目的:这项Delphi研究计划检查有关实用性的全球专家共识,准确度,和膀胱收缩指数(BCI)的分类,膀胱出口梗阻指数(BOOI),以及相关的证据。该手稿涉及成年女性,并遵循先前关于成年男性的手稿。
方法:邀请了29名专家回答两轮调查,包括3个基础问题和12个调查问题。共识被定义为≥75%的协议。第一轮的序数量表(0-10)被归类为“强烈同意”,\"\"同意,\"\"中性,\"\"不同意,“和”强烈不同意“最后一轮。对治疗性研究进行了系统的证据搜索,这些研究检查了按女性指数分层的结果。
结果:18位专家参与了调查,完成了100%。就12个问题中的2个问题达成了共识,两者都是负面的。专家们达成共识,认为BOOI既不准确也不有用,关于BCI也注意到了类似的负面趋势。然而,有支持,缺乏共识,用于膀胱收缩性和膀胱流出道梗阻的指数。系统搜索产生了八篇有关压力性尿失禁的出版物(n=6),盆腔器官脱垂(n=1),和内括约肌肉毒杆菌毒素(n=1)。
结论:专家们对成年女性使用男性BCI和BOOI表示严重担忧,尽管人们普遍认识到需要收缩力和阻塞的数字指数。系统搜索显示,在这方面缺乏明显的证据。
This Delphi study was planned to examine global expert
consensus with regard to utility, accuracy, and categorization of the bladder contractility index (BCI), bladder outlet obstruction index (BOOI), and the related evidence. This manuscript deals with adult women and follows a previous manuscript reporting on adult men.
Twenty-nine experts were invited to answer the two-round survey including three foundation questions and 12 survey questions.
Consensus was defined as ≥75% agreement. The ordinal scale (0-10) in round 1 was classified into \"strongly agree,\" \"agree,\" \"neutral,\" \"disagree,\" and \"strongly disagree\" for the final round. A systematic search for evidence was conducted for therapeutic studies that have examined outcome stratified by the indices in women.
Eighteen experts participated in the survey with 100% completion.
Consensus was noted with regard to 2 of 12 questions, both in the negative. The experts had a
consensus that BOOI was neither accurate nor useful and a similar negative trend was noted with regard to BCI. However, there was support, short of
consensus, for the utility on an index of bladder contractility and bladder outflow obstruction. Systematic search yielded eight publications pertaining to stress urinary incontinence (n = 6), pelvic organ prolapse (n = 1), and intra-sphincteric botulinum toxin (n = 1).
Experts had significant concerns with regard to the use of the male BCI and BOOI in adult women despite a general recognition of the need for numerical indices of contractility and obstruction. Systematic search showed a striking lack of evidence in this regard.