Improving the global management of the neurogenic bladder patient: part I. The complexity of patients.

Details

Serval ID
serval:BIB_AAA922502717
Type
Article: article from journal or magazin.
Collection
Publications
Title
Improving the global management of the neurogenic bladder patient: part I. The complexity of patients.
Journal
Current Medical Research and Opinion
Author(s)
Denys P., Corcos J., Everaert K., Chartier-Kastler E., Fowler C., Kalsi V., Nitti V., Schulte-Baukloh H., Schurch B.
ISSN
0300-7995 (Print)
ISSN-L
0300-7995
Publication state
Published
Issued date
2006
Volume
22
Number
2
Pages
359-365
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov'tPublication Status: ppublish
Abstract
BACKGROUND: The management of urinary incontinence in patients with neurological disease is complex. Physicians face a multitude of challenges related to progression of the primary condition, the presence of a diversity of other related and unrelated symptoms, the safety, efficacy and tolerability issues associated with multiple therapies being required and the changing need for collaboration with other specialities.
SCOPE: Current guidelines produced by the urological communities, as well as the disease-focused organizations, aim to standardize care in their specific group of patients. A passive approach to implementation, however, means that guidelines produced are all too frequently not readily available to, read by or followed by the wider audience. In addition, each speciality has its own guidelines and a different view of the primary focus of care in neurological patients, which may lead to variations in recommendations and, subsequently, in clinical practice. A review of current urological and disease specific guidelines was made to evaluate differences between the published guidance between the specialities and within urology itself.
CONCLUSIONS: Although availability of effective therapies remains a cornerstone of neurogenic bladder treatment, consideration must also be given to the non-pharmacological and surgical issues related to the global management of this population. Improved cross-speciality interactions and development of patient-specific treatment and follow-up plans, which are in keeping with the current guidelines of each speciality involved, may serve to enhance physicians' understanding of the importance of effective urinary incontinence treatment as well as the overall management of the patient.
Keywords
Europe, Humans, Practice Guidelines as Topic/standards, Quality of Health Care, Urinary Bladder, Neurogenic/drug therapy, Urinary Bladder, Neurogenic/physiopathology, Urinary Incontinence
Pubmed
Web of science
Create date
05/11/2014 12:13
Last modification date
20/08/2019 15:14
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