Bladder dysfunction in human T cell lymphotropic virus infection: a prospective cohort study
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
Texto Completo: | https://www.arca.fiocruz.br/handle/icict/54860 |
Resumo: | Conselho Nacional de Pesquisa (CNPq). Ministério da Ciência e Tecnologia. Fundação Maria Emília Freire Pedreira de Carvalho. |
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Carneiro Neto, José AbraãoOliveira, Cássius José Vitor deFerraz, Sheila NunesGuerra, MarieleOliveira, Lívia AlvesPassos, LúciaCarvalho, Edgar MRocha, Paulo Novis2022-09-23T18:33:23Z2022-09-23T18:33:23Z2022CARNEIRO NETO, José Abraão et al. Bladder dysfunction in human T cell lymphotropic virus infection: a prospective cohort study. Plos Neglected Tropical Diseases. V. 16, n. 1, p. 1-10, 2022.1935-2735https://www.arca.fiocruz.br/handle/icict/5486010.1371/journal.pntd.0009772Conselho Nacional de Pesquisa (CNPq). Ministério da Ciência e Tecnologia. Fundação Maria Emília Freire Pedreira de Carvalho.Universidade Federal da Bahia. Programa de Pós-Graduação em Ciências da Saúde. Salvador, BA, Brasil.Universidade Federal da Bahia. Programa de Pós-Graduação em Ciências da Saúde. Salvador, BA, Brasil.Universidade Federal da Bahia. Programa de Pós-Graduação em Ciências da Saúde. Salvador, BA, Brasil.Universidade Federal da Bahia. Serviço de Imunologia do Hospital Universitário Professor Edgard Santos. Salvador, BA, Brasil.Universidade Federal da Bahia. Serviço de Imunologia do Hospital Universitário Professor Edgard Santos. Salvador, BA, Brasil.Universidade Federal da Bahia. Serviço de Imunologia do Hospital Universitário Professor Edgard Santos. Salvador, BA, Brasil.Universidade Federal da Bahia. Programa de Pós-Graduação em Ciências da Saúde. Salvador, BA, Brasil / Universidade Federal da Bahia. Serviço de Imunologia do Hospital Universitário Professor Edgard Santos. Salvador, BA, Brasil / Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil / Instituto Nacional de Ciência e Tecnologia de Doenças Tropicais. Salvador, BA, Brasil.Universidade Federal da Bahia. Programa de Pós-Graduação em Ciências da Saúde. Salvador, BA, Brasil / Universidade Federal da Bahia. Serviço de Nefrologia do Hospital Universitário Professor Edgard Santos. Salvador, BA, Brasil.Background: While bladder dysfunction is observed in the majority of patients with human T cell lymphotropic virus type 1 (HTLV-1)-associated myelopathy (HAM), it is also observed in patients who do not fulfill all diagnostic criteria for HAM. These patients are classified as having possible or probable HAM/TSP. However, it remains