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Kyoda Y, Ichihara K, Muranaka I, Sakai Y, Nakamura M, Shinkai N, Kozen N, Yorozuya W, Morooka D, Maruo K, Tachikawa K, Shibamori K, Nofuji S, Fujino K, Kato S, Yoshida T, Shindo T, Maehana T, Hashimoto K, Kobayashi K, Tanaka T, Masumori N. Efficacy of cognitive behavioral therapy using self-check sheet for patients with nocturia in real-world clinical practice. Low Urin Tract Symptoms 2023; 15:225-230. [PMID: 37614063 DOI: 10.1111/luts.12498] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2023] [Revised: 06/30/2023] [Accepted: 07/26/2023] [Indexed: 08/25/2023]
Abstract
OBJECTIVES We previously demonstrated the efficacy of cognitive behavioral therapy (CBT) using a self-check sheet for patients with nocturia in a randomized controlled study. Additionally, we investigated the efficacy of the intervention in real-world clinical practice. METHODS Two hundred forty-three outpatients with complaint of nocturia who practiced CBT for 4 weeks using a self-check sheet were included in this trial, which took place from April 2021 to March 2022 in 20 institutions. RESULTS Of the 243 patients, 215 who achieved 50% or more of the behavioral therapy tasks were included in the analysis. Their mean age ± SD was 77.1 ± 7.7. A significant decrease was observed in nighttime frequency at 4 weeks after CBT using self-check sheets (pre 3.3 and post 2.8, p < .001). Nighttime frequency was decreased one or more times and was defined as treatment success in 102 patients (47.4%). Pretreatment nighttime frequency in the treatment-success group was significantly higher than that of the failure group (3.5 ± 1.0 vs. 3.2 ± 1.0, p = .013). In multivariate logistic regression analysis, predictive factors of treatment success were pretreatment nocturnal frequency of four or more (odds ratio [OR] 1.82, 95% confidence interval [CI] 1.01-3.30; p = .046) and the absence of diabetes mellitus (OR 3.08, 95% CI 1.34-7.06; p = .008). CONCLUSIONS CBT using a self-check sheet requiring less time, less labor, less cost, and less medication is very beneficial for both patients and medical staff in real-world clinical practice.
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Affiliation(s)
- Yuki Kyoda
- Department of Urology, Sapporo Medical University School of Medicine, Sapporo, Japan
- Yakumo General Hospital, Yakumo, Japan
- Hokkaido Prefectural Haboro Hospital, Haboro, Japan
- Rumoi Municipal Hospital, Rumoi, Japan
| | | | - Ippei Muranaka
- Hokkaido Social Work Association Obihiro Hospital, Obihiro, Japan
| | | | | | | | | | | | | | | | | | - Kosuke Shibamori
- Department of Urology, Sapporo Medical University School of Medicine, Sapporo, Japan
- Kuriyama Red Cross Hospital, Kuriyama, Japan
- Hokkaido Social Work Association Toya Hospital, Toyako, Japan
- JCHO Noboribetsu Medical Center, Noboribetsu, Japan
| | - Seisuke Nofuji
- Department of Urology, Sapporo Medical University School of Medicine, Sapporo, Japan
- Kuriyama Red Cross Hospital, Kuriyama, Japan
- Hokkaido Social Work Association Toya Hospital, Toyako, Japan
- JCHO Noboribetsu Medical Center, Noboribetsu, Japan
| | - Keiko Fujino
- Department of Urology, Sapporo Medical University School of Medicine, Sapporo, Japan
- Kuriyama Red Cross Hospital, Kuriyama, Japan
- Hokkaido Social Work Association Toya Hospital, Toyako, Japan
- JCHO Noboribetsu Medical Center, Noboribetsu, Japan
| | | | | | - Tetsuya Shindo
- Department of Urology, Sapporo Medical University School of Medicine, Sapporo, Japan
| | - Takeshi Maehana
- Department of Urology, Sapporo Medical University School of Medicine, Sapporo, Japan
| | - Kohei Hashimoto
- Department of Urology, Sapporo Medical University School of Medicine, Sapporo, Japan
| | - Ko Kobayashi
- Department of Urology, Sapporo Medical University School of Medicine, Sapporo, Japan
- Nemuro City Hospital, Nemuro, Japan
| | - Toshiaki Tanaka
- Department of Urology, Sapporo Medical University School of Medicine, Sapporo, Japan
| | - Naoya Masumori
- Department of Urology, Sapporo Medical University School of Medicine, Sapporo, Japan
