{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T05:00:46Z","timestamp":1792299646485,"version":"4.4.0"},"reference-count":50,"publisher":"American Spinal Injury Association","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To determine whether assessment and decision-making around urinary symptoms in people with neurogenic lower urinary tract dysfunction (NLUTD) should depend on bladder management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Three surveys of urinary symptoms associated with NLUTD (USQNBs) were designed specific to bladder management method for those who manage their bladders with indwelling catheter (IDC), intermittent catheter (IC), or voiding (V). Each was deployed one time to a national sample. Subject matter experts qualitatively assessed the wording of validated items to identify potential duplicates. Clustering by unsupervised structural learning was used to analyze duplicates. Each item was classified into mutually exclusive and exhaustive categories: clinically actionable (\u201cfever\u201d), bladder-specific (\u201csuprapubic pain\u201d), urine quality (\u201ccloudy urine\u201d), or constitutional (\u201cleg pain\u201d).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A core of 10 \u201cNLUTD urinary symptoms\u201d contains three clinically actionable, bladder-specific, and urine quality items plus one constitutional item. There are 9 (IDC), 11 (IC), and 8 (V) items unique to these instruments. One decision-making protocol applies to all instruments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      Ten urinary symptoms in NLUTD are\n                      <jats:italic>independent<\/jats:italic>\n                      of bladder management, whereas a similar number depend on bladder management. We conclude that assessment of urinary symptoms for persons with NLUTD should be specific to bladder management method, like the USQNBs are.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.46292\/sci22-00065","type":"journal-article","created":{"date-parts":[[2023,8,17]],"date-time":"2023-08-17T04:44:03Z","timestamp":1692247443000},"page":"31-43","source":"Crossref","is-referenced-by-count":2,"title":["Urinary Symptoms Among People With Neurogenic Lower Urinary Tract Dysfunction (NLUTD) Vary by Bladder Management"],"prefix":"10.46292","volume":"29","author":[{"given":"Rochelle E.","family":"Tractenberg","sequence":"first","affiliation":[{"name":"Collaborative for Research on Outcomes and \u2013Metrics, Georgetown University, Washington, DC"},{"name":"Department of Neurology, Biostatistics, Bioinformatics & Biomathematics, Georgetown University Medical Center, Washington, DC"},{"name":"Department of Rehabilitation Medicine, Georgetown University Medical Center, Washington, DC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suzanne L.","family":"Groah","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Georgetown University Medical Center, Washington, DC"},{"name":"MedStar National Rehabilitation Hospital, Washington, DC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jamie K.","family":"Frost","sequence":"additional","affiliation":[{"name":"Collaborative for Research on Outcomes and \u2013Metrics, Georgetown University, Washington, DC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Futoshi","family":"Yumoto","sequence":"additional","affiliation":[{"name":"Collaborative for Research on Outcomes and \u2013Metrics, Georgetown University, Washington, DC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda K.","family":"Rounds","sequence":"additional","affiliation":[{"name":"MedStar National Rehabilitation Hospital, Washington, DC"},{"name":"MedStar Health Research Institute, Hyattsville, MD"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Inger H.","family":"Ljungberg","sequence":"additional","affiliation":[{"name":"MedStar National Rehabilitation Hospital, Washington, DC"},{"name":"MedStar Health Research Institute, Hyattsville, MD"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"25425","reference":[{"issue":"6","key":"i1945-5763-29-3-31-b1","series-title":"Can Urol Assoc J","doi-asserted-by":"publisher","DOI":"10.5489\/cuaj.5912","article-title":"Canadian Urological Association guideline: Diagnosis, management, and surveillance of neurogenic lower urinary tract dysfunction","volume":"13","author":"Kavanagh\n              A","year":"2019","unstructured":"Kavanagh\n              A\n            , BaverstockR, CampeauL, et al.\n          Canadian Urological Association guideline: Diagnosis, management, and surveillance of neurogenic lower urinary tract dysfunction. 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