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- W2017282605 abstract "No AccessJournal of UrologyAdult Urology1 Sep 2012A Cutoff Value Based on Analysis of a Reference Population Decreases Overestimation of the Prevalence of Nocturnal Polyuria Ernst P. van Haarst and J.L.H. Ruud Bosch Ernst P. van HaarstErnst P. van Haarst More articles by this author and J.L.H. Ruud BoschJ.L.H. Ruud Bosch Financial interest and/or other relationship with Celon-Olympus and Ferring. More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.04.112AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We sought criteria for nocturnal polyuria in asymptomatic, nonurological adults of all ages by reporting reference values of the ratio of daytime and nighttime urine volumes, and finding nocturia predictors. Materials and Methods: Data from a database of frequency-volume charts from a reference population of 894 nonurological, asymptomatic volunteers of all age groups were analyzed. The nocturnal polyuria index and the nocturia index were calculated and factors influencing these values were determined by multivariate analysis. Results: The nocturnal polyuria index had wide variation but a normal distribution with a mean ± SD of 30% ± 12%. The 95th percentile of the values was 53%. Above this cutoff a patient had nocturnal polyuria. This value contrasts with the International Continence Society definition of 33% but agrees with several other reports. On multivariate regression analysis with the nocturnal polyuria index as the dependent variable sleeping time, maximum voided volume and age were the covariates. However, the increase in the nocturnal polyuria index by age was small. Excluding polyuria and nocturia from analysis did not alter the results in a relevant way. The nocturnal voiding frequency depended on sleeping time and maximum voided volume but most of all on the nocturia index. Conclusions: The prevalence of nocturnal polyuria is overestimated. We suggest a new cutoff value for the nocturnal polyuria index, that is nocturnal polyuria exists when the nocturnal polyuria index exceeds 53%. The nocturia index is the best predictor of nocturia. References 1 : Nocturia in adults: etiology and classification. Neurourol Urodyn1998; 17: 467. Google Scholar 2 : The standardisation of terminology in nocturia: report from the Standardisation Sub-committee of the International Continence Society. Neurourol Urodyn2002; 21: 179. Google Scholar 3 : Nocturnal polyuria. BJU Int1999; 84: 17. Google Scholar 4 : Frequency-volume charts: comparison of frequency between elderly and adult patients. BJU Int1993; 72: 38. Google Scholar 5 : Relationship of fluid intake to voluntary micturition and urinary incontinence in geriatric patients. 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Google Scholar Departments of Urology, Sint Lucas Andreas Ziekenhuis, Amsterdam and University Medical Centre Utrecht (JLHRB), Utrecht, The Netherlands© 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byBosch J, Chapple C, Mueller E, Rosenberg M, Chughtai B, Juul K, Coyne K, Andersson F, Bacci E, Simeone J and Weiss J (2022) Differences in the Prevalence of Nocturnal Polyuria in the U.S. by Definition: Results from the Epidemiology of Nocturnal Polyuria StudyJournal of Urology, VOL. 208, NO. 1, (144-154), Online publication date: 1-Jul-2022.Wein A (2018) Re: Nocturia Causes Vary with Each DecadeJournal of Urology, VOL. 192, NO. 6, (1763-1763), Online publication date: 1-Dec-2014. Volume 188Issue 3September 2012Page: 869-874 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.Keywordsurinary bladdernocturiareference valuesurinationurinationMetricsAuthor Information Ernst P. van Haarst More articles by this author J.L.H. Ruud Bosch Financial interest and/or other relationship with Celon-Olympus and Ferring. More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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- W2017282605 title "A Cutoff Value Based on Analysis of a Reference Population Decreases Overestimation of the Prevalence of Nocturnal Polyuria" @default.
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