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Park J, Lee H, Kim Y, Norton C, Woodward S, Lee S. Effectiveness of Fluid and Caffeine Modifications on Symptoms in Adults With Overactive Bladder: A Systematic Review. Int Neurourol J 2023; 27:23-35. [PMID: 37015722 PMCID: PMC10073005 DOI: 10.5213/inj.2346014.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2023] [Accepted: 02/23/2023] [Indexed: 04/03/2023] Open
Abstract
Overactive bladder (OAB) is prevalent in men and women and negatively impacts physical and psychological health. Fluid and caffeine intake modifications, which are lifestyle modification interventions, are simple methods to manage OAB. However, studies that synthesized both interventions and found scientific evidence are scarce. This review aimed to synthesize scientific evidence on whether fluid and caffeine intake modifications are effective for OAB symptoms. PubMed, CINAHL (Cumulative Index for Nursing and Allied Health Literature), Embase, Scopus, the Cochrane Library, KoreaMed, and RISS (Research Information Sharing Service) were used to search for studies and 8 studies were included. The Cochrane risk of bias tool (RoB 2.0) and ROBINS-I (Risk Of Bias In Non-randomized Studies - of Interventions) were used to assess the quality of selected studies. Due to the heterogeneous outcome variables, a meta-analysis was not conducted. Among the 8 included, 7 studies were randomized controlled trials and one was a quasi-experimental study. Four studies assessed urgency. Caffeine reduction was statistically effective for urgency symptoms, but increasing fluid intake was not. Frequency was assessed in 5 studies, which showed decreasing caffeine and fluid intake was effective in treating the symptoms. Urinary incontinence episodes were assessed in 6 studies, and nocturia in 2. Restricting caffeine intake was effective in treating these 2 symptoms, but restricting both caffeine and fluid intake was not. Quality of life (QoL) was examined in 5 studies, and modifying fluid and caffeine intake significantly improved QoL in 2. Although there were limited studies, our review provides scientific evidence that fluid and caffeine intake modification effectively manages OAB symptoms. Further research should examine acceptability and sustainability of interventions in the long-term and enable meta-analysis.
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Yu WR, Jhang JF, Chen BY, Ou SR, Li HM, Kuo HC. Multimodal Treatment with Cognitive Behavioral Therapeutic Intervention Plus Bladder Treatment Is More Effective than Monotherapy for Patients with Interstitial Cystitis/Bladder Pain Syndrome-A Randomized Clinical Trial. J Clin Med 2022; 11:jcm11206221. [PMID: 36294541 PMCID: PMC9604893 DOI: 10.3390/jcm11206221] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2022] [Revised: 10/10/2022] [Accepted: 10/20/2022] [Indexed: 11/16/2022] Open
Abstract
(1) Background: Introduction: Interstitial cystitis/bladder pain syndrome (IC/BPS) not only induces physiological damage but also greatly affects psychological stress. Multidisciplinary therapy has been recommended for IC/BPS treatment, but clinical trial data of combined bladder therapy and cognitive behavioral therapy (CBT) are lacking. This study evaluated CBT efficacy in patients with IC/BPS. (2) Methods: Patients with IC/BPS were randomized to the bladder monotherapy (BT) or combined CBT (CBT) group. The primary endpoint was the self-reported outcome by global response assessment (GRA). Secondary endpoints included IC symptoms and problem index, bladder pain score, Beck’s anxiety inventory (BAI), and depression inventory, and objective parameters were also compared. (3) Result: A total of 30 patients receiving BT and 30 receiving CBT therapy were enrolled. Significant improvement of the BAI at 8 (p = 0.045) and 12 weeks (p = 0.02) post-treatment was observed in the CBT group, with significantly greater GRA scores at 12 weeks (p < 0.001). Repeated measures analysis of variance showed a significant effect within the CBT group on IC/BPS patients’ self-reported treatment outcomes (p = 0.001) and anxiety severity BAI scores (p = 0.033). (4) Conclusion: A multimodal treatment of CBT combined with suitable bladder treatment more effectively improves anxiety severity and treatment outcomes in patients with IC/BPS.