unclear whether the severity and progression of bladder dysfunction occurs similarly between these two groups. Objective: Compare the severity and evolution of bladder dysfunction in HTLV-1-infected patients with possible and definite HAM/TSP. Methods: The present prospective cohort study followed 90 HTLV-1 patients with possible HAM/TSP and 84 with definite HAM/TSP between April 2011 and February 2019. Bladder dysfunction was evaluated by bladder diary, overactive bladder symptoms scores (OABSS) and urodynamic studies. Bladder dysfunction progression was defined as the need for clean self-intermittent catheterization (CIC). Results: At baseline, nocturia, urgency and OABSS scores were worse in definite compared to possible HAM/TSP patients. The main urodynamic finding was detrusor overactivity, present in 77.8% of the patients with definite HAM/TSP versus 58.7% of those with possible HAM/TSP (P = 0.05). Upon study conclusion, the cumulative frequency of patients requiring CIC increased in both groups, from 2 to 6 in possible HAM/TSP and from 28 to 44 in definite HAM/TSP patients. The estimated time to need for CIC was 6.7 years (95%CI 6.5-7.0) in the possible HAM/TSP group compared to 5.5 years (95%CI 4.8-6.1) in the definite HAM/TSP group. Conclusions: Although both groups showed similarities in bladder dysfunction and tended to progress to requiring CIC over time, patients with possible HAM/TSP presented less severe manifestations at baseline and progressed more slowly than those with definite HAM/TSP.engPublic Library of ScienceParaparesia Espástica TropicalVírus Linfotrópico T Tipo 1 HumanoBexiga urináriaParaparesis, Tropical SpasticHuman T-lymphotropic virus 1Urinary bladderBladder dysfunction in human T cell lymphotropic virus infection: a prospective cohort studyinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZORIGINALCarneiro Neto, José Brandão - Bladder dysfunction in human T cell lymphotropic virus infection.pdfCarneiro Neto, José Brandão - Bladder dysfunction in human T cell lymphotropic virus infection.pdfapplication/pdf587441https://www.arca.fiocruz.br/bitstream/icict/54860/2/Carneiro%20Neto%2c%20Jos%c3%a9%20Brand%c3%a3o%20-%20Bladder%20dysfunction%20in%20human%20T%20cell%20lymphotropic%20virus%20infection.pdf7dcbd4d11c7d890a1872425a4eab1853MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/54860/1/license.txt5a560609d32a3863062d77ff32785d58MD51icict/548602023-03-15 