Upper urinary tract abnormalities in multiple sclerosis patients with urinary symptoms
Objective: To determine the prevalence of upper urinary tract complications in multiple sclerosis (MS) patients with urinary symptoms, and to determine if an association exists between degree of physical impairment and upper urinary tract complications. Design and Setting: A cohort study of MS patie...
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| Veröffentlicht in: | Archives of physical medicine and rehabilitation 1996-03, Vol.77 (3), p.247-251 |
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| container_title | Archives of physical medicine and rehabilitation |
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| creator | Sliwa, James A. Bell, Hollis K. Mason, Kristin D. Gore, Richard M. Nanninga, John Cohen, Bruce |
| description | Objective: To determine the prevalence of upper urinary tract complications in multiple sclerosis (MS) patients with urinary symptoms, and to determine if an association exists between degree of physical impairment and upper urinary tract complications.
Design and Setting: A cohort study of MS patients seeking treatment at a freestanding, university-affiliated rehabilitation hospital.
Participants: A referred sample of 48 patients with MS, exacerbation-free for 6 months with symptoms of neurogenic bladder dysfunction. For each patient, demographic data, disease characteristics, and urologic history was obtained. Using the Kurtzke Expanded Disability Status Scale (EDSS), participants were divided into a control (EDSS < 7) and study (EDSS ≥) group.
Intervention: Ultrasound examination of the upper urinary tract.
Main Outcome Measure: Significant MS-related abnormalities of the upper urinary tract.
Results: Ten of 48 patients (21%) had significant MS-related upper urinary tract abnormalities, which were evenly distributed between control and study groups. In the more disabled study group, abnormalities were associated with the symptom of urinary hesitancy (
p < .05) and form of bladder management (
p < .05).
Conclusion: Routine screening for upper urinary tract complications appears indicated in a select group of MS patients with urinary symptoms. |
| doi_str_mv | 10.1016/S0003-9993(96)90106-9 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_77984543</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0003999396901069</els_id><sourcerecordid>77984543</sourcerecordid><originalsourceid>FETCH-LOGICAL-c389t-f1ad2987a710fa9425ca91e19b7fce5274ef64534b6deb86ddb711d5768557a93</originalsourceid><addsrcrecordid>eNqFkE1LHTEUhkNR9Nb2JwizEGkXo8lkkkxWIpe2CoILa-kuZDJnMDJf5mSU--_N9V5m6yoc3ufkvDyEnDJ6wSiTlw-UUp5rrfkPLX9qyqjM9ReyYoIXeVWw_wdktSDH5Cvicxql4OyIHFWS0krKFfn3OE0Qsjn4wYZNFoN1MbP1MIbedj56wMwPWT930U8dZOg6CCN6zCabwiFi9ubj07KPm36KY4_fyGFrO4Tv-_eEPP7-9Xd9k9_d_7ldX9_ljlc65i2zTaErZRWjrdVlIZzVDJiuVetAFKqEVpaCl7VsoK5k09SKsUYoWQmhrOYn5Hz37xTGlxkwmt6jg66zA4wzGqV0VYqSJ1DsQJfqY4DWTMH3qbJh1Gx9mg-fZivLaGk-fJrtgdP9gbnuoVm29gJTfrbPLTrbtcEOzuOCcVporUTCrnYYJBmvHoJBl_Q5aHwAF00z-k-KvAOYoJO7</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>77984543</pqid></control><display><type>article</type><title>Upper urinary tract abnormalities in multiple sclerosis patients with urinary symptoms</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><source>EZB-FREE-00999 freely available EZB journals</source><creator>Sliwa, James A. ; Bell, Hollis K. ; Mason, Kristin D. ; Gore, Richard M. ; Nanninga, John ; Cohen, Bruce</creator><creatorcontrib>Sliwa, James A. ; Bell, Hollis K. ; Mason, Kristin D. ; Gore, Richard M. ; Nanninga, John ; Cohen, Bruce</creatorcontrib><description>Objective: To determine the prevalence of upper urinary tract complications in multiple sclerosis (MS) patients with urinary symptoms, and to determine if an association exists between degree of physical impairment and upper urinary tract complications.
Design and Setting: A cohort study of MS patients seeking treatment at a freestanding, university-affiliated rehabilitation hospital.
Participants: A referred sample of 48 patients with MS, exacerbation-free for 6 months with symptoms of neurogenic bladder dysfunction. For each patient, demographic data, disease characteristics, and urologic history was obtained. Using the Kurtzke Expanded Disability Status Scale (EDSS), participants were divided into a control (EDSS < 7) and study (EDSS ≥) group.
Intervention: Ultrasound examination of the upper urinary tract.
Main Outcome Measure: Significant MS-related abnormalities of the upper urinary tract.
