Nocturia in patients with cognitive dysfunction: a systematic review of the literature

Abstract Background The objective of this study is to evaluate current literature on the association between cognitive dysfunction and nocturia. Methods A systematic review following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement was conducted through MEDLINE,...

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Main Authors: Rebecca Haddad, Thomas F. Monaghan, Charles Joussain, Véronique Phé, Wendy Bower, Saskia Roggeman, Gilberte Robain, Karel Everaert
Format: Article
Language:English
Published: BMC 2020-07-01
Series:BMC Geriatrics
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12877-020-01622-8
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author Rebecca Haddad
Thomas F. Monaghan
Charles Joussain
Véronique Phé
Wendy Bower
Saskia Roggeman
Gilberte Robain
Karel Everaert
author_facet Rebecca Haddad
Thomas F. Monaghan
Charles Joussain
Véronique Phé
Wendy Bower
Saskia Roggeman
Gilberte Robain
Karel Everaert
author_sort Rebecca Haddad
collection DOAJ
description Abstract Background The objective of this study is to evaluate current literature on the association between cognitive dysfunction and nocturia. Methods A systematic review following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement was conducted through MEDLINE, EMBASE and COCHRANE databases and completed in November 2019. Randomized and non-randomized studies were included if they assessed the association between cognitive dysfunction and nocturia in older participants with or without neurological diseases. The quality of included studies was evaluated using the Risk of Bias Assessment tool for Non-randomized Studies (RoBANS). Results A total of 8 cross-sectional studies conducted in older patient populations met the criteria for inclusion. A statistically significant association was identified in 6 studies on univariate analysis, which persisted in 2 studies after controlling for confounding factors. The association between cognitive dysfunction and nocturia was positive for all 6 significant analyses. The overall risk of bias was unclear. Conclusion A significant positive association between cognitive dysfunction and nocturia was identified. However, research has been limited to cross-sectional studies, which precludes identification of causality between cognitive dysfunction and nocturia. Heightened awareness of the complex interplay between cognition and nocturia would allow professionals involved in the care of cognitively impaired patients with concomitant nocturia to more effectively manage these symptoms.
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spelling doaj.art-a5e4f554dc7442dfa5655e75a07bf1762022-12-21T23:04:51ZengBMCBMC Geriatrics1471-23182020-07-012011910.1186/s12877-020-01622-8Nocturia in patients with cognitive dysfunction: a systematic review of the literatureRebecca Haddad0Thomas F. Monaghan1Charles Joussain2Véronique Phé3Wendy Bower4Saskia Roggeman5Gilberte Robain6Karel Everaert7Department of Urology, Ghent University HospitalDepartment of Urology, Ghent University HospitalMedical School Paris Île-de-France Ouest Inserm U1179, Versailles Saint-Quentin UniversityDepartment of Urology, Sorbonne Université Pitié-Salpêtrière Academic Hospital AP-HPFaculty of Medicine, Dentistry & Health Sciences, The University of MelbourneDepartment of Urology, Ghent University HospitalGRC 001 GREEN Neuro-Urology Research Group, Sorbonne Université Rothschild Academic Hospital AP-HPDepartment of Urology, Ghent University HospitalAbstract Background The objective of this study is to evaluate current literature on the association between cognitive dysfunction and nocturia. Methods A systematic review following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement was conducted through MEDLINE, EMBASE and COCHRANE databases and completed in November 2019. Randomized and non-randomized studies were included if they assessed the association between cognitive dysfunction and nocturia in older participants with or without neurological diseases. The quality of included studies was evaluated using the Risk of Bias Assessment tool for Non-randomized Studies (RoBANS). Results A total of 8 cross-sectional studies conducted in older patient populations met the criteria for inclusion. A statistically significant association was identified in 6 studies on univariate analysis, which persisted in 2 studies after controlling for confounding factors. The association between cognitive dysfunction and nocturia was positive for all 6 significant analyses. The overall risk of bias was unclear. Conclusion A significant positive association between cognitive dysfunction and nocturia was identified. However, research has been limited to cross-sectional studies, which precludes identification of causality between cognitive dysfunction and nocturia. Heightened awareness of the complex interplay between cognition and nocturia would allow professionals involved in the care of cognitively impaired patients with concomitant nocturia to more effectively manage these symptoms.http://link.springer.com/article/10.1186/s12877-020-01622-8NocturiaLower urinary tract symptomsCognitive dysfunctionSystematic reviewEpidemiology
spellingShingle Rebecca Haddad
Thomas F. Monaghan
Charles Joussain
Véronique Phé
Wendy Bower
Saskia Roggeman
Gilberte Robain
Karel Everaert
Nocturia in patients with cognitive dysfunction: a systematic review of the literature
BMC Geriatrics
Nocturia
Lower urinary tract symptoms
Cognitive dysfunction
Systematic review
Epidemiology
title Nocturia in patients with cognitive dysfunction: a systematic review of the literature
title_full Nocturia in patients with cognitive dysfunction: a systematic review of the literature
title_fullStr Nocturia in patients with cognitive dysfunction: a systematic review of the literature
title_full_unstemmed Nocturia in patients with cognitive dysfunction: a systematic review of the literature
title_short Nocturia in patients with cognitive dysfunction: a systematic review of the literature
title_sort nocturia in patients with cognitive dysfunction a systematic review of the literature
topic Nocturia
Lower urinary tract symptoms
Cognitive dysfunction
Systematic review
Epidemiology
url http://link.springer.com/article/10.1186/s12877-020-01622-8
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