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Create a predictive model for neurogenic bladder patients: upper urinary tract damage predictive nomogram.

Wenqiang Wang1, Hengying Fang2, Peng Xie3

  • 1Department of Nursing, Shenzhen Hospital, Southern Medical University , Shenzhen , China.

The International Journal of Neuroscience
|August 13, 2019
PubMed
Summary
This summary is machine-generated.

This study developed a nomogram to predict upper urinary tract damage (UUTD) in patients with neurogenic bladder (NGB). The tool effectively identifies patients at risk, aiding in early intervention for NGB complications.

Keywords:
Upper urinary tract damageneurogenic bladdernomogrampredictive model

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Area of Science:

  • Urology
  • Nephrology
  • Medical Informatics

Background:

  • Neurogenic bladder (NGB) poses a significant risk for upper urinary tract damage (UUTD).
  • Accurate risk stratification is crucial for timely intervention and management of NGB complications.
  • Existing predictive tools for UUTD in NGB patients may lack comprehensive validation.

Purpose of the Study:

  • To develop and validate a predictive nomogram for upper urinary tract damage (UUTD) in patients with neurogenic bladder (NGB).
  • To identify key clinical, urodynamic, and demographic factors associated with UUTD risk in NGB.
  • To provide a clinically applicable tool for assessing UUTD risk in NGB patients.

Main Methods:

  • Retrospective analysis of 301 neurogenic bladder patients.
  • Utilized Least Absolute Shrinkage and Selection Operator (LASSO) regression for predictor selection.
  • Developed a multivariate logistic regression model and validated it using bootstrap and decision curve analysis (DCA).

Main Results:

  • The final nomogram included sex, disease duration, history of urinary tract infection (UTI), bladder compliance, and fecal incontinence.
  • The nomogram demonstrated good predictive discrimination (C-index: 0.796) and calibration.
  • Internal validation (C-index: 0.787) and DCA confirmed the nomogram's clinical utility.

Conclusions:

  • The developed nomogram is a valuable tool for predicting upper urinary tract damage risk in neurogenic bladder patients.
  • Incorporating factors like bladder compliance and fecal incontinence improves UUTD risk assessment.
  • This nomogram can aid clinicians in proactive management and prevention strategies for NGB-related UUTD.