scholarly journals Risk Factors Predicting Upper Urinary Tract Damage in Patients With Myelodysplasia: Data Analysis of 637 Cases From a Single Center

Author(s):  
Han Deng ◽  
Zhaoxia Wang ◽  
Limin Liao ◽  
Juan Wu ◽  
Yue Wang
2017 ◽  
Vol 24 (4) ◽  
pp. 529-534 ◽  
Author(s):  
Benjamin V Ineichen ◽  
Marc P Schneider ◽  
Martin Hlavica ◽  
Niels Hagenbuch ◽  
Michael Linnebank ◽  
...  

Background: Neurogenic lower urinary tract dysfunction (NLUTD) is very common in patients with multiple sclerosis (MS), and it might jeopardize renal function and thereby increase mortality. Although there are well-known urodynamic risk factors for upper urinary tract damage, no clinical prediction parameters are available. Objective: We aimed to assess clinical parameters potentially predicting urodynamic risk factors for upper urinary tract damage. Methods: A consecutive series of 141 patients with MS referred from neurologists for primary neuro-urological work-up including urodynamics were prospectively evaluated. Clinical parameters taken into account were age, sex, duration, and clinical course of MS and Expanded Disability Status Scale (EDSS). Results: Multivariate modeling revealed EDSS as a clinical parameter significantly associated with urodynamic risk factors for upper urinary tract damage (odds ratio = 1.34, 95% confidence interval (CI) = 1.06–1.71, p = 0.02). Using receiver operator characteristic (ROC) curves, an EDSS of 5.0 as cutoff showed a sensitivity of 86%–87% and a specificity of 52% for at least one urodynamic risk factor for upper urinary tract damage. Conclusion: High EDSS is significantly associated with urodynamic risk factors for upper urinary tract damage and allows a risk-dependent stratification in daily neurological clinical practice to identify MS patients requiring further neuro-urological assessment and treatment.


Author(s):  
Bülent Önal ◽  
Elif A. Kırlı ◽  
Berin Selçuk ◽  
Derya Buğdaycı ◽  
Günay Can ◽  
...  

2015 ◽  
Vol 14 (6) ◽  
pp. e1330
Author(s):  
M. Lipa ◽  
L. Zapała ◽  
O. Tayara ◽  
G. Grotthuss ◽  
A. Antoniewicz

BMC Urology ◽  
2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Li Yongzhi ◽  
Yan Shi ◽  
Liu Jia ◽  
Liu Yili ◽  
Zhu Xingwang ◽  
...  

2017 ◽  
Vol 37 (6) ◽  
pp. 861-863 ◽  
Author(s):  
Zhi-qiang Zhou ◽  
Long-chang Fan ◽  
Xu Zhao ◽  
Wei Xia ◽  
Ai-lin Luo ◽  
...  

2018 ◽  
Vol 17 (2) ◽  
pp. e1253-e1254
Author(s):  
A. Lavi ◽  
S. Tzemah ◽  
A. Hussein ◽  
I. Bishara ◽  
N. Sherbecahkov ◽  
...  

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