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Related Concept Videos

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The spinal cord is the body’s major nerve tract of the central nervous system, communicating afferent sensory information from the periphery to the brain and efferent motor information from the brain to the body. The human spinal cord extends from the hole at the base of the skull, or foramen magnum, to the level of the first or second lumbar vertebra.
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The spinal cord resides within the protective confines of the vertebral column. It is the main pathway for information traveling between the brain and the body. It plays a fundamental role in nearly all bodily functions, from simple reflexes to complex motor movements. The spinal cord begins at the medulla oblongata at the base of the brainstem and extends downward, terminating at the conus medullaris near the first and second lumbar vertebrae. The spinal cord's length in adults is...
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International spinal cord injury urodynamic basic data set (version 2.0).

Jürgen Pannek1, Michael Kennelly2, Thomas M Kessler3

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Summary

The International Spinal Cord Injury (SCI) Urodynamic Basic Data Set (version 2.0) has been updated with new terminology and adjusted parameters for improved urodynamic assessment in SCI patients.

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Area of Science:

  • Urology
  • Nephrology
  • Neurology

Background:

  • Standardized urodynamic assessment is crucial for managing spinal cord injury (SCI).
  • Previous versions of the SCI Urodynamic Basic Data Set required updates based on evolving clinical knowledge and expert consensus.
  • International collaboration is essential for developing globally applicable clinical datasets.

Purpose of the Study:

  • To revise and update the International Spinal Cord Injury (SCI) Urodynamic Basic Data Set to version 2.0.
  • To incorporate new knowledge and suggestions from international experts and organizations.
  • To present the finalized dataset for widespread adoption in clinical practice and research.

Main Methods:

  • A comprehensive revision process was undertaken, incorporating feedback from the International SCI Data Sets Committee, American Spinal Injury Association (ASIA), and International Spinal Cord Society (ISCoS).
  • The dataset was made accessible online via ASIA and ISCoS websites for broad review and comment.
  • All feedback was addressed, and necessary adjustments were made before final endorsement.

Main Results:

  • Adoption of updated terminology from the International Continence Society.
  • The 'Detrusor function' variable was refined into 'filling cystometry' and 'voiding' components.
  • Key parameters like 'Detrusor leak point pressure', 'Cystometric bladder capacity', and 'Urethral function' had 'Not applicable' response categories removed.
  • The cutoff value for low bladder compliance was revised from 10 mL/cm H2O to 20 mL/cm H2O.

Conclusions:

  • The revised International SCI Urodynamic Basic Data Set (version 2.0) offers an updated and refined tool for urodynamic assessment in SCI.
  • The complete syllabus and dataset are readily available online for clinical and research use.
  • Endorsement by major international organizations signifies the dataset's clinical relevance and utility.