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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Design of the Value of Urodynamic Evaluation (ValUE) trial: A non-inferiority randomized trial of preoperative urodynamic investigations
Contemporary Clinical Trials, Volume 30, No. 6, Year 2009
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Description
Background and purpose: Urodynamic studies (UDS) are routinely obtained prior to surgery for stress urinary incontinence (SUI) despite a lack of evidence that UDS information has an actual impact on outcome. The primary aim of this non-inferiority randomized clinical trial is to determine whether women with symptomatic, uncomplicated SUI who undergo only a basic office evaluation (BOE) prior to SUI surgery (No UDS arm) have non-inferior treatment outcomes compared to women who have BOE and UDS (UDS arm). Secondary aims are: 1) to determine how often physicians use preoperative UDS results to alter clinical and surgical decision-making, 2)to compare the amount of improvement in incontinence outcomes, and 3) to determine the incremental cost and utility of performing UDS compared with not performing UDS. Methods: After an initial basic office evaluation, women planning surgery for uncomplicated SUI who consent to study participation will be randomized to receive preoperative UDS or No UDS. Treatment will be planned and performed by the surgeon utilizing all the data available to them. We will compare results from the basic office evaluation (No UDS) with results from the basic office evaluation and preoperative UDS. Results: The primary outcome will be measured at 12 months using responses to the Urogenital Distress Inventory and the Patient Global Index-Improvement. Conclusions: Randomized trials comparing the effects of different diagnostic alternatives on treatment outcomes pose study design challenges. A non-inferiority design is appropriate when comparing a less invasive and less expensive alternative with a standard of care approach. © 2009 Elsevier Inc.
Authors & Co-Authors
Nager, Charles W.
Unknown Affiliation
Brubaker, Linda T.
Unknown Affiliation
Daneshgari, Firouz
Unknown Affiliation
Litman, Heather J.
Unknown Affiliation
Dandreo, Kimberly J.
Unknown Affiliation
Sirls, Larry Thomas
Unknown Affiliation
Lemack, Gary E.
Unknown Affiliation
Richter, Holly Elizabeth
Unknown Affiliation
Leng, Wendy W.
Unknown Affiliation
Norton, Peggy A.
Unknown Affiliation
Kraus, Stephen R.
Unknown Affiliation
Chai, Toby C.
Unknown Affiliation
Chang, Debuene
Unknown Affiliation
Amundsen, Cindy Louise
Unknown Affiliation
Stoddard, Anne M.
Unknown Affiliation
Tennstedt, Sharon L.
Unknown Affiliation
Brubaker, Linda T.
Unknown Affiliation
Kenton, Kimberly S.
Unknown Affiliation
Richter, Holly E.
Unknown Affiliation
Keith Lloyd, L.
Unknown Affiliation
Albo, Michael Edward
Unknown Affiliation
Nager, Charles W.
Unknown Affiliation
Johnson, Harry W.
Unknown Affiliation
Zyczynski, Halina M.
Unknown Affiliation
Zimmern, Philippe E.
Unknown Affiliation
Lemack, Gary
Unknown Affiliation
Kraus, Stephen
Unknown Affiliation
Rozanski, Thomas A.
Unknown Affiliation
Norton, Peggy
Unknown Affiliation
Nygaard, Ingrid Elisabeth
Unknown Affiliation
Tennstedt, Sharon L.
Unknown Affiliation
Stoddard, Anne M.
Unknown Affiliation
Chang, Debuene
Unknown Affiliation
Moxey-Mims, Marva M.
Unknown Affiliation
Rasooly, Rebekah S.
Unknown Affiliation
Clemens, James Quentin
Unknown Affiliation
Abrams, Paul H.
Unknown Affiliation
Bland, Deirdre R.
Unknown Affiliation
Boone, Timothy B.
Unknown Affiliation
Connett, John E.
Unknown Affiliation
Fenner, Dee E.
Unknown Affiliation
Henderson, William G.
Unknown Affiliation
Kelsey, Sheryl F.
Unknown Affiliation
Lightner, Deborah J.
Unknown Affiliation
Myers, Deborah L.
Unknown Affiliation
Wadie, Bassem
Unknown Affiliation
Christian Winters, J.
Unknown Affiliation
Arisco, Amy M.
Unknown Affiliation
Baker, Jan E.
Unknown Affiliation
Borello-France, Diane F.
Unknown Affiliation
Burgio, Kathryn Larsen
Unknown Affiliation
Diokno, Ananias C.
Unknown Affiliation
Fischer, Melissa C.
Unknown Affiliation
FitzGerald, Mary Pat
Unknown Affiliation
Ghetti, Chiara C.
Unknown Affiliation
Goode, Patricia S.
Unknown Affiliation
Holley, Robert L.
Unknown Affiliation
Kahn, Margie A.
Unknown Affiliation
Lowder, Jerry L.
Unknown Affiliation
Luber, Karl M.
Unknown Affiliation
Luckacz, Emily
Unknown Affiliation
Markland, Alayne D.
Unknown Affiliation
Menefee, Shawn Adam
Unknown Affiliation
Moalli, Pamela A.
Unknown Affiliation
Mueller, Elizabeth Rose
Unknown Affiliation
Nagaraju, Pradeep
Unknown Affiliation
Peters, Kenneth M.
Unknown Affiliation
Sagan, Elizabeth R.
Unknown Affiliation
Schaffer, Joseph I.
Unknown Affiliation
Simsiman, Amanda J.
Unknown Affiliation
Starr, Robert
Unknown Affiliation
Sutkin, Gary
Unknown Affiliation
Edward Varner, R.
Unknown Affiliation
Burr, Laura
Unknown Affiliation
Columbo, Jesse A.
Unknown Affiliation
Dickinson, Tamara
Unknown Affiliation
Dinh, Rosanna
Unknown Affiliation
Gruss, Judy A.
Unknown Affiliation
Howell, Alice
Unknown Affiliation
Jayachandran, Chaandini J.
Unknown Affiliation
Jesse, Kathy
Unknown Affiliation
Lynn Kalinoski, D.
Unknown Affiliation
Leemon, Barbara
Unknown Affiliation
Mangus, Kristen
Unknown Affiliation
Mislanovich, Karen
Unknown Affiliation
Moore, Elva Kelly
Unknown Affiliation
Prather, Caren
Unknown Affiliation
Sluder, Sylvia
Unknown Affiliation
Tulke, Mary
Unknown Affiliation
Willingham, Robin
Unknown Affiliation
Woodson, Kimberly
Unknown Affiliation
Zazueta-Damian, Gisselle
Unknown Affiliation
Huang, Liyuan
Unknown Affiliation
Kowalski, Rose
Unknown Affiliation
Litman, Heather
Unknown Affiliation
Mihova, Marina S.
Unknown Affiliation
Tanwar, Kerry L.
Unknown Affiliation
Xu, Yan
Unknown Affiliation
Statistics
Citations: 98
Authors: 98
Affiliations: 29
Identifiers
Doi:
10.1016/j.cct.2009.07.001
ISSN:
15517144
Research Areas
Health System And Policy
Study Design
Randomised Control Trial
Participants Gender
Female