Evidence map›Paper›PMID 35197572›Full record

ArticleSpinal cord2022

What do X-ray images of the bladder during video urodynamics show us in patients with spinal cord injury?

Jean Jacques Wyndaele, Michel Wyndaele, Christina-Anastasia Rapidi, Andrei Krassioukov

Abstract read
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In one paragraph

Article in Spinal cord, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.7field-weighted citation impact, top 34% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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

4 authors at 4 institutions in 4 countries.

Jean Jacques WyndaeleUniversity Antwerp, Antwerp, Belgium. Wyndaelejj@skynet.be.ORCID 0000-0002-0879-6854
Michel WyndaeleUMC Utrecht, Utrecht, The Netherlands.
Christina-Anastasia RapidiGeneral Hospital "G.Gennimatas", Athens, Greece.ORCID 0000-0003-3340-1444
Andrei KrassioukovUniversity of British Columbia, Vancouver, BC, Canada.ORCID 0000-0002-0022-7972
General Hospital of Athens G. Genimatas · GRUniversity of Antwerp · BEUniversity of British Columbia · CAUtrecht University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designRetrospective anonymized cohort study.

objectivesTo study X-ray images of video urodynamics (VUD) in patients with spinal cord injury (SCI).

settingSingle-center study.

methodsX-ray images during VUD were categorized. Relation with the American Spinal Injury Association Impairment Scale (AIS), time since and level of SCI, cystometric data, method of bladder management, findings of flexible cystoscopy, and renal ultrasound were evaluated. Changes over time were studied.

resultsIn 231 consecutive patients, VUD was done at a mean of 8.5 years after SCI. X3-ray bladder appearance was categorized as normal/standard, tonic, or flaccid. In 19 patients, specific findings were seen: diverticula, cystocele, vesicoureteral reflux. X-ray images differed by maximum cystometric capacity, presence of neurogenic detrusor overactivity, and maximum detrusor pressure during detrusor overactivity, but not by bladder compliance. There was no difference in the categories found in different levels and completeness of SCI. In the 23 patients able to void no pathology was seen on urethral images. Renal ultrasound was normal in >99%. In 86 patients, repeated testing after 72 ± 143 weeks showed changed findings in 30%. Cystoscopy showed significantly more local pathologies.

conclusionComplications in the lower urinary tract were seen on imaging only in a limited number of our cohort. As our findings represent a real-life example of the actual yield of VUD in patients with neurogenic bladder due to SCI treated following the international guidelines, further multicentre evaluation is needed to determine when imaging should be used or not.

Indexed as

Spinal Cord InjuriesUrinary Bladder, NeurogenicUrinary Bladder, OveractiveCohort StudiesFemaleHumansMaleRetrospective StudiesUrinary BladderUrodynamicsX-Rays

Identifiers

PMID35197572
OpenAlexW4214539144

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.