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Can we increase the value of data from bladder diaries? International Consultation on Incontinence—Research Society 2023

Liapis, Ilias; Gammie, Andrew; Mohamed-Ahmed, Rayan; Yates, Derick; Selai, Caroline; Cotterill, Nicky; Rantell, Angela; Toozs-Hobson, Philip

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Authors

Ilias Liapis

Andrew Gammie

Rayan Mohamed-Ahmed

Derick Yates

Caroline Selai

Profile image of Nikki Cotterill

N Nikki Cotterill Nikki.Cotterill@uwe.ac.uk
Professor in Long Term Conditions (Continence Care)

Angela Rantell

Philip Toozs-Hobson



Abstract

Background: Bladder diaries represent a fundamental component in the assessment of patients presenting with lower urinary tract symptoms. Nevertheless, their importance often remains underappreciated and undervalued within clinical practice. This paper aims to conduct a comprehensive review of the existing literature concerning the utility of bladder diaries, underscore the criticality of their precision, elucidate the factors contributing to noncompliance with bladder diary completion, and investigate potential strategies for enhancing patient compliance. Materials and Methods: A review of the English-language scientific literature available in the domains of Medline, Embase, Emcare, Midirs, and Cinahl was conducted. This was supplemented by discussion at the International Consultation on Incontinence Research Society Proposal session to define knowledge and identify gaps in knowledge surrounding the utility of bladder diaries. The existing evidence and outcome of the relevant discussion held in the meeting are presented. Results: Bladder diaries (BD) serve to characterize the nature and severity of storage lower urinary tract symptoms (LUTS) and provide an objective record of an individual's urination patterns. They aid in the refinement and customization of treatment strategies based on the clinical responses documented in the diary, optimizing treatment outcomes. Notably, both BD and urodynamic studies (UDS) play complementary yet distinct roles in LUTS evaluation. BD offers a more comprehensive and accessible approach to assessing specific storage LUTS, particularly due to their affordability and widespread availability, especially in resource-limited settings. Nevertheless, the absence of a standardized BD format across global healthcare systems presents a significant challenge. Despite being recognized as reliable, noninvasive, validated, and cost-effective tools for evaluating patients with LUTS, the implementation and completion of BD have proven to be complex. The introduction of automated bladder diaries heralds an era of precise, real-time data collection, potentially enhancing the patient–clinician relationship. Completion of bladder diaries depends on an array of individual, social, and healthcare-specific factors. Compliance with bladder diary completion could be enhanced with clear instructions, patient education, regular follow-ups and positive re-enforcement. This study has identified four critical areas for future research: Addressing healthcare disparities between affluent and developing nations, enhancing the current functionality and effectiveness of bladder diaries, exploring the feasibility of incorporating bladder diaries into the treatment and education process and improving the quality and functionality of existing bladder diaries. Conclusion: Bladder diaries play a pivotal role in the evaluation and management of patients with LUTS, providing a holistic perspective. When their complete potential is harnessed, they have the capacity to revolutionize the paradigm of LUTS management, ushering in a patient-centered era of care.

Journal Article Type Review
Acceptance Date Dec 13, 2023
Online Publication Date Dec 27, 2023
Publication Date Aug 1, 2024
Deposit Date Jan 2, 2024
Publicly Available Date Dec 28, 2024
Journal Neurourology and Urodynamics
Print ISSN 0733-2467
Electronic ISSN 1520-6777
Publisher Wiley
Peer Reviewed Not Peer Reviewed
Volume 43
Issue 6
Pages 1311-1320
DOI https://doi.org/10.1002/nau.25374
Keywords Urology; Neurology (clinical)
Public URL https://uwe-repository.worktribe.com/output/11546911
Additional Information Received: 2023-12-09; Accepted: 2023-12-13; Published: 2023-12-27

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This is the peer reviewed version of the following article: [Liapis, I., Gammie, A., Mohamed-Ahmed, R., Yates, D., Selai, C., Cotterill, N., …Toozs-Hobson, P. (in press). Can we increase the value of data from bladder diaries? International Consultation on Incontinence - Research Society 2023. Neurourology and Urodynamics], which has been published in final form at https://doi.org/10.1002/nau.25374. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. This article may not be enhanced, enriched or otherwise transformed into a derivative work, without express permission from Wiley or by statutory rights under applicable legislation. Copyright notices must not be removed, obscured or modified. The article must be linked to Wiley’s version of record on Wiley Online Library and any embedding, framing or otherwise making available the article or pages thereof by third parties from platforms, services and websites other than Wiley Online Library must be prohibited.


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Licence
http://www.rioxx.net/licenses/all-rights-reserved

Copyright Statement
This is the peer reviewed version of the following article: [Liapis, I., Gammie, A., Mohamed-Ahmed, R., Yates, D., Selai, C., Cotterill, N., …Toozs-Hobson, P. (in press). Can we increase the value of data from bladder diaries? International Consultation on Incontinence - Research Society 2023. Neurourology and Urodynamics], which has been published in final form at https://doi.org/10.1002/nau.25374. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. This article may not be enhanced, enriched or otherwise transformed into a derivative work, without express permission from Wiley or by statutory rights under applicable legislation. Copyright notices must not be removed, obscured or modified. The article must be linked to Wiley’s version of record on Wiley Online Library and any embedding, framing or otherwise making available the article or pages thereof by third parties from platforms, services and websites other than Wiley Online Library must be prohibited.





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