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International Continence Society consensus on the diagnosis and treatment of nocturia

(2019) NEUROUROLOGY AND URODYNAMICS. 38(2). p.478-498
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Abstract
Introduction: Patients with nocturia have to face many hurdles before being diagnosed and treated properly. The aim of this paper is to: summarize the nocturia patient pathway, explore how nocturia is diagnosed and treated in the real world and use the Delphi method to develop a practical algorithm with a focus on what steps need to be taken before prescribing desmopressin. Methods: Evidence comes from existing guidelines (Google, PubMed), International Consultation on Incontinence-Research Society (ICI-RS) 2017, prescribing information and a Delphi panel (3 rounds). The International Continence Society initiated this study, the authors represent the ICI-RS, European Association of Urology, and Society of Urodynamics, Female Pelvic Medicine and Urogenital Reconstruction (SUFU). Results: Diagnostic packages: consensus on, history taking for all causalities, intake diary (fluid, food) and bladder diary, not for its duration. Pelvic (women) or rectal (men) examination, prostate-specific antigen, serum sodium check (SSC), renal function, endocrine screening: when judged necessary. Timing or empty stomach when SSC is not important. Therapeutic packages: the safe candidates for desmopressin can be phenotyped as no polydipsia, heart/kidney failure, severe leg edema or obstructive sleep apnea syndrome. Lifestyle interventions may be useful. Initiating desmopressin: risk management consensus on three clinical pictures. Follow-up of desmopressin therapy: there was consensus on SSC day 3 to 7, and at 1 month. Stop therapy if SSC is Conclusion: A summary of the nocturia patient pathway across different medical specialists is useful in the visualization and phenotyping of patients for diagnosis and therapy. By summarizing basic knowledge of desmopressin, we aim to ease its initiation and shorten the patient journey for nocturia.
Keywords
Delphi technique, desmopressin, expert opinion, guideline, interdisciplinary research, nocturia, nocturnal polyuria, URINARY-TRACT SYMPTOMS, ALL-CAUSE MORTALITY, DISINTEGRATING TABLET, GENDER-DIFFERENCE, SLEEP-DEPRIVATION, DIURNAL-VARIATION, SEX-DIFFERENCES, SERUM SODIUM, POLYURIA, DESMOPRESSIN

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MLA
Everaert, Karel, et al. “International Continence Society Consensus on the Diagnosis and Treatment of Nocturia.” NEUROUROLOGY AND URODYNAMICS, vol. 38, no. 2, 2019, pp. 478–98.
APA
Everaert, K., Hervé, F., Bosch, R., Dmochowski, R., Drake, M., Hashim, H., … Wein, A. (2019). International Continence Society consensus on the diagnosis and treatment of nocturia. NEUROUROLOGY AND URODYNAMICS, 38(2), 478–498.
Chicago author-date
Everaert, Karel, François Hervé, Ruud Bosch, Roger Dmochowski, Marcus Drake, Hashim Hashim, Christopher Chapple, et al. 2019. “International Continence Society Consensus on the Diagnosis and Treatment of Nocturia.” NEUROUROLOGY AND URODYNAMICS 38 (2): 478–98.
Chicago author-date (all authors)
Everaert, Karel, François Hervé, Ruud Bosch, Roger Dmochowski, Marcus Drake, Hashim Hashim, Christopher Chapple, Philip Van Kerrebroeck, Sherif Mourad, Paul Abrams, and Alan Wein. 2019. “International Continence Society Consensus on the Diagnosis and Treatment of Nocturia.” NEUROUROLOGY AND URODYNAMICS 38 (2): 478–498.
Vancouver
1.
Everaert K, Hervé F, Bosch R, Dmochowski R, Drake M, Hashim H, et al. International Continence Society consensus on the diagnosis and treatment of nocturia. NEUROUROLOGY AND URODYNAMICS. 2019;38(2):478–98.
IEEE
[1]
K. Everaert et al., “International Continence Society consensus on the diagnosis and treatment of nocturia,” NEUROUROLOGY AND URODYNAMICS, vol. 38, no. 2, pp. 478–498, 2019.
@article{8629300,
  abstract     = {Introduction: Patients with nocturia have to face many hurdles before being diagnosed and treated properly. The aim of this paper is to: summarize the nocturia patient pathway, explore how nocturia is diagnosed and treated in the real world and use the Delphi method to develop a practical algorithm with a focus on what steps need to be taken before prescribing desmopressin.
Methods: Evidence comes from existing guidelines (Google, PubMed), International Consultation on Incontinence-Research Society (ICI-RS) 2017, prescribing information and a Delphi panel (3 rounds). The International Continence Society initiated this study, the authors represent the ICI-RS, European Association of Urology, and Society of Urodynamics, Female Pelvic Medicine and Urogenital Reconstruction (SUFU).
Results: Diagnostic packages: consensus on, history taking for all causalities, intake diary (fluid, food) and bladder diary, not for its duration. Pelvic (women) or rectal (men) examination, prostate-specific antigen, serum sodium check (SSC), renal function, endocrine screening: when judged necessary. Timing or empty stomach when SSC is not important. Therapeutic packages: the safe candidates for desmopressin can be phenotyped as no polydipsia, heart/kidney failure, severe leg edema or obstructive sleep apnea syndrome. Lifestyle interventions may be useful. Initiating desmopressin: risk management consensus on three clinical pictures. Follow-up of desmopressin therapy: there was consensus on SSC day 3 to 7, and at 1 month. Stop therapy if SSC is
Conclusion: A summary of the nocturia patient pathway across different medical specialists is useful in the visualization and phenotyping of patients for diagnosis and therapy. By summarizing basic knowledge of desmopressin, we aim to ease its initiation and shorten the patient journey for nocturia.},
  author       = {Everaert, Karel and Hervé, François and Bosch, Ruud and Dmochowski, Roger and Drake, Marcus and Hashim, Hashim and Chapple, Christopher and Van Kerrebroeck, Philip and Mourad, Sherif and Abrams, Paul and Wein, Alan},
  issn         = {0733-2467},
  journal      = {NEUROUROLOGY AND URODYNAMICS},
  keywords     = {Delphi technique,desmopressin,expert opinion,guideline,interdisciplinary research,nocturia,nocturnal polyuria,URINARY-TRACT SYMPTOMS,ALL-CAUSE MORTALITY,DISINTEGRATING TABLET,GENDER-DIFFERENCE,SLEEP-DEPRIVATION,DIURNAL-VARIATION,SEX-DIFFERENCES,SERUM SODIUM,POLYURIA,DESMOPRESSIN},
  language     = {eng},
  number       = {2},
  pages        = {478--498},
  title        = {International Continence Society consensus on the diagnosis and treatment of nocturia},
  url          = {http://dx.doi.org/10.1002/nau.23939},
  volume       = {38},
  year         = {2019},
}

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