CDE Detailed Report

Document the detrusor leak point pressure in cm H2O during filling cystometry. Up to three digits without decimals should be used.

Document the maximum detrusor pressure in cm H2O during filling cystometry. Up to three digits without decimals should be used.

Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).

Record the height (or length for the very young) of the participant/ subject. To be collected at the visit, not self-reported. Also, indicate whether height was measured in inches (in) or centimeters (cm).

Document the excretory function percentage for each kidney to the nearest integer. If only one kidney is functioning, the coding will be 100 % for the functioning kidney and 0 % for the non-functioning kidney.

Total gastrointestinal and colonic transit times are prolonged in many individuals with SCI. Transit time through the stomach and small intestine is usually just a few hours. Colonic transit time is, however, much longer. Some authors present transit times as total gastrointestinal transit time and others prefer colonic transit time. Unless multiple x-rays are taken the most correct term is total gastrointestinal transit time. Generally, transit time is prolonged throughout thecolon in individuals with supraconal SCI. In contrast individuals with conal or cauda equina lesions often have severely prolonged rectosigmoid or left colonic transit times. The intrasubjective variation remains to be studied and due to poor correlations between total gastrointestinal /colonic transit time and colorectal symptoms after SCI the clinical relevance of transit time measurement has been questioned (Leduc 2002). Future studies are needed to clarify this. Several types of radiopaque markers and protocols for determining total gastrointestinal and colonic transit times exist. However, no evidence exists to recommend one from the others. The code Unknown is used if the transit time is not determined.

Document the post void residual volume. Up to four digits without decimals should be used.

Record the weight of the participant/subject. To be collected at the visit, not self-reported. Also, indicate whether weight was measured in pounds (lbs) or kilograms (kg).

Choose one
This means diverticula of any size within the bladder or bladder neck were found.

The wearing of compression devices (abdominal binder or pressure stockings) could affect cardiovascular parameters during the examination. Therefore, their use during the examination should be documented.

The physiology and innervation of the right colon (caecum, ascending colon and oral 2/3 of the transverse colon) is different from that of the left colon (splenic flexure, descending colon, and rectosigmoid). The right colon is mainly for storage and absorption and receives its parasympathetic innervation from the vagal nerve. The left colon is mainly a transit organ for defecation at receives its parasympathetic innervation from the sacral segments (S2-S4) of the spinal cord. Accordingly, colonc transit time is usually divided into right and left. Whether this is of clinical significance in SCI remains to be determined. The code Not tested is used if the transit time is not determined.

The suggested range is 0-100. Add date stamp for when assessed. Recommended for collection on admission and daily as required by protocol.

Choose one. If more than one method was performed on the same date then enter the results separately.

Choose one. The three defined points noted during filling cystometry are as follows: 1. First sensation of bladder filling is the feeling the patient has, during filling cystometry, when he/she first becomes aware of the bladder filling. 2. First desire to void is defined as the feeling, during filling cystometry, that would lead the patient to pass urine at the next convenient moment, but voiding can be delayed if necessary. 3. Strong desire to void this is defined, during filling cystometry, as a persistent desire to void without the fear of leakage.

Findings of any specific deviations from the normal state not documented above can be stated in a text-field, from where it will be possible to retrieve more detailed data whenever necessary. Because many possible findings exist, it is not practical to give an exact list of findings.

Document the excretory function percentage for each kidney to the nearest integer. If only one kidney is functioning, the coding will be 100 % for the functioning kidney and 0 % for the non-functioning kidney.

Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).

Choose one

The International Continence Society recommends to calculate the bladder compliance using two standard points: 1) the detrusor pressure at the start on the bladder filling and the corresponding bladder volume (usually zero), and 2) the detrusor pressure (and corresponding bladder volume) at cystometric capacity or immediately before the start of any detrusor contraction that causes significant leakage (and therefore causes the bladder volume to decrease, affecting compliance calculation). Both points are measured excluding any detrusor contraction (Abrams et al. 2002). Unknown is used if the observation regarding bladder compliance during filling cystometry is not available.

Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).