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ArticleInternational urology and nephrology2025

Prediction of nocturnal polyuria in patients with nocturia based on voiding frequency.

Teppei Nishiwaki, Kota Kawase, Yoshinori Nishino, Kanako Matsuoka, Tatsuya Ihara, Shunta Makabe, Ryo Tanji, Yuki Harigane, Kenichiro Ishida, Masayoshi Tamaki and 14 more

Abstract readMulticenter Study
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In one paragraph

Article in International urology and nephrology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

24 authors.

Teppei NishiwakiDepartment of Urology, Graduate School Of Medicine, Gifu University, 1-1, Yanagido, Gifu, Gifu, 501-1194, Japan.
Kota KawaseDepartment of Urology, Graduate School Of Medicine, Gifu University, 1-1, Yanagido, Gifu, Gifu, 501-1194, Japan. kawase.kota.b5@f.gifu-u.ac.jp.
Yoshinori NishinoNishino Clinic, 1-55-2 Mitsuicho, Kagamihara, Gifu, 504-0941, Japan.
Kanako MatsuokaDepartment of Urology, Fukushima Medical University, 1 Hikariga-Oka, Fukushima, 960-1295, Japan.
Tatsuya IharaDepartment of Urology, University of Yamanashi Graduate School of Medical Sciences, 1110 Shimokato, Chuo, Yamanashi, 409-3898, Japan.
Shunta MakabeDepartment of Urology, Ohara General Hospital, 6-1 Uwamachi, Fukushima, Fukushima, 960-8611, Japan.
Ryo TanjiDepartment of Urology, Japanese Red Cross Fukushima Hospital, 7-7 Yashimacho, Fukushima, Fukushima, 960-8530, Japan.
Yuki HariganeDepartment of Urology, Ohata Nishinouchi Hospital, 2-5-20, Nishinouchi, Koriyama, Fukushima, 963-8558, Japan.
Kenichiro IshidaDepartment of Urology, Gifu Prefectural General Medical Center, 4-6-1 Noishiki, Gifu, Gifu, 500-8717, Japan.
Masayoshi TamakiDepartment of Urology, Gifu Municipal Hospital, 7-1 Kashimacho, Gifu, Gifu, 500-8513, Japan.
Hiroki HoshinoDepartment of Urology, Ogaki Municipal Hospital, 4-86 Minaminokawacho, Ogaki, Gifu, 503-8502, Japan.
Kazuya YuharaDepartment of Urology, Japanese Red Cross Takayama Hospital, 3-11 Tenmacho, Takayama, Gifu, 506-8550, Japan.
Toru YamadaDepartment of Urology, Tokai Central Hospital, 4-6-2 Soharahigashijimacho, Kagamihara, Gifu, 504-8601, Japan.
Kousei MiwaDepartment of Urology, Japanese Red Cross Gifu Hospital, 3-36 Iwakuracho, Gifu, Gifu, 502-8511, Japan.
Mina KikuchiSugo Clinic, 1-10-16 Sugo, Gifu, Gifu, 502-0914, Japan.
Masayuki TomiokaDepartment of Urology, Graduate School Of Medicine, Gifu University, 1-1, Yanagido, Gifu, Gifu, 501-1194, Japan.
Tomoki TaniguchiDepartment of Urology, Graduate School Of Medicine, Gifu University, 1-1, Yanagido, Gifu, Gifu, 501-1194, Japan.
Makoto KawaseDepartment of Urology, Graduate School Of Medicine, Gifu University, 1-1, Yanagido, Gifu, Gifu, 501-1194, Japan.
Koji IinumaDepartment of Urology, Graduate School Of Medicine, Gifu University, 1-1, Yanagido, Gifu, Gifu, 501-1194, Japan.
Yuki TobisawaDepartment of Urology, Graduate School Of Medicine, Gifu University, 1-1, Yanagido, Gifu, Gifu, 501-1194, Japan.
Keita NakaneDepartment of Urology, Graduate School Of Medicine, Gifu University, 1-1, Yanagido, Gifu, Gifu, 501-1194, Japan.
Yoshiyuki KojimaDepartment of Urology, Fukushima Medical University, 1 Hikariga-Oka, Fukushima, 960-1295, Japan.
Takahiko MitsuiDepartment of Urology, University of Yamanashi Graduate School of Medical Sciences, 1110 Shimokato, Chuo, Yamanashi, 409-3898, Japan.
Takuya KoieDepartment of Urology, Graduate School Of Medicine, Gifu University, 1-1, Yanagido, Gifu, Gifu, 501-1194, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo examine daytime voiding patterns in patients with nocturnal polyuria (NP) and identify a novel predictive indicator based on voiding frequency ratios.

methodsA retrospective analysis of 875 patients with nocturia from 17 Japanese institutions (January 2018-December 2022) was conducted. Patients were divided into two groups based on the nocturnal polyuria index (NPi) > 33% (NP) or ≤ 33% (non-NP). Daytime and nighttime voiding frequencies and volumes were collected from bladder diaries. The correlation between the NPi and voiding parameters was assessed using Spearman's rank correlation. Receiver operating characteristic (ROC) curve analysis was performed to evaluate the predictive ability of the nighttime-to-24-h voiding frequency ratio for NP.

resultsPatients with NP urinated significantly less frequently and produced more urine during the day than those without NP (p < 0.001). The ratio of nocturnal to 24-h voiding frequency showed a significant positive correlation with NPi (r = 0.38, p < 0.001) and was the strongest predictor of NP. ROC curve analysis showed that this ratio could predict NP, with an area under the curve (AUC) of 0.79. A cutoff value of 0.23 yielded 75% sensitivity and 68% specificity for predicting NP.

conclusionsThis study demonstrates that patients with NP exhibit significantly reduced daytime voiding frequency and urine volume compared with those without NP. The nighttime-to-24-h voiding is useful for roughly predicting NP at the time of the initial consultation and has the potential to become more practical and accurate with further accumulation of data and research.

Indexed as

NocturiaPolyuriaUrinationAgedFemaleHumansMaleMiddle AgedPredictive Value of TestsRetrospective StudiesBladder diaryNocturiaNocturnal polyuriaNocturnal polyuria indexVoiding frequency

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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.