Results: Ten of 48 patients (21%) had significant MS-related upper urinary tract abnormalities, which were evenly distributed between control and study groups. In the more disabled study group, abnormalities were associated with the symptom of urinary hesitancy (
p < .05) and form of bladder management (
p < .05).
Conclusion: Routine screening for upper urinary tract complications appears indicated in a select group of MS patients with urinary symptoms.</description><identifier>ISSN: 0003-9993</identifier><identifier>EISSN: 1532-821X</identifier><identifier>DOI: 10.1016/S0003-9993(96)90106-9</identifier><identifier>PMID: 8600866</identifier><identifier>CODEN: APMHAI</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Activities of Daily Living ; Adult ; Aged ; Biological and medical sciences ; Case-Control Studies ; Cohort Studies ; Disabled Persons ; Female ; Humans ; Male ; Mass Screening ; Medical sciences ; Middle Aged ; Multiple Sclerosis - classification ; Multiple Sclerosis - complications ; Multiple Sclerosis - rehabilitation ; Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis ; Neurology ; Prevalence ; Recurrence ; Ultrasonography ; Urologic Diseases - diagnostic imaging ; Urologic Diseases - etiology</subject><ispartof>Archives of physical medicine and rehabilitation, 1996-03, Vol.77 (3), p.247-251</ispartof><rights>1996</rights><rights>1996 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c389t-f1ad2987a710fa9425ca91e19b7fce5274ef64534b6deb86ddb711d5768557a93</citedby><cites>FETCH-LOGICAL-c389t-f1ad2987a710fa9425ca91e19b7fce5274ef64534b6deb86ddb711d5768557a93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0003999396901069$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3029975$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8600866$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sliwa, James A.</creatorcontrib><creatorcontrib>Bell, Hollis K.</creatorcontrib><creatorcontrib>Mason, Kristin D.</creatorcontrib><creatorcontrib>Gore, Richard M.</creatorcontrib><creatorcontrib>Nanninga, John</creatorcontrib><creatorcontrib>Cohen, Bruce</creatorcontrib><title>Upper urinary tract abnormalities in multiple sclerosis patients with urinary symptoms</title><title>Archives of physical medicine and rehabilitation</title><addtitle>Arch Phys Med Rehabil</addtitle><description>Objective: To determine the prevalence of upper urinary tract complications in multiple sclerosis (MS) patients with urinary symptoms, and to determine if an association exists between degree of physical impairment and upper urinary tract complications.
Design and Setting: A cohort study of MS patients seeking treatment at a freestanding, university-affiliated rehabilitation hospital.
Participants: A referred sample of 48 patients with MS, exacerbation-free for 6 months with symptoms of neurogenic bladder dysfunction. For each patient, demographic data, disease characteristics, and urologic history was obtained. Using the Kurtzke Expanded Disability Status Scale (EDSS), participants were divided into a control (EDSS < 7) and study (EDSS ≥) group.
Intervention: Ultrasound examination of the upper urinary tract.
Main Outcome Measure: Significant MS-related abnormalities of the upper urinary tract.
Results: Ten of 48 patients (21%) had significant MS-related upper urinary tract abnormalities, which were evenly distributed between control and study groups. In the more disabled study group, abnormalities were associated with the symptom of urinary hesitancy (
p < .05) and form of bladder management (
p < .05).
Conclusion: Routine screening for upper urinary tract complications appears indicated in a select group of MS patients with urinary symptoms.</description><subject>Activities of Daily Living</subject><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Case-Control Studies</subject><subject>Cohort Studies</subject><subject>Disabled Persons</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Mass Screening</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Multiple Sclerosis - classification</subject><subject>Multiple Sclerosis - complications</subject><subject>Multiple Sclerosis - rehabilitation</subject><subject>Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis</subject><subject>Neurology</subject><subject>Prevalence</subject><subject>Recurrence</subject><subject>Ultrasonography</subject><subject>Urologic Diseases - diagnostic imaging</subject><subject>Urologic Diseases - etiology</subject><issn>0003-9993</issn><issn>1532-821X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE1LHTEUhkNR9Nb2JwizEGkXo8lkkkxWIpe2CoILa-kuZDJnMDJf5mSU--_N9V5m6yoc3ufkvDyEnDJ6wSiTlw-UUp5rrfkPLX9qyqjM9ReyYoIXeVWw_wdktSDH5Cvicxql4OyIHFWS0krKFfn3OE0Qsjn4wYZNFoN1MbP1MIbedj56wMwPWT930U8dZOg6CCN6zCabwiFi9ubj07KPm36KY4_fyGFrO4Tv-_eEPP7-9Xd9k9_d_7ldX9_ljlc65i2zTaErZRWjrdVlIZzVDJiuVetAFKqEVpaCl7VsoK5k09SKsUYoWQmhrOYn5Hz37xTGlxkwmt6jg66zA4wzGqV0VYqSJ1DsQJfqY4DWTMH3qbJh1Gx9mg-fZivLaGk-fJrtgdP9gbnuoVm29gJTfrbPLTrbtcEOzuOCcVporUTCrnYYJBmvHoJBl_Q5aHwAF00z-k-KvAOYoJO7</recordid><startdate>19960301</startdate><enddate>19960301</enddate><creator>Sliwa, James A.