지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 206 - 211 (6page)
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초록· 키워드
오류제보하기
Purpose: To identify factors associated with successful sacral nerve stimulator (SNS) trial after SNS implantation for the treatment of medication refractory overactive bladder (OAB). Methods: Patients undergoing treatment for OAB at Lahey Hospital and Medical Center between 2004 and 2016 were identified. Patients undergoing SNS placement were identified; SNS success was defined as permanent implantation of the SNS. Demographic, clinical and treatment data were extracted from patient charts; uni- and multivariate analyses were conducted to identify factors associated with SNS treatment success. Results: A total of 128 patients were included. On univariate analysis, male sex, prior diagnosis of benign prostatic hyperplasia, and lower volume at first urge on urodynamics (UDS) were associated with unsuccessful SNS trial. On multivariate analysis, male sex (odds ratio [OR], 0.145; 95% confidence interval [CI], 0.036–0.530) and lower volume at first urge on UDS (OR, 0.982; 95% CI, 0.967–0.995) were associated with unsuccessful SNS trial. A threshold value of 100 mL at first urge during preoperative UDS had a specificity of 0.86 in predicting SNS success in men. Conclusions: SNS is frequently successful at relieving OAB symptoms. Male patients and those with lower volumes at first urge on UDS, particularly below 100 mL, are more likely to have an unsuccessful SNS trial. Patients in these groups should be counseled on the lower likelihood of SNS success.
목차
등록된 정보가 없습니다.
참고문헌 (9)
참고문헌 신청
Eapen RS / 2016 / Review of the epidemiology of overactive bladder / Res Rep Urol 8:71~76
Gormley EA / 2015 / Diagnosis and treatment of overactive bladder (non-neurogenic) in adults: AUA/SUFU guideline amendment / J Urol 193:1572~1580
Herbison GP / 2009 / Sacral neuromodulation with implanted devices for urinary storage and voiding dysfunction in adults / Cochrane Database Syst Rev (2)
Robin X / 2011 / pROC: an open-source package for R and S+ to analyze and compare ROC curves / BMC Bioinformatics 12:77
0000 / The R Project for Statistical Computing [Internet]
Gormley EA / 2015 / Diagnosis and treatment of overactive bladder (non-neurogenic) in adults: AUA/SUFU guideline amendment / J Urol 193:1572~1580
Herbison GP / 2009 / Sacral neuromodulation with implanted devices for urinary storage and voiding dysfunction in adults / Cochrane Database Syst Rev (2)
Robin X / 2011 / pROC: an open-source package for R and S+ to analyze and compare ROC curves / BMC Bioinformatics 12:77
0000 / The R Project for Statistical Computing [Internet]
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