{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T15:41:45Z","timestamp":1747150905371,"version":"3.40.5"},"reference-count":19,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2020,9,22]],"date-time":"2020-09-22T00:00:00Z","timestamp":1600732800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To evaluate if adult persons with spina bifida (SB) who have urinary tract complications have cognitive difficulties that can be identified by neuropsychological tests.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>All individuals with SB\u2009\u2265\u200918 years of age registered at a regional outpatient clinic (<jats:italic>n<\/jats:italic>\u2009=\u2009219) were invited, of which, 154 persons were included. Neuropsychological assessment of their cognitive status was performed with Wechsler Adult Intelligence Scale\u00ae\u2014Fourth Edition: Coding, Block design, Arithmetic's, FAS (word generation), Rey Auditory Verbal Test for learning, and delayed recall 30\u2009min. Bladder and bowel function were assessed with questions used by the Nordic Spinal Cord Injury Registry (NSCIR) in structured interviews, by questionnaires, and by chart reviews.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Average neuropsychological test results for this SB population was shown to be approximately 1\u2009<jats:italic>SD<\/jats:italic> under the median for the general population. The Coding test showed significantly lower test results as compared with the whole SB group in persons with urinary tract complications, especially urinary tract infections, reduced kidney function, dependent emptying of the bladder, and the bowel and accidental bowel leakage. The Arithmetic's test showed a significant difference between subgroups in all parameters except reduced kidney function whereas the other neuropsychological tests were significantly correlated with some but not all urological parameters.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>We propose neuropsychological testing with primarily two tests to find those persons with SB who, due to cognitive challenges, might need extra support to minimize urological complications.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.24515","type":"journal-article","created":{"date-parts":[[2020,9,22]],"date-time":"2020-09-22T12:10:39Z","timestamp":1600776639000},"page":"2139-2145","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Cognitive challenges in persons with spina bifida: Bearing on urological dysfunctions?"],"prefix":"10.1002","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7995-1252","authenticated-orcid":false,"given":"Ingrid","family":"Ehr\u00e9n","sequence":"first","affiliation":[{"name":"Rehab Station Stockholm Karolinska Institutet  Stockholm Sweden"},{"name":"Department of Urology, Karolinska University Hospital Karolinska Institutet  Stockholm Sweden"},{"name":"Department of Molecular Medicine and Surgery Karolinska Institutet  Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G\u00f6ran","family":"Hagman","sequence":"additional","affiliation":[{"name":"Department of Neurobiology, Care Sciences and Society Karolinska Institutet  Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lena","family":"Lindbo","sequence":"additional","affiliation":[{"name":"Rehab Station Stockholm Karolinska Institutet  Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hanna","family":"Gabrielsson","sequence":"additional","affiliation":[{"name":"Rehab Station Stockholm Karolinska Institutet  Stockholm Sweden"},{"name":"Faculty of Medicine and Health, School of Health Sciences \u00d6rebro University  \u00d6rebro Sweden"},{"name":"Ersta Sk\u00f6ndal Br\u00e4cke University College  Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martina","family":"Bendt","sequence":"additional","affiliation":[{"name":"Rehab Station Stockholm Karolinska Institutet  Stockholm Sweden"},{"name":"Department of Neurobiology, Care Sciences and Society Karolinska Institutet  Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c5ke","family":"Seiger","sequence":"additional","affiliation":[{"name":"Rehab Station Stockholm Karolinska Institutet  Stockholm Sweden"},{"name":"Department of Neurobiology, Care Sciences and Society Karolinska Institutet  Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,9,22]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2018.02.3101"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.3233\/PRM-170450"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/ddrr.89"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0012162206000259"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00381-005-1231-4"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/brb3.1736"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.24422"},{"volume-title":"A Compendium of Neuropsychological Tests: Administration, Norms and Commentary","year":"1998","author":"Spreen O","key":"e_1_2_8_9_1"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1355617702811092"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/01688639208402847"},{"volume-title":"Developmental Neuropsychology: A Clinical Approach","year":"2001","author":"Anderson V","key":"e_1_2_8_12_1"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1355617705050344"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-9450.2008.00653.x"},{"key":"e_1_2_8_15_1","first-page":"1","article-title":"Quality indicators in spinal cord injury care: a Swedish collaborative project. 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