Clinical correlates in patients not completing a voiding diary

Abstract

Our objective was to determine whether voiding diary non-compliance was an important clinical predictor for the absence of urinary symptoms. History questionnaires and voiding diaries are mailed to all patients before initial visits. The study included 349 patients capable of filling out the history questionnaire and voiding diary prior to their initial visit. The control group (n = 261) consisted of patients who filled out both forms. The study group (n = 88) consisted of patients who filled out their history questionnaire yet left their voiding diary blank. Study variables were extracted by chart review to determine the clinical significance of non-compliance with voiding diary completion. Non-Caucasian patients were less likely to complete their diary (P = 0.008). Patients presenting for treatment of pelvic organ prolapse (no urinary symptoms) were also less likely to complete their diary (P = 0.01, OR 0.41, 0.20-0.85). These patients should be counseled about the importance of the voiding diary in validating urinary symptoms. Urodynamic diagnosis were similar in patients considering surgical correction of pelvic organ prolapse, independent of diary non-compliance.

Are patients with the symptoms of overactive bladder and urodynamic detrusor overactivity different from those with overactive bladder but not detrusor overactivity?

“…18 However, among noncompliant patients, the absence of urinary symptoms is frequently encountered. 19 Detailed and accurate recording on frequencyevolume charts is critical for diagnosis.…”

A comparison of maximum cystometric bladder capacity with maximum environmental voided volumes

“…The most significant drawback of the voiding diary is its inconvenience. Patients have a low compliance rate in filling them in, and even when they are filled in, one study showed that only 71% of patients were able to do so properly [3]. Despite these limitations, the information obtained from cystometrograms and voiding diaries can be useful to determine the diagnosis and appropriate therapy in patients with incontinence.…”

Identifying men with global polyuria on a nocturnal‐only voiding diary

“…Although nocturia is associated with significant morbidity and decreased quality of life—shown to have a direct adverse effect on sleep architecture and increase the risk of falls and hip fractures in the elderly—it is often poorly managed, with voiding diaries utilized to evaluate nocturia in only 45% of nocturic patients . While this trend is undoubtedly complex, patient adherence to voiding diaries presents a considerable challenge to the consistent utilization of voiding diaries . In practice, up to a quarter of patients will reportedly fail to complete a 24‐hour diary, and patient‐reported burden only increases with voiding diary duration .…”

“…While this trend is undoubtedly complex, patient adherence to voiding diaries presents a considerable challenge to the consistent utilization of voiding diaries . In practice, up to a quarter of patients will reportedly fail to complete a 24‐hour diary, and patient‐reported burden only increases with voiding diary duration . In fact, an inverse relationship between patient adherence and diary duration has been well described—a phenomenon that has been attributed to “diary fatigue.” In a retrospective analysis of nocturia practice trends, Drangsholt et al reported 63% adherence to 72‐hour voiding diaries despite the fact that only half of all nocturic patients had been instructed to complete a diary (suggesting that providers had, to some level, even prescreened patients for their willingness to participate).…”

“…The pathophysiology of nocturia involves a fundamental mismatch between nocturnal urine production (NUP) and storage capacity, wherein nocturnal voiding may be driven by excess urine production (global polyuria [GP] or nocturnal polyuria [NP]), small nocturnal bladder capacity (functional or anatomic), or a combination of these factors . The voiding diary, which provides an objective record of urinary frequency and voided volumes, is critical in establishing the specific etiology of a patient's nocturia and guiding an individualized treatment plan, but patient adherence is a pervasive challenge in clinical practice . Recently, the nocturnal‐only voiding diary has been proposed as a more patient‐centered alternative to 24‐hour diaries, which may promote greater patient adherence during the course of evaluation and management of nocturia.…”