Advanced search
1 file | 1.42 MB Add to list

Development of a flowchart reflecting the current attitude and approach towards idiopathic overactive bladder treatment in Belgium : a Delphi study

Author
Organization
Abstract
Aims Idiopathic overactive bladder syndrome (iOAB) is a prevalent condition in urological practice. The variability in management between specialists and between centers remains high. Even existing guidelines contain inconsistencies. We aimed to develop a treatment algorithm for iOAB for use in daily clinical practice. Methods From October 2018 till November 2019, a Delphi study was conducted to obtain expert consensus on the management of iOAB. Members from the Belgian Working Group of Functional Urology were asked to rate online statements, based on gaps and variabilities between the American Urology Association (AUA), European Association of Urology (EAU) and International Consultation on Incontinence (ICI) guidelines on iOAB. The consensus was reached if >= 75% of the panel agreed on the level of appropriateness. Two Delphi rounds and an open discussion session were held. Results Twenty out of 49 members completed the first round and 18 completed the second round. The consensus was reached on 44/143 statements and 15/56 statements in the first and second round, respectively. The consensus was reached on criteria by which to phenotype OAB patients, the terminology relating to the first-, second- and third-line treatment, the duration of therapies, the chronological order, and the choice between therapies. No consensus was reached on the role of percutaneous tibial nerve stimulation (PTNS) in the treatment algorithm. Conclusions A flowchart reflecting the current attitude and approach of a Delphi expert panel towards the treatment of iOAB was developed. We propose its use in daily clinical practice to increase the standardization of OAB treatment.
Keywords
Urology, Clinical Neurology, consensus, Delphi technique, guideline, overactive, treatment algorithm, urinary bladder, URINARY-TRACT SYMPTOMS, DOUBLE-BLIND, INCONTINENCE, OAB, PLACEBO

Downloads

  • (...).pdf
    • full text (Published version)
    • |
    • UGent only
    • |
    • PDF
    • |
    • 1.42 MB

Citation

Please use this url to cite or link to this publication:

MLA
Ghijselings, Lynn, et al. “Development of a Flowchart Reflecting the Current Attitude and Approach towards Idiopathic Overactive Bladder Treatment in Belgium : A Delphi Study.” NEUROUROLOGY AND URODYNAMICS, 2020, doi:10.1002/nau.24421.
APA
Ghijselings, L., Hervé, F., Van der Aa, F., De Wachter, S., Pauwaert, K., Haddad, R., … Everaert, K. (2020). Development of a flowchart reflecting the current attitude and approach towards idiopathic overactive bladder treatment in Belgium : a Delphi study. NEUROUROLOGY AND URODYNAMICS. https://doi.org/10.1002/nau.24421
Chicago author-date
Ghijselings, Lynn, François Hervé, Frank Van der Aa, Stefan De Wachter, Kim Pauwaert, Rebecca Haddad, Dimitri Beeckman, Piet Pattyn, and Karel Everaert. 2020. “Development of a Flowchart Reflecting the Current Attitude and Approach towards Idiopathic Overactive Bladder Treatment in Belgium : A Delphi Study.” NEUROUROLOGY AND URODYNAMICS. https://doi.org/10.1002/nau.24421.
Chicago author-date (all authors)
Ghijselings, Lynn, François Hervé, Frank Van der Aa, Stefan De Wachter, Kim Pauwaert, Rebecca Haddad, Dimitri Beeckman, Piet Pattyn, and Karel Everaert. 2020. “Development of a Flowchart Reflecting the Current Attitude and Approach towards Idiopathic Overactive Bladder Treatment in Belgium : A Delphi Study.” NEUROUROLOGY AND URODYNAMICS. doi:10.1002/nau.24421.
Vancouver
1.
Ghijselings L, Hervé F, Van der Aa F, De Wachter S, Pauwaert K, Haddad R, et al. Development of a flowchart reflecting the current attitude and approach towards idiopathic overactive bladder treatment in Belgium : a Delphi study. NEUROUROLOGY AND URODYNAMICS. 2020;
IEEE
[1]
L. Ghijselings et al., “Development of a flowchart reflecting the current attitude and approach towards idiopathic overactive bladder treatment in Belgium : a Delphi study,” NEUROUROLOGY AND URODYNAMICS, 2020.
@article{8669637,
  abstract     = {Aims Idiopathic overactive bladder syndrome (iOAB) is a prevalent condition in urological practice. The variability in management between specialists and between centers remains high. Even existing guidelines contain inconsistencies. We aimed to develop a treatment algorithm for iOAB for use in daily clinical practice. Methods From October 2018 till November 2019, a Delphi study was conducted to obtain expert consensus on the management of iOAB. Members from the Belgian Working Group of Functional Urology were asked to rate online statements, based on gaps and variabilities between the American Urology Association (AUA), European Association of Urology (EAU) and International Consultation on Incontinence (ICI) guidelines on iOAB. The consensus was reached if >= 75% of the panel agreed on the level of appropriateness. Two Delphi rounds and an open discussion session were held. Results Twenty out of 49 members completed the first round and 18 completed the second round. The consensus was reached on 44/143 statements and 15/56 statements in the first and second round, respectively. The consensus was reached on criteria by which to phenotype OAB patients, the terminology relating to the first-, second- and third-line treatment, the duration of therapies, the chronological order, and the choice between therapies. No consensus was reached on the role of percutaneous tibial nerve stimulation (PTNS) in the treatment algorithm. Conclusions A flowchart reflecting the current attitude and approach of a Delphi expert panel towards the treatment of iOAB was developed. We propose its use in daily clinical practice to increase the standardization of OAB treatment.},
  author       = {Ghijselings, Lynn and Hervé, François and Van der Aa, Frank and De Wachter, Stefan and Pauwaert, Kim and Haddad, Rebecca and Beeckman, Dimitri and Pattyn, Piet and Everaert, Karel},
  issn         = {0733-2467},
  journal      = {NEUROUROLOGY AND URODYNAMICS},
  keywords     = {Urology,Clinical Neurology,consensus,Delphi technique,guideline,overactive,treatment algorithm,urinary bladder,URINARY-TRACT SYMPTOMS,DOUBLE-BLIND,INCONTINENCE,OAB,PLACEBO},
  language     = {eng},
  pages        = {15},
  title        = {Development of a flowchart reflecting the current attitude and approach towards idiopathic overactive bladder treatment in Belgium : a Delphi study},
  url          = {http://dx.doi.org/10.1002/nau.24421},
  year         = {2020},
}

Altmetric
View in Altmetric
Web of Science
Times cited: