关于神经源性逼尿肌过度活动患者治疗方法的最新共识

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-11-01 DOI:10.1016/j.acuro.2024.04.004

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引用次数: 0

摘要

引言和目标 2018 年发布了一份关于神经源性逼尿肌过度活动（NDO）患者管理的共识文件。本文件旨在根据现有的新证据更新其有关治疗的建议，并促进该疾病管理的标准化。方法采用的方法基于系统性回顾和提名小组技术。临床协调员（CC）和共识更新小组（CUG）确定了需要更新的问题，并进行了系统回顾，以确定现有的新证据。经专家组评估后，对相关建议进行了更新，并在共识会议上达成一致。CUG更新了18项关于NDO治疗方法的建议。结论由于新药物的出现、使用肉毒杆菌毒素或神经调控程序的证据不断增加以及新的手术选择，以前的建议需要进行修订。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Actualización del consenso sobre el abordaje terapéutico del paciente con hiperactividad neurógena del detrusor

Introduction and objectives

A Consensus document on the management of patients with neurogenic detrusor overactivity (NDO) was published in 2018. The present document aims to update its recommendations regarding treatment considering the new evidence available, and to contribute to the standardization of the management of this disorder.

Methods

The methodology used was based on a systematic review and the Nominal Group Technique. The clinical coordinator (CC) and the Consensus update group (CUG) defined the questions to be updated and carried out a systematic review to identify the new available evidence. After being evaluated by the expert panel, the relevant recommendations were updated and agreed in a consensus meeting.

Results

A total of 3,210 publications were identified and 26 publications that met the inclusion criteria were included. The CUG updated 18 recommendations on the therapeutic approach to NDO. Unanimous consensus was reached on all of them.

Conclusions

Previous recommendations need to be revised due to the availability of new drugs, the increasing evidence on the use of botulinum toxin or neuromodulation procedures, and new surgical options.

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.