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  4. Neurogenic bowel and bladder evaluation strategies in spinal cord injury: New directions

Neurogenic bowel and bladder evaluation strategies in spinal cord injury: New directions

The Journal of Spinal Cord Medicine, 2020 · DOI: 10.1080/10790268.2020.1718469 · Published: January 1, 2020

Spinal Cord InjuryUrologyGastroenterology

Simple Explanation

Spinal cord injury (SCI) often leads to various health issues that limit independence and quality of life, including neurogenic bowel and bladder dysfunction. A workshop by the Craig H. Neilsen Foundation in 2017 focused on translating research into practical bowel and bladder management strategies for individuals with SCI. This journal issue features articles that rigorously assess clinical tools and metrics for evaluating neurogenic bladder and bowel dysfunction, advocating for their use in clinical trials.

Study Duration
Not specified
Participants
Experts and consumers in the field of spinal cord injury
Evidence Level
Commentary

Key Findings

  • 1
    Holmes et al. identify and distinguish outcome metrics as fundamental, recommended, supplemental, exploratory, or not recommended in preclinical SCI research.
  • 2
    Tate et al. provide recommendations for the use of 15 clinical assessments for evaluating neurogenic bladder dysfunction in persons with SCI.
  • 3
    Three self-report instruments (Qualiveen 30, Short-Form Qualiveen, and Neurogenic Bowel Dysfunction Score) are recommended as supplemental measures in clinical trials.

Research Summary

Spinal cord injury is associated with comorbidities that can limit functional independence, mobility and socialization, including neurogenic bowel and bladder. In March 2017, the Craig H. Neilsen Foundation coordinated a workshop to address the translation of bowel and bladder management research. Both articles represent robust and essential recommendations from experts in their respective fields of preclinical and clinical spinal cord research that are endorsed by consumers of SCI/D care.

Practical Implications

Standardized Metrics

Adopting standardized metrics in preclinical interventional studies can improve clinical translation.

Clinical Assessment Tools

Using recommended clinical assessment tools can better evaluate neurogenic bladder and bowel dysfunction in SCI patients.

Self-Report Measures

Incorporating self-report measures can provide valuable insights into the patient's experience and quality of life.

Study Limitations

  • 1
    The commentary focuses on recommendations from specific articles.
  • 2
    Generalizability may be limited by the expert consensus approach.
  • 3
    The commentary does not present original research data.

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