Abstract

The objectives of this proposal are to: (1) recruit subjects with lower urinary tract disorders (LUTDs) to validate the new patient-reported outcome (PRO) tools currently being developed by NIDDK LURN Research Network, and (2) use innovative technologies to extensively phenotype a targeted population to expand our understanding of the pathophysiology of LUTD. We have assembled a multidisciplinary team of investigators with recognized expertise in male and female LUTDs, urologic phenotyping research, bioinformatics, wireless technologies, functional MRI, and structural neuroimaging.
In Aim 1, we proposed a systematic, data-driven, targeted approach to recruit subjects with LUTDs to validate the new LURN PRO instruments.
In Aim 2, we will enroll subjects with overactive bladder (OAB), systematically collect their phenotype, symptom data and biospecimens using existing bioinformatics pipeline and wireless technologies at Washington University, and prospectively follow them up for 12 months to identify predictors of OAB progression or regression.
In Aim 3, we will use innovative neuroimaging techniques to phenotype OAB patients with and without incontinence.

Public Health Relevance

The objectives of this proposal are to: (1) recruit subjects with lower urinary tract disorders (LUTDs) to validate the new patient-reported outcome (PRO) tools currently being developed by NIDDK LURN Research Network, and (2) use innovative technologies to extensively phenotype a targeted population to expand our understanding of the pathophysiology of overactive bladder (OAB).

  Funding Agency

Agency
National Institute of Health (NIH)
Institute
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Type
Research Project--Cooperative Agreements (U01)
Project #
3U01DK100017-05S1
Application #
9547578
Study Section
Special Emphasis Panel (ZDK1)
Program Officer
Mullins, Christopher V
Project Start
2013-07-15
Project End
2019-05-31
Budget Start
2017-09-01
Budget End
2019-05-31
Support Year
5
Fiscal Year
2017
Total Cost
Indirect Cost

  Institution

Name
Washington University
Department
Surgery
Type
Schools of Medicine
DUNS #
068552207
City
Saint Louis
State
MO
Country
United States
Zip Code
63130

  Publications

Helfand, Brian T; Smith, Abigail R; Lai, H Henry et al. (2018) Prevalence and Characteristics of Urinary Incontinence in a Treatment Seeking Male Prospective Cohort: Results from the LURN Study. J Urol 200:397-404
Andreev, Victor P; Liu, Gang; Yang, Claire C et al. (2018) Symptom Based Clustering of Women in the LURN Observational Cohort Study. J Urol 200:1323-1331
Cameron, Anne P; Lewicky-Gaupp, Christina; Smith, Abigail R et al. (2018) Baseline Lower Urinary Tract Symptoms in Patients Enrolled in LURN: A Prospective, Observational Cohort Study. J Urol 199:1023-1031
Griffith, James W; Messersmith, Emily E; Gillespie, Brenda W et al. (2018) Reasons for Seeking Clinical Care for Lower Urinary Tract Symptoms: A Mixed Methods Study. J Urol 199:528-535
Helmuth, Margaret E; Smith, Abigail R; Andreev, Victor P et al. (2018) Use of Euclidean length to measure urinary incontinence severity based on the lower urinary tract symptoms tool. Am J Obstet Gynecol 218:357-359
Lai, H Henry; Naliboff, Bruce; Liu, Alice B et al. (2018) The LURN Research Network Neuroimaging and Sensory Testing (NIST) Study: Design, protocols, and operations. Contemp Clin Trials 74:76-87
Siddiqui, Nazema Y; Wiseman, Jonathan B; Cella, David et al. (2018) Mental Health, Sleep and Physical Function in Treatment Seeking Women with Urinary Incontinence. J Urol 200:848-855
Cameron, Anne P; Smith, Abigail R; Lai, H Henry et al. (2018) Bowel function, sexual function, and symptoms of pelvic organ prolapse in women with and without urinary incontinence. Neurourol Urodyn 37:2586-2596
Bradley, Catherine S; Erickson, Bradley A; Messersmith, Emily E et al. (2017) Evidence of the Impact of Diet, Fluid Intake, Caffeine, Alcohol and Tobacco on Lower Urinary Tract Symptoms: A Systematic Review. J Urol 198:1010-1020
Yang, Claire C; Weinfurt, Kevin P; Merion, Robert M et al. (2016) Symptoms of Lower Urinary Tract Dysfunction Research Network. J Urol 196:146-52