Evidence map›Paper›PMID 29410891›Full record

ReviewCentral European journal of urology2017

Diagnostic and therapeutic recommendations for patients with nocturia.

Paweł Miotła, Jakub Dobruch, Marek Lipiński, Tomasz Drewa, Anna Kołodziej, Ewa Barcz, Włodzimierz Baranowski, Tomasz Rechberger, Piotr L Chłosta

Open access · greenAbstract readReview
In one paragraph

Review in Central European journal of urology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.0field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Article
  3. Author's Reply.Central European journal of urology · 2017
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Paweł MiotłaMedical University of Lublin, 2 Department of Gynaecology, Lublin, Poland.
Jakub DobruchDepartment of Urology, Postgraduate Medical Education Centre, Warsaw, Poland.
Marek Lipiński2 Department of Urology, Medical University of Łódź, Poland.
Tomasz DrewaDepartment of General and Oncologic Urology, Nicolaus Copernicus Hospital, Toruń, Poland.
Anna KołodziejUrology and Urologic Oncology Department, Wrocław Medical University, Poland.
Ewa BarczClinical Department of Obstetrics and Gynecology of the Medical University of Warsaw, Poland.
Włodzimierz BaranowskiDepartment of Gynaecological Oncology, St John's Oncological Centre, Lublin, Poland.
Tomasz RechbergerMedical University of Lublin, 2 Department of Gynaecology, Lublin, Poland.
Piotr L ChłostaDepartment of Urology, Jagiellonian University, Medical College, Cracow, Poland.
Jagiellonian University · PLPostgraduate School of Molecular Medicine · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionNocturia is defined as the urge to urinate at night when the micturition was directly preceded and followed by sleep. Due to its negative impact on the quality of life of patients, an effective treatment for this disease has become a significant therapeutic challenge. The aim of this article was to explain the main risk factors for the occurrence of nocturia and to present diagnostic and therapeutic schemes in the case of nocturnal polyuria (idiopathic night time polyuria). MATERIAL AND

methodsA review of the literature was carried out and the available guidelines of international science societies, which provided the basis for the above recommendations, were analyzed.

resultsDetailed medical history should include information concerning: lower urinary tract symptoms (including nocturia), underlying illnesses, urogenital disorders, previous surgeries and medications administered. Keeping a bladder diary is recommended. The physical examination, depending on the patient's gender, should include gynecological examination with pelvic organ prolapse assessment or prostate evaluation. In laboratory tests, a urinalysis may be used, in particular cases a cytological analysis of urine sediment may be carried out. In addition, a possible ultrasound and/or cystoscopy may be conducted. Nocturia therapy should begin with modifying dietary habits, including compliance with the fluid regimen, avoiding alcohol, coffee and tea. Moderate physical exercise is also recommended. The pharmacological treatment of nocturia caused by nocturnal polyuria is based on the use of desmopressin at a daily single dose of 25 µg for women and 50 µg for men. The use of desmopressin allows for the reduction in the number of nocturia episodes, as well as improves the overall quality of life and sleep. Treatment with desmopressin can also be considered as a form of therapy added in people with an overactive bladder or benign prostatic hyperplasia, in which nocturia is a significant clinical problem.

conclusionsDesmopressin is an effective and safe first-line treatment option in pharmacological therapy of nocturia caused by nocturnal polyuria.

Indexed as

benign prostate hyperplasiadesmopressinguidelinesnocturiaoveractive bladder

Identifiers

PMID29410891
PMCPMC5791408
OpenAlexW2973958858

What OpenQuestion holds

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LicenceCC BY-NC-SA
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.