International consultation on urological diseases: Evidence‐based medicine overview of the main steps for developing and grading guideline recommendations

Abrams, Paul; Khoury, S

doi:10.1002/nau.20845

Cited by 35 publications

(22 citation statements)

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“…The goal of this Consultation was to use established criteria to assign objective levels of evidence (LOEs, 1 through 4) and grades of recommendation (GORs, A through D) to the most salient research in the field. 3 The purpose of this review is to present a condensed summary of the ICUD-SIU evaluation of nocturia, incorporating additional subsequent panel review of the evidence base, which offers contemporaneous expert consensus on this topic. LOEs and GORs are presented here as the verbatim conclusions of the ICUD-SIU panel, with more detailed descriptions published elsewhere.…”

Section: Resultsmentioning

confidence: 99%

Nocturia: Current Levels of Evidence and Recommendations From the International Consultation on Male Lower Urinary Tract Symptoms

Marshall

Raskolnikov

Blanker

et al. 2015

Urology

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Section: Resultsmentioning

confidence: 99%

Nocturia: Current Levels of Evidence and Recommendations From the International Consultation on Male Lower Urinary Tract Symptoms

Marshall

Raskolnikov

Blanker

et al. 2015

Urology

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“…Each article considered eligible after screening was reviewed (full text) by two investigators. All articles confirmed eligible were assigned a level of evidence by both reviewers, using a system based on the Oxford Centre for Evidence-based Medicine Level of Evidence scale (2009 version) and International Consultation on Urological Diseases, modified to include cross-sectional studies as level 4b evidence (Table 2) 7, 8 . If initial grades differed, investigators arrived at a grade by consensus.…”

Section: Methodsmentioning

confidence: 99%

Evidence of the Impact of Diet, Fluid Intake, Caffeine, Alcohol and Tobacco on Lower Urinary Tract Symptoms: A Systematic Review

et al. 2017

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Purpose Foods, fluid intake, caffeine, alcohol, and tobacco may influence lower urinary tract symptoms (LUTS). Changes in these potentially modifiable non-urologic factors (NUF) are often suggested to improve LUTS. To better understand the relationship of NUFs with LUTS, we performed a systematic literature review to examine, grade, and summarize reported associations between LUTS and diet, fluid intake, caffeine, tobacco and alcohol use. Materials and Methods We performed PubMed searches for eligible articles providing evidence on associations between one or more NUF and LUTS. A modified Oxford system was used to grade the evidence. Results We reviewed 110 articles covering diet (n=28), fluid intake (n=21), caffeine (n=20), alcohol (n=26) and tobacco use (n=44). The evidence grade was generally low (6% level 1, 24% level 2, 11% level 3; 59% level 4). Fluid intake was associated with urinary frequency and urgency in men and women. Modest alcohol use was associated with less likelihood of benign prostatic hyperplasia (BPH) diagnosis and fewer LUTS in men. LUTS associations with food, caffeine, and tobacco were inconsistent. Conclusions Evidence for associations between LUTS and diet, fluid intake, caffeine, alcohol and tobacco use is sparse and mostly observational. However, there is evidence of associations between increased fluid intake and urinary frequency/urgency, and between modest alcohol intake and decreased BPH diagnosis and LUTS. Given the importance of these NUF to daily life, and their perceived impact on LUTS, higher quality evidence is needed.

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“…The findings were presented at the annual scientific meeting of the European Association of Urology in 2012 for consultation, and modifications applied for the fifth edition of the ICI scientific report in 2013 . Levels of evidence (LOE) and grades of recommendation (GOR) were derived according to the modified Oxford system developed by the International Consultations on Urological Diseases …”

Section: Methodsmentioning

confidence: 99%

Neurogenic lower urinary tract dysfunction: Clinical management recommendations of the Neurologic Incontinence committee of the fifth International Consultation on Incontinence 2013

Drake

Apostolidis

Cocci

et al. 2016

Neurourology and Urodynamics

102

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International consultation on urological diseases: Evidence‐based medicine overview of the main steps for developing and grading guideline recommendations

Cited by 35 publications

References 0 publications

Nocturia: Current Levels of Evidence and Recommendations From the International Consultation on Male Lower Urinary Tract Symptoms

Nocturia: Current Levels of Evidence and Recommendations From the International Consultation on Male Lower Urinary Tract Symptoms

Evidence of the Impact of Diet, Fluid Intake, Caffeine, Alcohol and Tobacco on Lower Urinary Tract Symptoms: A Systematic Review

Neurogenic lower urinary tract dysfunction: Clinical management recommendations of the Neurologic Incontinence committee of the fifth International Consultation on Incontinence 2013

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