Utilizing Technology in Assessment of Lower Urinary Tract Symptoms: A Randomized Trial of Electronic Versus Paper Voiding Diaries

Sussman, Rachael D.; Richter, Lee A.; Tefera, Eshetu; Park, Amy J.; Sokol, Andrew I.; Gutman, Robert E.; Iglesia, Cheryl B.

doi:10.1097/spv.0000000000000266

“…Consequently, they found that eDM3d was a useful tool easily filled in by patients with a high satisfaction rate. Sussman et al [ 14 ] conducted a randomized trial comparing a web app (BladderTrakHer) developed by the American Urogynecologic Society to the conventional paper-based VD for reliability and satisfaction. They found that BladderTrakHer and the paper-based VD had good test-retest reliability, although the number of voids and leaks entered was slightly lower for the electronic VD (28.0 vs. 25.5 [ p = 0.03] and 4.5 vs. 2.8 [ p = 0.02], respectively).…”

Section: Discussionmentioning

confidence: 99%

“…They found that BladderTrakHer and the paper-based VD had good test-retest reliability, although the number of voids and leaks entered was slightly lower for the electronic VD (28.0 vs. 25.5 [ p = 0.03] and 4.5 vs. 2.8 [ p = 0.02], respectively). However, in these previous studies, apps were used only to facilitate patient fulfillment or improve compliance [ 11 – 14 ].…”

Section: Discussionmentioning

confidence: 99%

A Novel Acoustic Uroflowmetry-Based Mobile App Voiding Diary: Comparison with Conventional Paper-Based Voiding Diary

Kim

¹

,

Kim

²

,

Ho

³

et al. 2022

BioMed Research International

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Objectives. To evaluate the usefulness of a novel acoustic uroflowmetry- (UFM-) based mobile application (app) voiding diary (VD) focusing on the (1) compliance and (2) correlation with a conventional paper-based VD. Materials and Methods. A total of 78 patients were included between December 2019 and June 2020, and a subsequent review of all data was performed. The analyzed data were as follows: (1) survey of convenience/satisfaction/preference comparing the two methods, (2) compliance regarding the completeness of both methods, and (3) correlation of each metric (24-hour urine volume, nocturnal urine volume, nocturnal polyuria index, total number of voids, number of daytime voids, number of nocturnal voids, and maximal bladder capacity) between the two methods. Results. The survey results of convenience, satisfaction, and preference were as follows. With regard to convenience and satisfaction area, higher scores are reported in the mobile app VD ( mean ± standard deviation (SD); convenience: 7.47 ± 2.19 [app] vs. 4.20 ± 2.49 [paper]; satisfaction: 7.36 ± 2.17 [app] vs. 5.07 ± 2.65 [paper]). The median score of the overall preference for using the mobile app instead of the paper-based VD was 9 out of 10 ( mean ± SD 7.82 ± 2.68 ). We also found a good correlation between the two methods for nocturnal urine volume ( r = 0.55 , p = 0.04 ), nocturnal polyuria index ( r = 0.66 , p = 0.23 ), total number of voids ( r = 0.9 , p = 0.02 ), number of nocturnal voids ( r = 0.83 , p = 0.02 ), and maximal bladder capacity ( r = 0.89 , p = 0.04 ). Conclusion. The acoustic UFM-based mobile app VD demonstrated favorable findings compared to the conventional paper-based VD.

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“…This potential diagnostic alternative is particularly noteworthy in view of growing investigative interest in adjunctive strategies to voiding diary analysis in order to facilitate a more patient-centered approach to nocturia evaluation and management. 146–151…”

Section: Emerging Technologies: Individualizing Nocturnal Polyuria Di...mentioning

confidence: 99%

“…This potential diagnostic alternative is particularly noteworthy in view of growing investigative interest in adjunctive strategies to voiding diary analysis in order to facilitate a more patient-centered approach to nocturia evaluation and management. [146][147][148][149][150][151] Even among patients who share a common diagnosis nocturnal polyuria, the composition of their nocturnal urine is highly variable, 117,152,153 such that most nocturnal polyuria patients can be further phenotyped as having (a) excess free water diuresis, (b) excess solute diuresis, or (c) mixed water/solute diuresis 74,154 (Figure 1). Phenotyping patients by the composition of their excess urine volume -the relevant substrate for pharmacologic interventions directed at nocturnal polyuria -carries the potential to directly facilitate individualized treatment.…”

