The Association between Nocturia and Nocturnal Polyuria in Clinical and Epidemiological Studies: A Systematic Review and Meta-Analyses
2013; Lippincott Williams & Wilkins; Volume: 191; Issue: 4 Linguagem: Inglês
10.1016/j.juro.2013.10.100
ISSN1527-3792
AutoresIlse Hofmeester, Boudewijn J. Kollen, Martijn G. Steffens, Jackie Bosch, Marcus J. Drake, Jeffrey P. Weiss, Marco H. Blanker,
Tópico(s)Sexual function and dysfunction studies
ResumoNo AccessJournal of UrologyAdult Urology1 Apr 2014The Association between Nocturia and Nocturnal Polyuria in Clinical and Epidemiological Studies: A Systematic Review and Meta-Analyses Ilse Hofmeester, Boudewijn J. Kollen, Martijn G. Steffens, J.L.H. Ruud Bosch, Marcus J. Drake, Jeffrey P. Weiss, and Marco H. Blanker Ilse HofmeesterIlse Hofmeester Department of Urology, Isala Clinics, Zwolle, The Netherlands , Boudewijn J. KollenBoudewijn J. Kollen Department of General Practice, University of Groningen, University Medical Centre Groningen, Groningen, The Netherlands , Martijn G. SteffensMartijn G. Steffens Department of Urology, Isala Clinics, Zwolle, The Netherlands , J.L.H. Ruud BoschJ.L.H. Ruud Bosch Department of Urology, University Medical Centre Utrecht, Utrecht, The Netherlands , Marcus J. DrakeMarcus J. Drake Department of Urology, University of Bristol, Bristol, UK , Jeffrey P. WeissJeffrey P. Weiss Department of Urology, SUNY Downstate College of Medicine, Brooklyn, New York , and Marco H. BlankerMarco H. Blanker Department of General Practice, University of Groningen, University Medical Centre Groningen, Groningen, The Netherlands View All Author Informationhttps://doi.org/10.1016/j.juro.2013.10.100AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We determined the relationship between nocturia and nocturnal polyuria. Materials and Methods: The PubMed® and Embase® databases were searched for studies written in English, German, French or Dutch with original data on adult participants in an investigation of the relationship between nocturia and nocturnal polyuria. A meta-analysis of the difference in mean nocturnal voiding frequencies between patients with and without nocturnal polyuria was conducted. Nocturnal polyuria risk was compared between participants with and without nocturia, and the resulting odds ratio was subsequently converted to relative risk with 95% CIs. Results: From 511 references identified we selected 78 publications of 66 studies, 15 of which met the inclusion criteria for this study. Quality scores of studies were generally high for internal validity but low for external validity. In 7 studies (1,416 participants) we estimated a standardized mean difference of 0.59 (95% CI 0.29–0.89) for nocturnal voids between nocturnal polyuria and nonnocturnal polyuria cases. In 8 other studies (with 2,320 participants) we calculated a pooled OR of 4.99 (3.92–6.37) for nocturnal polyuria in individuals with nocturia. The corresponding RR, based on a nocturnal polyuria risk in the pooled population of 63.8%, was 1.41 (1.37–1.44). Conclusions: The association between nocturia and nocturnal polyuria is apparent and robust. However, the clinical importance of the association appears to be less obvious than previously suggested based on single studies. The observed high prevalence of nocturnal polyuria, as a result of the applied International Continence Society definition, may be responsible for this discrepancy. References 1 : A contemporary assessment of nocturia: definition, epidemiology, pathophysiology, and management–a systematic review and meta-analysis. Eur Urol2012; 62: 877. Google Scholar 2 : The association of depression, anxiety and nocturia: a systematic review. J Urol2013; 190: 953. Link, Google Scholar 3 : Evaluation of the etiology of nocturia in men: the nocturia and nocturnal bladder capacity indices. Neurourol Urodyn1999; 18: 559. Google Scholar 4 : The standardisation of terminology in nocturia: report from the Standardisation Sub-committee of the International Continence Society. Neurourol Urodyn2002; 21: 179. Google Scholar 5 : Pathophysiology and treatment of enuresis in adults. Scand J Urol Nephrol Suppl1999; 202: 36. Google Scholar 6 : Patterns of urine flow and electrolyte excretion in healthy elderly people. Br Med J (Clin Res Ed)1983; 287: 1665. Google Scholar 7 : The New England Research Institutes, Inc. (NERI) Nocturia Advisory Conference 2012: focus on outcomes of therapy. BJU Int2013; 111: 700. Google Scholar 8 : Nocturia frequency, bother, and quality of life: how often is too often? A population-based study in Finland. Eur Urol2010; 57: 488. Google Scholar 9 : Excessive nocturnal urine production is a major contributing factor to the etiology of nocturia. J Urol2011; 186: 1358. Link, Google Scholar 10 : Prevalence, incidence, and resolution of nocturnal polyuria in a longitudinal community-based study in older men: the Krimpen study. Eur Urol2013; 63: 542. Google Scholar 11 : Nocturnal polyuria in community-dwelling women. BJU Int2003; 93: 523. Google Scholar 12 : Prevalence of erectile dysfunction: a systematic review of population-based studies. Int