Recommendations for urological follow-up of patients with neurogenic bladder secondary to spinal cord injury

Recommendations for urological follow-up of patients with neurogenic bladder secondary to spinal... Purpose To review currently available guidelines and recommendations regarding urological follow-up of patients after spinal cord injury (SCI) and present an evidence-based summary to support clinicians in their clinical practice. Methods Maximum data were collected according to different methods, including searches with multiple and specific key - words, reference checks, gray literature searches (congress reports, working papers, statement documents), and browsing- related Web site access. Obtained data were analyzed with the modified version of the Oxford grading system for recom - mendations using levels of evidence (LE) and grades of recommendation (GR). Results Different surveillance strategies exist, but there is no consensus among authors and organizations. As a result, prac - tice patterns vary around the world. The present review indicates that proper urological follow-up of SCI patients should consist of medical history (LE 1-4, GR B-C), clinical examination (LE 4, GR C), renal laboratory tests (LE 1-3, GR B), imaging surveillance of the upper urinary tract (LE 1-3, GR A-B), urodynamic study (LE 2-4, GR B-C), and cystoscopy/ cytology (LE 1-4, GR D). Clinicians agree that SCI patients should be followed up regularly with an individually tailored approach. A 1-year follow-up schedule seems reasonable in SCI patients without http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png International Urology and Nephrology Springer Journals

Recommendations for urological follow-up of patients with neurogenic bladder secondary to spinal cord injury

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Publisher
Springer Journals
Copyright
Copyright © 2018 by Springer Science+Business Media B.V., part of Springer Nature
Subject
Medicine & Public Health; Nephrology; Urology
ISSN
0301-1623
eISSN
1573-2584
D.O.I.
10.1007/s11255-018-1852-7
Publisher site
See Article on Publisher Site

Abstract

Purpose To review currently available guidelines and recommendations regarding urological follow-up of patients after spinal cord injury (SCI) and present an evidence-based summary to support clinicians in their clinical practice. Methods Maximum data were collected according to different methods, including searches with multiple and specific key - words, reference checks, gray literature searches (congress reports, working papers, statement documents), and browsing- related Web site access. Obtained data were analyzed with the modified version of the Oxford grading system for recom - mendations using levels of evidence (LE) and grades of recommendation (GR). Results Different surveillance strategies exist, but there is no consensus among authors and organizations. As a result, prac - tice patterns vary around the world. The present review indicates that proper urological follow-up of SCI patients should consist of medical history (LE 1-4, GR B-C), clinical examination (LE 4, GR C), renal laboratory tests (LE 1-3, GR B), imaging surveillance of the upper urinary tract (LE 1-3, GR A-B), urodynamic study (LE 2-4, GR B-C), and cystoscopy/ cytology (LE 1-4, GR D). Clinicians agree that SCI patients should be followed up regularly with an individually tailored approach. A 1-year follow-up schedule seems reasonable in SCI patients without

Journal

International Urology and NephrologySpringer Journals

Published: Mar 22, 2018

References

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