Recommendations for evaluation of neurogenic bladder and bowel dysfunction after spinal cord injury and/or disease

被引：81

作者：

Tate, Denise G. ^{[1
]}

Wheeler, Tracey ^{[2
]}

Lane, Giulia I. ^{[3
]}

Forchheimer, Martin ^{[1
]}

Anderson, Kim D. ^{[4
]}

Biering-Sorensen, Fin ^{[5
]}

Cameron, Anne P. ^{[3
]}

Santacruz, Bruno Gallo ^{[6
,7
]}

Jakeman, Lyn B. ^{[8
]}

Kennelly, Michael J. ^{[9
]}

Kirshblum, Steve ^{[10
]}

Krassioukov, Andrei ^{[11
]}

Krogh, Klaus ^{[12
]}

Mulcahey, M. J. ^{[13
]}

Noonan, Vanessa K. ^{[14
]}

Rodriguez, Gianna M. ^{[1
]}

Spungen, Ann M. ^{[15
]}

Tulsky, David ^{[16
]}

Post, Marcel W. ^{[17
,18
,19
]}

机构：

[1] Univ Michigan, Dept Phys Med & Rehabil, Ann Arbor, MI 48109 USA

[2] Craig H Neilsen Fdn, Encino, CA USA

[3] Univ Michigan, Dept Urol, Ann Arbor, MI 48109 USA

[4] Case Western Reserve Univ, Metro Hlth Med Ctr, Dept Phys Med & Rehabil, Cleveland, OH 44106 USA

[5] Univ Copenhagen, Clin Spinal Cord Injuries, Rigshosp, Copenhagen, Denmark

[6] Coloplast AS, Humlebaek, Denmark

[7] Radiometer Med, Bronshoj, Denmark

[8] NINDS, NIH, Bldg 36,Rm 4D04, Bethesda, MD 20892 USA

[9] Carolinas Med Ctr, Dept Urol, Charlotte, NC 28203 USA

[10] Rutgers New Jersey Med Sch, Kessler Fdn, Kessler Inst Rehabil, W Orange, NJ USA

[11] Univ British Columbia, Dept Med, ICORD, Vancouver, BC, Canada

[12] Aarhus Univ Hosp, Dept Gastroenterol & Hepatol, Dept Clin Med, Aarhus, Denmark

[13] Thomas Jefferson Univ, Jefferson Coll Rehabil Sci, Philadelphia, PA 19107 USA

[14] Rick Hansen Inst, Praxis Spinal Inst, Vancouver, BC, Canada

[15] James J Peters VA Med Ctr, VA RR&D Natl Ctr Excellence Med Consequences Spin, Bronx, NY USA

[16] Univ Delaware, Dept Phys Therapy & Psychol & Brain Sci, Newark, DE USA

[17] Univ Groningen, Univ Med Ctr Groningen, Dept Rehabil Med, Groningen, Netherlands

[18] Univ Utrecht, Univ Med Ctr Utrecht, UMC Brain Ctr, Ctr Excellence Rehabil Med, Utrecht, Netherlands

[19] De Hoogstraat, Utrecht, Netherlands

来源：

JOURNAL OF SPINAL CORD MEDICINE | 2020年 / 43卷 / 02期

关键词：

Spinal cord injury; Spinal cord disease; Neurogenic bladder; Neurogenic bowel; Clinical assessments; Self; report measures; Data sets; QUALITY-OF-LIFE; MULTIPLE-SCLEROSIS PATIENTS; KINGS HEALTH QUESTIONNAIRE; ANTERIOR ROOT STIMULATION; COLONIC TRANSIT TIMES; FOLLOW-UP; INTERNATIONAL STANDARDS; INDEPENDENCE MEASURE; NEUROLOGICAL CLASSIFICATION; GASTROINTESTINAL MOTILITY;

D O I：

10.1080/10790268.2019.1706033

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Objective: To provide an overview of clinical assessments and diagnostic tools, self-report measures (SRMs) and data sets used in neurogenic bladder and bowel (NBB) dysfunction and recommendations for their use with persons with spinal cord injury /disease (SCI/D). Methods: Experts in SCI/D conducted literature reviews, compiled a list of NBB related assessments and measures, reviewed their psychometric properties, discussed their use in SCI/D and issued recommendations for the National Institutes of Health (NIH), National Institute of Neurological Disorders and Stroke (NINDS) Common Data Elements (CDEs) guidelines. Results: Clinical assessments included 15 objective tests and diagnostic tools for neurogenic bladder and 12 for neurogenic bowel. Following a two-phase evaluation, eight SRMs were selected for final review with the Qualiveen and Short-Form (SF) Qualiveen and the Neurogenic Bowel Dysfunction Score (NBDS) being recommended as supplemental, highly-recommended due to their strong psychometrics and extensive use in SCI/D. Two datasets and other SRM measures were recommended as supplemental. Conclusion: There is no one single measure that can be used to assess NBB dysfunction across all clinical research studies. Clinical and diagnostic tools are here recommended based on specific medical needs of the person with SCI/D. Following the CDE for SCI studies guidelines, we recommend both the SF-Qualiveen for bladder and the NBDS for bowel as relatively short measures with strong psychometrics. Other measures are also recommended. A combination of assessment tools (objective and subjective) to be used jointly across the spectrum of care seems critical to best capture changes related to NBB and develop better treatments.

引用

页码：141 / 164

页数：24

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