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Systematic review of the accuracy of ultrasound as the method of measuring bladder wall thickness in the diagnosis of detrusor overactivity

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Abstract

Introduction and hypothesis

A systematic review was carried out to study the hypothesis that bladder wall thickness (BWT) on ultrasound is accurate in diagnosing detrusor overactivity (DO).

Methods

Databases were searched from database inception to January 2009. Two reviewers independently selected articles and extracted data on study characteristics, quality and results.

Results

Five out of 190 screened studies were included. There were variations in the quality, methods of performing the ultrasound and urodynamics studies, and the format of reporting findings. BWT was more in women with DO than those with other types of incontinence in four out of five studies. Using a 5-mm cutoff (two studies), sensitivity varied between 40% and 84%, and specificity 78–89%.

Conclusions

There is lack of data to reliably estimate accuracy of BWT in DO.

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Abbreviations

BWT:

bladder wall thickness

DO:

detrusor overactivity

OAB:

overactive bladder

ROC:

receiver operating characteristic

UDS:

urodynamics studies

UI:

urinary incontinence

USS:

ultrasound scan

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Acknowledgements

We would like to thank Derick Yates, librarian at Birmingham Womens' Hospital NHS Trust, for carrying out the literature searches on our behalf.

Contribution to authorship

PML conceived the idea for the review, wrote the protocol, retrieved some of the identified papers, acted as the first reviewer, and completed data and quality extraction. RC retrieved the remainder of the relevant papers and acted as the second reviewer to complete data and quality extraction. RC also wrote the initial draft of the manuscript. PML and RC then together wrote all subsequent drafts. KSK acted as a third reviewer, if and when consensus could not be reached between PML and RC. KSK also provided input to the statistical analysis and preparation of the manuscript.

Details of ethics approval

No ethical approval was needed for this review.

Funding

No funding was sought for this review.

Conflicts of interest

None.

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Authors and Affiliations

  1. Academic Department of Obstetrics and Gynaecology, Reproduction, Genes and Development, School of Clinical and Experimental Medicine, University of Birmingham, Birmingham Women’s Hospital, Metchley Park Road, Edgbaston, Birmingham, B15 2TG, UK

    P. M. Latthe, R. Champaneria & K. S. Khan

Authors
  1. P. M. Latthe
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  2. R. Champaneria
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  3. K. S. Khan
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Corresponding author

Correspondence to P. M. Latthe.

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Latthe, P.M., Champaneria, R. & Khan, K.S. Systematic review of the accuracy of ultrasound as the method of measuring bladder wall thickness in the diagnosis of detrusor overactivity. Int Urogynecol J 21, 1019–1024 (2010). https://doi.org/10.1007/s00192-010-1144-y

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