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dc.contributor.authorPang, Karl H.
dc.contributor.authorCampi, Riccardo
dc.contributor.authorArlandis, Salvador
dc.contributor.authorBø, Kari
dc.contributor.authorChapple, Christopher R.
dc.contributor.authorCostantini, Elisabetta
dc.contributor.authorFarag, Fawzy
dc.contributor.authorGroen, Jan
dc.contributor.authorKaravitakis, Markos
dc.contributor.authorLapitan, Marie Carmela
dc.contributor.authorManso, Margarida
dc.contributor.authorArteaga, Serenella Monagas
dc.contributor.authorNambiar, Arjun K.
dc.contributor.authorNic An Ríogh, Aisling
dc.contributor.authorO'Connor, Eabhann
dc.contributor.authorOsman, Nadir I.
dc.contributor.authorPeyronnet, Benoit
dc.contributor.authorPhé, Véronique
dc.contributor.authorSakalis, Vasileios I.
dc.contributor.authorSihra, Néha
dc.contributor.authorTzelves, Lazaros
dc.contributor.authorvan der Vaart, Huub
dc.contributor.authorYuan, Yuhong
dc.contributor.authorOmar, Muhammad Imran
dc.contributor.authorHarding, Christopher
dc.date.accessioned2022-09-15T11:19:40Z
dc.date.available2022-09-15T11:19:40Z
dc.date.created2021-09-17T10:51:52Z
dc.date.issued2021
dc.identifier.citationEuropean Urology Focus. 2021.en_US
dc.identifier.issn2405-4569
dc.identifier.urihttps://hdl.handle.net/11250/3018029
dc.descriptionI Brage finner du siste tekst-versjon av artikkelen, og den kan inneholde ubetydelige forskjeller fra forlagets pdf-versjon. Forlagets pdf-versjon finner du på sciencedirect.com / In Brage you'll find the final text version of the article, and it may contain insignificant differences from the journal's pdf version. The definitive version is available at sciencedirect.com.en_US
dc.description.abstractContext: Female bladder outlet obstruction (fBOO) is a relatively uncommon condition compared with its male counterpart. Several criteria have been proposed to define fBOO, but the comparative diagnostic accuracy of these remains uncertain. Objective: To identify and compare different tests to diagnose fBOO through a systematic review process. Evidence acquisition: A systematic review of the literature was performed according to the Cochrane Handbook and Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) checklist. The EMBASE/MEDLINE/Cochrane databases were searched up to August 4, 2020. Studies on women ≥18 yr of age with suspected bladder outlet obstruction (BOO) involving diagnostic tests were included. Pressure-flow studies or fluoroscopy was used as the reference standard where possible. Two reviewers independently screened all articles, searched reference lists of retrieved articles, and performed data extraction. The risk of bias was assessed using Quality Assessment of Diagnostic Accuracy Studies (QUADAS-2). Evidence synthesis: Overall, 28 nonrandomised studies involving 10 248 patients were included in the qualitative analysis. There was significant heterogeneity regarding the characteristics of women included in BOO cohorts (ie, mixed cohorts including both anatomical and functional BOO). Pressure-flow studies ± fluoroscopy was evaluated in 25 studies. Transperineal Doppler ultrasound was used to evaluate bladder neck dynamics in two studies. One study tested the efficacy of transvaginal ultrasound. The urodynamic definition of fBOO also varied amongst studies with different parameters and thresholds used, which precluded a meta-analysis. Three studies derived nomograms using the maximum flow rate (Qmax) and voiding detrusor pressure at Qmax. The sensitivity, specificity, and overall accuracy ranges were 54.6–92.5%, 64.6–93.9%, and 64.1–92.2%, respectively. Conclusions_ The available evidence on diagnostic tests for fBOO is limited and heterogeneous. Pressure-flow studies ± fluoroscopy remains the current standard for diagnosing fBOO.en_US
dc.language.isoengen_US
dc.subjectaccuracyen_US
dc.subjectbladder outlet obstructionsen_US
dc.subjectdiagnosisen_US
dc.subjectfemaleen_US
dc.subjectlower urinary tract symptomsen_US
dc.subjecttesten_US
dc.subjecturodynamicsen_US
dc.titleDiagnostic Tests for Female Bladder Outlet Obstruction: A Systematic Review from the European Association of Urology Non-neurogenic Female LUTS Guidelines Panelen_US
dc.title.alternativeDiagnostic Tests for Female Bladder Outlet Obstruction: A Systematic Review from the European Association of Urology Non-neurogenic Female LUTS Guidelines Panelen_US
dc.typePeer revieweden_US
dc.typeJournal articleen_US
dc.description.versionacceptedVersionen_US
dc.source.pagenumber16en_US
dc.source.journalEuropean Urology Focusen_US
dc.identifier.doi10.1016/j.euf.2021.09.003
dc.identifier.cristin1935283
dc.description.localcodeInstitutt for idrettsmedisinske fag / Department of Sports Medicineen_US
cristin.ispublishedtrue
cristin.fulltextpostprint
cristin.qualitycode1


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