</creator><creator>Bell, Hollis K.</creator><creator>Mason, Kristin D.</creator><creator>Gore, Richard M.</creator><creator>Nanninga, John</creator><creator>Cohen, Bruce</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19960301</creationdate><title>Upper urinary tract abnormalities in multiple sclerosis patients with urinary symptoms</title><author>Sliwa, James A. ; Bell, Hollis K. ; Mason, Kristin D. ; Gore, Richard M. ; Nanninga, John ; Cohen, Bruce</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c389t-f1ad2987a710fa9425ca91e19b7fce5274ef64534b6deb86ddb711d5768557a93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Activities of Daily Living</topic><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Case-Control Studies</topic><topic>Cohort Studies</topic><topic>Disabled Persons</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Mass Screening</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Multiple Sclerosis - classification</topic><topic>Multiple Sclerosis - complications</topic><topic>Multiple Sclerosis - rehabilitation</topic><topic>Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis</topic><topic>Neurology</topic><topic>Prevalence</topic><topic>Recurrence</topic><topic>Ultrasonography</topic><topic>Urologic Diseases - diagnostic imaging</topic><topic>Urologic Diseases - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sliwa, James A.</creatorcontrib><creatorcontrib>Bell, Hollis K.</creatorcontrib><creatorcontrib>Mason, Kristin D.</creatorcontrib><creatorcontrib>Gore, Richard M.</creatorcontrib><creatorcontrib>Nanninga, John</creatorcontrib><creatorcontrib>Cohen, Bruce</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of physical medicine and rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sliwa, James A.</au><au>Bell, Hollis K.</au><au>Mason, Kristin D.</au><au>Gore, Richard M.</au><au>Nanninga, John</au><au>Cohen, Bruce</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Upper urinary tract abnormalities in multiple sclerosis patients with urinary symptoms</atitle><jtitle>Archives of physical medicine and rehabilitation</jtitle><addtitle>Arch Phys Med Rehabil</addtitle><date>1996-03-01</date><risdate>1996</risdate><volume>77</volume><issue>3</issue><spage>247</spage><epage>251</epage><pages>247-251</pages><issn>0003-9993</issn><eissn>1532-821X</eissn><coden>APMHAI</coden><abstract>Objective: To determine the prevalence of upper urinary tract complications in multiple sclerosis (MS) patients with urinary symptoms, and to determine if an association exists between degree of physical impairment and upper urinary tract complications.
Design and Setting: A cohort study of MS patients seeking treatment at a freestanding, university-affiliated rehabilitation hospital.
Participants: A referred sample of 48 patients with MS, exacerbation-free for 6 months with symptoms of neurogenic bladder dysfunction. For each patient, demographic data, disease characteristics, and urologic history was obtained. Using the Kurtzke Expanded Disability Status Scale (EDSS), participants were divided into a control (EDSS < 7) and study (EDSS ≥) group.
Intervention: Ultrasound examination of the upper urinary tract.
Main Outcome Measure: Significant MS-related abnormalities of the upper urinary tract.
Results: Ten of 48 patients (21%) had significant MS-related upper urinary tract abnormalities, which were evenly distributed between control and study groups. In the more disabled study group, abnormalities were associated with the symptom of urinary hesitancy (
p < .05) and form of bladder management (
p < .05).
Conclusion: Routine screening for upper urinary tract complications appears indicated in a select group of MS patients with urinary symptoms.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>8600866</pmid><doi>10.1016/S0003-9993(96)90106-9</doi><tpages>5</tpages></addata></record> |
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| ispartof | Archives of physical medicine and rehabilitation, 1996-03, Vol.77 (3), p.247-251 |
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| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals; EZB-FREE-00999 freely available EZB journals |
| subjects | Activities of Daily Living Adult Aged Biological and medical sciences Case-Control Studies Cohort Studies Disabled Persons Female Humans Male Mass Screening Medical sciences Middle Aged Multiple Sclerosis - classification Multiple Sclerosis - complications Multiple Sclerosis - rehabilitation Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis Neurology Prevalence Recurrence Ultrasonography Urologic Diseases - diagnostic imaging Urologic Diseases - etiology |
| title | Upper urinary tract abnormalities in multiple sclerosis patients with urinary symptoms |
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