Section: Emerging Technologies: Individualizing Nocturnal Polyuria Di...mentioning

confidence: 99%

Pharmacologic management of nocturnal polyuria: a contemporary assessment of efficacy, safety, and progress toward individualized treatment

Monaghan

¹

,

Weiss

²

,

Everaert

³

et al. 2021

Therapeutic Advances in Urology

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This narrative review synthesizes current evidence on the medical management of nocturnal polyuria, including antidiuretic replacement therapy as well as other emerging modalities, with particular emphasis on areas of active investigation and future research directions. Relative to earlier formulations, the pharmacological profiles of novel desmopressin acetate nasal spray and orally disintegrating tablet formulations appear favorable in optimizing the balance between efficacy and safety. Additionally, several highly selective small-molecule arginine vasopressin 2 receptor agonists are under active development, while appropriately timed short-acting diuretics, pharmacotherapy for hypertension, nonsteroidal anti-inflammatory drugs, and sex hormone replacement therapy are also a focal point of extensive ongoing nocturnal polyuria research. Emerging laboratory technologies now make feasible a sub-stratification of nocturnal polyuria patients into substrate-based phenotypes for individualized treatment. An increasingly refined understanding of the pathogenesis of nocturnal polyuria, and arginine vasopressin dysregulation in particular, has also introduced new opportunities for point-of-care testing in patients with nocturnal polyuria.

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“…As new therapeutics are tested, the Guidelines of the International Headache Society for controlled trials of preventive treatment of migraine in adults and children recommend prospective collection of a headache diary that captures migraine symptoms (5,6). Historically, headache diaries have been done on paper, but studies in other patient populations have described equivalent to increased diary completion rate and participant retention with electronic diaries (7)(8)(9). One review of adherence between headache diary modalities suggested increased adherence to electronic diaries, though technical problems were a clear barrier (10).…”

Section: Introductionmentioning

confidence: 99%

Development of a text message-based headache diary in adolescents and children

Kellier

¹

,

Prado

²

,

Haagen

³

et al. 2022

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Background International guidelines recommend diaries in migraine trials for prospective collection of headache symptoms. Studies in other patient populations suggest higher adherence with electronic diaries instead of pen-and-paper. This study examines the feasibility of a text message-based (texting) diary for children and adolescents with headache. Methods This is a secondary analysis of data from a study validating a pediatric scale of treatment expectancy. We developed a Health Insurance Portability and Accountability Act-compliant texting diary collecting headache characteristics, medication use, and disability with 3–5 core daily questions for 4 or 12 weeks depending on headache treatment. Adherence was incentivized. Results 93 participants consented to the expectancy study. Five participants opted for a paper diary for follow-up. 88 participants chose the texting diary with 28 4-week and 60 12-week participants. Five participants did not complete the enrollment visit. Of those remaining 83, 89% of 4-week and 93% of 12-week participants responded on at least 80% of days. On average, participants fully completed 88% (4-week cohort) and 90% (12-week) of diary entries. Conclusions Text messages are a promising method for collecting patient-reported data. Adherence was similar to that reported for paper diaries in other pediatric migraine trials, but time-stamped entries ensure real-time data collection.

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Utilizing Technology in Assessment of Lower Urinary Tract Symptoms: A Randomized Trial of Electronic Versus Paper Voiding Diaries

Abstract: The use of an EVD is acceptable and reliable in our population of adult female patients with lower urinary tract symptom. Electronic voiding diary and PVD have good test-retest reliability, although the number of voids and leaks entered is slightly lower for the EVD.

Cited by 16 publications

References 6 publications

A Novel Acoustic Uroflowmetry-Based Mobile App Voiding Diary: Comparison with Conventional Paper-Based Voiding Diary

A Novel Acoustic Uroflowmetry-Based Mobile App Voiding Diary: Comparison with Conventional Paper-Based Voiding Diary

Pharmacologic management of nocturnal polyuria: a contemporary assessment of efficacy, safety, and progress toward individualized treatment

Development of a text message-based headache diary in adolescents and children

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