Evidence map›Paper›PMID 30556626›Full record

Observational studyInternational journal of clinical practice2019

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

Tine Kold Olesen, Marie-Astrid Denys, An-Sophie Goessaert, Elke Bruneel, Veerle Decalf, Thibault Helleputte, Jerome Paul, Pierre Gramme, Karel Everaert

Abstract readObservational Study
In one paragraph

Observational study in International journal of clinical practice, 2019. 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
–field-weighted citation impact
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.

  1. Article
  2. Observational
  3. 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.

Tine Kold OlesenDepartment of Uro-gynaecology, Universiteit Gent Faculteit Geneeskunde en Gezondheidswetenschappen, Gent, Belgium.ORCID https://orcid.org/0000-0002-9544-4418
Marie-Astrid DenysDepartment of Uro-gynaecology, Universiteit Gent Faculteit Geneeskunde en Gezondheidswetenschappen, Gent, Belgium.
An-Sophie GoessaertDepartment of Uro-gynaecology, Universiteit Gent Faculteit Geneeskunde en Gezondheidswetenschappen, Gent, Belgium.
Elke BruneelDepartment of Uro-gynaecology, Universiteit Gent Faculteit Geneeskunde en Gezondheidswetenschappen, Gent, Belgium.
Veerle DecalfDepartment of Uro-gynaecology, Universiteit Gent Faculteit Geneeskunde en Gezondheidswetenschappen, Gent, Belgium.ORCID https://orcid.org/0000-0002-0357-9252
Thibault HelleputteDepartment of Uro-gynaecology, Universiteit Gent Faculteit Geneeskunde en Gezondheidswetenschappen, Gent, Belgium.
Jerome PaulDepartment of Uro-gynaecology, Universiteit Gent Faculteit Geneeskunde en Gezondheidswetenschappen, Gent, Belgium.
Pierre GrammeDepartment of Uro-gynaecology, Universiteit Gent Faculteit Geneeskunde en Gezondheidswetenschappen, Gent, Belgium.
Karel EveraertDepartment of Uro-gynaecology, Universiteit Gent Faculteit Geneeskunde en Gezondheidswetenschappen, Gent, Belgium.ORCID https://orcid.org/0000-0001-7173-2039

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe 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.

methodThis 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.

resultsThe 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.

conclusionRelevant 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.

Indexed as

Severity of Illness IndexAgedFemaleHumansLogistic ModelsLower Urinary Tract SymptomsMaleMiddle AgedNocturiaPredictive Value of TestsProspective Studies

Identifiers

PMID30556626
PMCPMC6767697

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Registered trials

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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.