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Affiliation(s)
- Wan-Ru Yu
- Department of Nursing, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien 970, Taiwan
- Institute of Medical Sciences, Tzu Chi University, Hualien 970, Taiwan
- Department of Urology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation and Tzu Chi University, Hualien 970, Taiwan
| | - Jia-Fong Jhang
- Department of Urology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation and Tzu Chi University, Hualien 970, Taiwan
| | - Bai-Yueh Chen
- Department of Psychiatry, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien 970, Taiwan
| | - Syuan-Ru Ou
- Department of Nursing, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien 970, Taiwan
| | - Hao-Ming Li
- Department of Psychiatry, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien 970, Taiwan
| | - Hann-Chorng Kuo
- Department of Urology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation and Tzu Chi University, Hualien 970, Taiwan
- Correspondence: ; Tel.: +886-3-8561825 (ext. 2117)
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Kyoda Y, Kimura M, Shimizu T, Miyao N, Ogasawara T, Shimizu T, Iwasawa A, Yorozuya W, Hashimoto J, Ichihara K, Takei F, Uchida K, Kouzen N, Suzuki N, Tachikawa K, Shibuya A, Muranaka I, Okada M, Igarashi M, Shibamori K, Nofuji S, Fujino K, Toyota T, Ito Y, Shinkai N, Hashimoto K, Kobayashi K, Tanaka T, Masumori N. Efficacy and safety of desmopressin orally disintegrating tablets 25 and 50 μg in male patients with nocturia: A Japanese real‐world multicenter clinical study. Low Urin Tract Symptoms 2022; 14:410-415. [DOI: 10.1111/luts.12459] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2022] [Revised: 06/16/2022] [Accepted: 07/14/2022] [Indexed: 11/30/2022]
Affiliation(s)
- Yuki Kyoda
- Department of Urology Sapporo Medical University School of Medicine Sapporo Japan
- Nemuro City Hospital Nemuro Japan
- Yakumo General Hospital Yakumo Japan
- Hokkaido Prefectural Haboro Hospital Haboro Japan
- Rumoi Municipal Hospital Rumoi Japan
| | | | | | | | - Takuto Ogasawara
- Department of Urology Steel Memorial Muroran Hospital Muroran Japan
| | | | | | - Wakako Yorozuya
- Department of Urology Kushiro Red Cross Hospital Kushiro Japan
| | - Jiro Hashimoto
- Teine Urological Clinic Sapporo Japan
- Teine Ekimae Urological Clinic Sapporo Japan
| | - Koji Ichihara
- Department of Urology Sapporo Central Hospital Sapporo Japan
| | - Fumiyasu Takei
- Tokachi Urological Clinic Otofuke Japan
- Obihiro Urological Clinic Obihiro Japan
| | | | - Nodoka Kouzen
- Department of Urology JCHO Hokkaido Medical Center Sapporo Japan
| | | | | | | | - Ippei Muranaka
- Department of Urology Hokkaido Social Work Association Obihiro Hospital Obihiro Japan
| | - Manabu Okada
- Department of Urology Hokkaido Social Work Association Obihiro Hospital Obihiro Japan
| | | | - Kosuke Shibamori
- Department of Urology Sapporo Medical University School of Medicine Sapporo Japan
- Kuriyama Red Cross Hospital Kuriyama Japan
- Hokkaido Social Work Association Toya Hospital Toyako Japan
- JCHO Noboribetsu Medical Center Noboribetsu Japan
| | - Seisuke Nofuji
- Department of Urology Sapporo Medical University School of Medicine Sapporo Japan
- Kuriyama Red Cross Hospital Kuriyama Japan
- Hokkaido Social Work Association Toya Hospital Toyako Japan
- JCHO Noboribetsu Medical Center Noboribetsu Japan
| | - Keiko Fujino
- Department of Urology Sapporo Medical University School of Medicine Sapporo Japan
- Kuriyama Red Cross Hospital Kuriyama Japan
- Hokkaido Social Work Association Toya Hospital Toyako Japan
- JCHO Noboribetsu Medical Center Noboribetsu Japan
| | - Tomohiro Toyota
- Department of Urology Sapporo Medical University School of Medicine Sapporo Japan
| | - Yu Ito
- Department of Urology Sapporo Medical University School of Medicine Sapporo Japan
| | - Nobuo Shinkai
- Department of Urology Sapporo Medical University School of Medicine Sapporo Japan
| | - Kohei Hashimoto