J Impot Res2002; 14: 422. Google Scholar 13 : Tips for teachers of evidence-based medicine: understanding odds ratios and their relationship to risk ratios. J Gen Intern Med2008; 23: 635. Google Scholar 14 : Nocturia in the adult: classification on the basis of largest voided volume and nocturnal urine production. J Urol2000; 163: 777. Link, Google Scholar 15 : Differences between nocturics and non-nocturics in voiding patterns: an analysis of frequency-volume charts from community-dwelling elderly. BJU Int2003; 91: 45. Google Scholar 16 : Nocturia in patients with lower urinary tract symptoms: association with diurnal voiding patterns. BJU Int2004; 93: 1005. Google Scholar 17 : Analysis of nocturia with 24-h urine volume, nocturnal urine volume, nocturnal bladder capacity and length of sleep duration: concept for effective treatment modality. BJU Int2011; 107: 791. Google Scholar 18 : Obstructive sleep apnea in a Danish population of men and women aged 60-80 years with nocturia. J Clin Sleep Med2012; 8: 515. Google Scholar 19 : A prospective evaluation of the glomerular filtration rate in older adults with frequent nighttime urination. J Urol2002; 167: 146. Link, Google Scholar 20 : Nocturia and polyuria in men referred with lower urinary tract symptoms, assessed using a 7-day frequency-volume chart. BJU Int1999; 83: 1017. Google Scholar 21 : Multifactorial nature of male nocturia. Urology2006; 67: 541. Google Scholar 22 : Clinical efficacy of an alpha1A/D-adrenoceptor blocker (naftopidil) on overactive bladder symptoms in patients with benign prostatic hyperplasia. Int J Urol2006; 13: 15. Google Scholar 23 : Cutoff value of urinary arginine vasopressin for nocturnal polyuria in elderly men. Urology2007; 69: 98. Google Scholar 24 : Tamsulosin reduces nighttime urine production in benign prostatic hyperplasia patients with nocturnal polyuria: a prospective open-label long-term study using frequency-volume chart. Neurourol Urodyn2012; 31: 80. Google Scholar 25 : Effect of imidafenacin on nocturia and sleep disorder in patients with overactive bladder. Urol Int2012; 89: 215. Google Scholar 26 : Nocturnal polyuria and nocturia relief in patients treated with solifenacin for overactive bladder symptoms. Int Urogynecol J Pelvic Floor Dysfunct2007; 18: 737. Google Scholar 27 : Once nocturia, always nocturia? Natural history of nocturia in older men based on frequency-volume charts: the Krimpen study. J Urol2011; 186: 1956. Link, Google Scholar 28 : Determinants of nocturia: the Krimpen study. J Urol2014; 191: 1034. Link, Google Scholar © 2014 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byIto H, Young G, Lewis A, Blair P, Cotterill N, Lane J, Sakamaki K, Drake M and Abrams P (2020) Grading Severity and Bother Using the International Prostate Symptom Score and International Consultation on Incontinence Questionnaire Male Lower Urinary Tract Symptoms Score in Men Seeking Lower Urinary Tract Symptoms TherapyJournal of Urology, VOL. 204, NO. 5, (1003-1011), Online publication date: 1-Nov-2020.Wein A (2019) Re: Differential Nocturnal Diuresis Rates among Patients with and without Nocturnal Polyuria SyndromeJournal of Urology, VOL. 202, NO. 1, (39-40), Online publication date: 1-Jul-2019.Tyagi S, Perera S, Clarkson B, Tadic S and Resnick N (2016) Nocturnal Polyuria in Older Women with Urge Urinary Incontinence: Role of Sleep Quality, Time in Bed and Medications UsedJournal of Urology, VOL. 197, NO. 3 Part 1, (753-758), Online publication date: 1-Mar-2017. Volume 191 Issue 4 April 2014 Page: 1028-1033 Supplementary Materials Advertisement Copyright & Permissions© 2014 by American Urological Association Education and Research, Inc.KeywordspolyurianocturiareviewMetrics Author Information Ilse Hofmeester Department of Urology, Isala Clinics, Zwolle, The Netherlands Nothing to disclose. More articles by this author Boudewijn J. Kollen Department of General Practice, University of Groningen, University Medical Centre Groningen, Groningen, The Netherlands Nothing to disclose. More articles by this author Martijn G. Steffens Department of Urology, Isala Clinics, Zwolle, The Netherlands Nothing to disclose. More articles by this author J.L.H. Ruud Bosch Department of Urology, University Medical Centre Utrecht, Utrecht, The Netherlands Financial interest and/or other relationship with Ferring. More articles by this author Marcus J. Drake Department of Urology, University of Bristol, Bristol, UK Financial interest and/or other relationship with Allergan, Astellas, Ferring and Pfizer. More articles by this author Jeffrey P. Weiss Department of Urology, SUNY Downstate College of Medicine, Brooklyn, New York Financial interest and/or other relationship with Ferrring, Pfizer, Allergan, Astellas and Lilly. More articles by this author Marco H. Blanker Department of General Practice, University of Groningen, University Medical Centre Groningen, Groningen, The Netherlands Financial interest and/or other relationship with Ferring. More articles by this author Expand All Advertisement PDF downloadLoading ...
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