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Development of a multivariate prediction model for nocturia, based on urinary tract etiologies

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Abstract
Purpose: The main objective of our study was to determine which combination of modifiable and non-modifiable parameters that could discriminate patients with nocturia from those without nocturia. This was a post-hoc analysis of 3 prospective, observational studies conducted in Ghent University. Participants completed frequency volume chart (FVC) to compare characteristics between patients with and without nocturia. Method: This was a post hoc analysis of three prospective, observational studies conducted in Ghent University. Participants completed frequency volume chart (FVC) to compare characteristics between adults with and without nocturia. Study 1: adults with and without nocturia (n = 148); Study 2: patients >= 65 years with and without nocturnal LUTS (n = 54); Study 3: menopausal women before and after hormone replacement therapy (n = 43). All eligible patients (n = 183) completed a FVC during 24 hours (n = 13), 48 hours (n = 30) or 72 hours (n = 140). The combination of algorithms and number of determinants obtaining the best average area under the receiver operating curve (AUC-ROC) led to the final model. Differences between groups were assessed using the AUC-ROC and Mann- Whitney-Wilcoxon tests. Holm corrections were applied for multiple statistical testing. Also, the stability of the feature selection was evaluated. Results: The best discrimination was obtained when 13 determinants were included. However, a logistic regression model based on seven determinants selected with random forest had comparable discrimination including an optimal signature stability. It was able to discriminate almost perfectly between nights with and without nocturia. Conclusion: Relevant information to accomplish the excellent predictability of the model is; functional bladder capacity, 24 hours urine output, nocturnal output, age, BMI. The multivariate model used in this analysis provides new insights into combination therapy as it allows simulating the effect of different available treatment modalities and its combinations.
Keywords
POLYURIA, BLADDER, DEFINITION, MANAGEMENT

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MLA
Kold Olesen, Tine, et al. “Development of a Multivariate Prediction Model for Nocturia, Based on Urinary Tract Etiologies.” INTERNATIONAL JOURNAL OF CLINICAL PRACTICE, vol. 73, no. 8, 2019.
APA
Kold Olesen, T., Denys, M.-A., Goessaert, A.-S., Bruneel, E., Decalf, V., Helleputte, T., … Everaert, K. (2019). Development of a multivariate prediction model for nocturia, based on urinary tract etiologies. INTERNATIONAL JOURNAL OF CLINICAL PRACTICE, 73(8).
Chicago author-date
Kold Olesen, Tine, Marie-Astrid Denys, An-Sofie Goessaert, Elke Bruneel, Veerle Decalf, Thibault Helleputte, Jerome Paul, Pierre Gramme, and Karel Everaert. 2019. “Development of a Multivariate Prediction Model for Nocturia, Based on Urinary Tract Etiologies.” INTERNATIONAL JOURNAL OF CLINICAL PRACTICE 73 (8).
Chicago author-date (all authors)
Kold Olesen, Tine, Marie-Astrid Denys, An-Sofie Goessaert, Elke Bruneel, Veerle Decalf, Thibault Helleputte, Jerome Paul, Pierre Gramme, and Karel Everaert. 2019. “Development of a Multivariate Prediction Model for Nocturia, Based on Urinary Tract Etiologies.” INTERNATIONAL JOURNAL OF CLINICAL PRACTICE 73 (8).
Vancouver
1.
Kold Olesen T, Denys M-A, Goessaert A-S, Bruneel E, Decalf V, Helleputte T, et al. Development of a multivariate prediction model for nocturia, based on urinary tract etiologies. INTERNATIONAL JOURNAL OF CLINICAL PRACTICE. 2019;73(8).
IEEE
[1]
T. Kold Olesen et al., “Development of a multivariate prediction model for nocturia, based on urinary tract etiologies,” INTERNATIONAL JOURNAL OF CLINICAL PRACTICE, vol. 73, no. 8, 2019.
@article{8605154,
  abstract     = {Purpose: The main objective of our study was to determine which combination of modifiable and non-modifiable parameters that could discriminate patients with nocturia from those without nocturia. This was a post-hoc analysis of 3 prospective, observational studies conducted in Ghent University. Participants completed frequency volume chart (FVC) to compare characteristics between patients with and without nocturia.
Method: This was a post hoc analysis of three prospective, observational studies conducted in Ghent University. Participants completed frequency volume chart (FVC) to compare characteristics between adults with and without nocturia. Study 1: adults with and without nocturia (n = 148); Study 2: patients >= 65 years with and without nocturnal LUTS (n = 54); Study 3: menopausal women before and after hormone replacement therapy (n = 43). All eligible patients (n = 183) completed a FVC during 24 hours (n = 13), 48 hours (n = 30) or 72 hours (n = 140). The combination of algorithms and number of determinants obtaining the best average area under the receiver operating curve (AUC-ROC) led to the final model. Differences between groups were assessed using the AUC-ROC and Mann- Whitney-Wilcoxon tests. Holm corrections were applied for multiple statistical testing. Also, the stability of the feature selection was evaluated.
Results: The best discrimination was obtained when 13 determinants were included. However, a logistic regression model based on seven determinants selected with random forest had comparable discrimination including an optimal signature stability. It was able to discriminate almost perfectly between nights with and without nocturia.
Conclusion: Relevant information to accomplish the excellent predictability of the model is; functional bladder capacity, 24 hours urine output, nocturnal output, age, BMI. The multivariate model used in this analysis provides new insights into combination therapy as it allows simulating the effect of different available treatment modalities and its combinations.},
  articleno    = {e13306},
  author       = {Kold Olesen, Tine and Denys, Marie-Astrid and Goessaert, An-Sofie and Bruneel, Elke and Decalf, Veerle and Helleputte, Thibault and Paul, Jerome and Gramme, Pierre and Everaert, Karel},
  issn         = {1368-5031},
  journal      = {INTERNATIONAL JOURNAL OF CLINICAL PRACTICE},
  keywords     = {POLYURIA,BLADDER,DEFINITION,MANAGEMENT},
  language     = {eng},
  number       = {8},
  pages        = {6},
  title        = {Development of a multivariate prediction model for nocturia, based on urinary tract etiologies},
  url          = {http://dx.doi.org/10.1111/ijcp.13306},
  volume       = {73},
  year         = {2019},
}

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