- Department of Urology Sapporo Medical University School of Medicine Sapporo Japan
| | - Ko Kobayashi
- Department of Urology Sapporo Medical University School of Medicine Sapporo Japan
| | - Toshiaki Tanaka
- Department of Urology Sapporo Medical University School of Medicine Sapporo Japan
| | - Naoya Masumori
- Department of Urology Sapporo Medical University School of Medicine Sapporo Japan
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Tai Y, Obayashi K, Okumura K, Yamagami Y, Negoro H, Kurumatani N, Saeki K. Association between before-bedtime passive body heating and nocturia during the cold season among older adults. J Epidemiol 2022; 33:398-404. [PMID: 35185044 PMCID: PMC10319524 DOI: 10.2188/jea.je20210471] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2021] [Accepted: 01/26/2022] [Indexed: 08/06/2023] Open
Abstract
Background Cold exposure induces lower urinary tract symptoms including nocturia. Cold-induced detrusor overactivity can be alleviated by increasing skin temperature in rats. However, no study has shown an association between passive heating with hot-water bathing and nocturia among humans.Methods We included 1,051 Japanese community-dwelling older adults (mean age 71.7 years) in this cross-sectional study from 2010 to 2014. The number of nocturnal voids was recorded in a self-administered urination diary. Nocturia was defined as ≥2 nocturnal voids. We evaluated bathing conditions in the participants' houses.Results Hot-water bathing (n = 888) was associated with a lower prevalence of nocturia than no bathing (n = 163), independent of potential confounders including age, sex, obesity, income, physical activity, diabetes, medication (diuretics, nondiuretic antihypertensives, and hypnotics), depressive symptoms, indoor/outdoor temperature, and day length (odds ratio [OR]: 0.68, 95% confidence interval [CI]: 0.48-0.97; p = 0.035). Compared with the quartile group with the longest bath-to-bed interval (range: 161-576 min), the second and third quartile groups (range: 61-100 and 101-160 min, respectively) were associated with a lower prevalence of nocturia, after adjusting for water temperature and bathing duration besides the same covariates (OR: 0.60, 95% CI: 0.38-0.96; p = 0.031 and OR: 0.59, 95% CI: 0.37-0.94; p = 0.025, respectively).Conclusion Hot-water bathing, particularly with a bath-to-bed interval of 61-160 min, was significantly associated with a lower prevalence of nocturia among older adults.
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Affiliation(s)
- Yoshiaki Tai
- Department of Epidemiology, Nara Medical University School of Medicine, Nara, Japan
| | - Kenji Obayashi
- Department of Epidemiology, Nara Medical University School of Medicine, Nara, Japan
| | - Kazuki Okumura
- Department of Epidemiology, Nara Medical University School of Medicine, Nara, Japan
- Department of Psychiatry, Nara Medical University School of Medicine, Nara, Japan
| | - Yuki Yamagami
- Department of Epidemiology, Nara Medical University School of Medicine, Nara, Japan
| | | | - Norio Kurumatani
- Department of Epidemiology, Nara Medical University School of Medicine, Nara, Japan
| | - Keigo Saeki
- Department of Epidemiology, Nara Medical University School of Medicine, Nara, Japan
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Matsuo T, Miyata Y, Sakai H. Editorial Comment to Does cognitive behavioral therapy using a self-check sheet improve night-time frequency in patients with nocturia? Results of a multicenter randomized controlled trial. Int J Urol 2021; 28:449. [PMID: 33522028 DOI: 10.1111/iju.14516] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Tomohiro Matsuo
- Department of Urology, Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki, Japan
| | - Yasuyoshi Miyata
- Department of Urology, Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki, Japan
| | - Hideki Sakai
- Department of Urology, Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki, Japan
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