge syndrome cases and for increased pelvic floor activity during voiding it was 81% in dysFunctional voiding cases. Differences in original and reviewed scores were equally distributed among participating centers. Concordance between original and reviewed urodynamic scores was low for detrusor overactivity. Concordance was acceptable for increased pelvic floor activity during voiding but was not specific for dysFunctional voiding. Since interpreting urodynamic studies is based on pattern recognition, investigator bias can only be compensated for by blinded review of the actual recordings.
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Investigator Bias in Urodynamic Studies for Functional Urinary Incontinence
Journal of Urology, 2009Co-Authors: An Bael, John Verhulst, Hildegard Lax, Herbert Hirche, Jan D. Van GoolAbstract:Purpose: In the setting of the European Bladder Dysfunction Study, a multi-center, randomized, controlled trial of treatment options for Functional Incontinence in children, we assessed the concordance between reported and reviewed urodynamic scores. Materials and Methods: A total of 97 children with clinically diagnosed urge syndrome and 105 with clinically diagnosed dysFunctional voiding enrolled in the European Bladder Dysfunction Study and underwent full urodynamic studies before and immediately after treatment for urinary Incontinence. Photocopies of 72% of the original urodynamic recordings were available for blinded review. Results: The concordance for detrusor overactivity throughout the filling phase was 37% in urge syndrome cases and for increased pelvic floor activity during voiding it was 81% in dysFunctional voiding cases. Differences in original and reviewed scores were equally distributed among participating centers. Conclusions: Concordance between original and reviewed urodynamic scores was low for detrusor overactivity. Concordance was acceptable for increased pelvic floor activity during voiding but was not specific for dysFunctional voiding. Since interpreting urodynamic studies is based on pattern recognition, investigator bias can only be compensated for by blinded review of the actual recordings