14:32:52.289oai:www.arca.fiocruz.br:icict/54860Q0VTU8ODTyBOw4NPIEVYQ0xVU0lWQSBERSBESVJFSVRPUyBBVVRPUkFJUwoKQW8gYWNlaXRhciBvcyBURVJNT1MgZSBDT05EScOHw5VFUyBkZXN0YSBDRVNTw4NPLCBvIEFVVE9SIGUvb3UgVElUVUxBUiBkZSBkaXJlaXRvcwphdXRvcmFpcyBzb2JyZSBhIE9CUkEgZGUgcXVlIHRyYXRhIGVzdGUgZG9jdW1lbnRvOgoKKDEpIENFREUgZSBUUkFOU0ZFUkUsIHRvdGFsIGUgZ3JhdHVpdGFtZW50ZSwgw6AgRklPQ1JVWiAtIEZVTkRBw4fDg08gT1NXQUxETyBDUlVaLCBlbQpjYXLDoXRlciBwZXJtYW5lbnRlLCBpcnJldm9nw6F2ZWwgZSBOw4NPIEVYQ0xVU0lWTywgdG9kb3Mgb3MgZGlyZWl0b3MgcGF0cmltb25pYWlzIE7Dg08KQ09NRVJDSUFJUyBkZSB1dGlsaXphw6fDo28gZGEgT0JSQSBhcnTDrXN0aWNhIGUvb3UgY2llbnTDrWZpY2EgaW5kaWNhZGEgYWNpbWEsIGluY2x1c2l2ZSBvcyBkaXJlaXRvcwpkZSB2b3ogZSBpbWFnZW0gdmluY3VsYWRvcyDDoCBPQlJBLCBkdXJhbnRlIHRvZG8gbyBwcmF6byBkZSBkdXJhw6fDo28gZG9zIGRpcmVpdG9zIGF1dG9yYWlzLCBlbQpxdWFscXVlciBpZGlvbWEgZSBlbSB0b2RvcyBvcyBwYcOtc2VzOwoKKDIpIEFDRUlUQSBxdWUgYSBjZXNzw6NvIHRvdGFsIG7Do28gZXhjbHVzaXZhLCBwZXJtYW5lbnRlIGUgaXJyZXZvZ8OhdmVsIGRvcyBkaXJlaXRvcyBhdXRvcmFpcwpwYXRyaW1vbmlhaXMgbsOjbyBjb21lcmNpYWlzIGRlIHV0aWxpemHDp8OjbyBkZSBxdWUgdHJhdGEgZXN0ZSBkb2N1bWVudG8gaW5jbHVpLCBleGVtcGxpZmljYXRpdmFtZW50ZSwKb3MgZGlyZWl0b3MgZGUgZGlzcG9uaWJpbGl6YcOnw6NvIGUgY29tdW5pY2HDp8OjbyBww7pibGljYSBkYSBPQlJBLCBlbSBxdWFscXVlciBtZWlvIG91IHZlw61jdWxvLAppbmNsdXNpdmUgZW0gUmVwb3NpdMOzcmlvcyBEaWdpdGFpcywgYmVtIGNvbW8gb3MgZGlyZWl0b3MgZGUgcmVwcm9kdcOnw6NvLCBleGliacOnw6NvLCBleGVjdcOnw6NvLApkZWNsYW1hw6fDo28sIHJlY2l0YcOnw6NvLCBleHBvc2nDp8OjbywgYXJxdWl2YW1lbnRvLCBpbmNsdXPDo28gZW0gYmFuY28gZGUgZGFkb3MsIHByZXNlcnZhw6fDo28sIGRpZnVzw6NvLApkaXN0cmlidWnDp8OjbywgZGl2dWxnYcOnw6NvLCBlbXByw6lzdGltbywgdHJhZHXDp8OjbywgZHVibGFnZW0sIGxlZ2VuZGFnZW0sIGluY2x1c8OjbyBlbSBub3ZhcyBvYnJhcyBvdQpjb2xldMOibmVhcywgcmV1dGlsaXphw6fDo28sIGVkacOnw6NvLCBwcm9kdcOnw6NvIGRlIG1hdGVyaWFsIGRpZMOhdGljbyBlIGN1cnNvcyBvdSBxdWFscXVlciBmb3JtYSBkZQp1dGlsaXphw6fDo28gbsOjbyBjb21lcmNpYWw7CgooMykgUkVDT05IRUNFIHF1ZSBhIGNlc3PDo28gYXF1aSBlc3BlY2lmaWNhZGEgY29uY2VkZSDDoCBGSU9DUlVaIC0gRlVOREHDh8ODTyBPU1dBTERPCkNSVVogbyBkaXJlaXRvIGRlIGF1dG9yaXphciBxdWFscXVlciBwZXNzb2Eg4oCTIGbDrXNpY2Egb3UganVyw61kaWNhLCBww7pibGljYSBvdSBwcml2YWRhLCBuYWNpb25hbCBvdQplc3RyYW5nZWlyYSDigJMgYSBhY2Vzc2FyIGUgdXRpbGl6YXIgYW1wbGFtZW50ZSBhIE9CUkEsIHNlbSBleGNsdXNpdmlkYWRlLCBwYXJhIHF1YWlzcXVlcgpmaW5hbGlkYWRlcyBuw6NvIGNvbWVyY2lhaXM7CgooNCkgREVDTEFSQSBxdWUgYSBvYnJhIMOpIGNyaWHDp8OjbyBvcmlnaW5hbCBlIHF1ZSDDqSBvIHRpdHVsYXIgZG9zIGRpcmVpdG9zIGFxdWkgY2VkaWRvcyBlIGF1dG9yaXphZG9zLApyZXNwb25zYWJpbGl6YW5kby1zZSBpbnRlZ3JhbG1lbnRlIHBlbG8gY29udGXDumRvIGUgb3V0cm9zIGVsZW1lbnRvcyBxdWUgZmF6ZW0gcGFydGUgZGEgT0JSQSwKaW5jbHVzaXZlIG9zIGRpcmVpdG9zIGRlIHZveiBlIGltYWdlbSB2aW5jdWxhZG9zIMOgIE9CUkEsIG9icmlnYW5kby1zZSBhIGluZGVuaXphciB0ZXJjZWlyb3MgcG9yCmRhbm9zLCBiZW0gY29tbyBpbmRlbml6YXIgZSByZXNzYXJjaXIgYSBGSU9DUlVaIC0gRlVOREHDh8ODTyBPU1dBTERPIENSVVogZGUKZXZlbnR1YWlzIGRlc3Blc2FzIHF1ZSB2aWVyZW0gYSBzdXBvcnRhciwgZW0gcmF6w6NvIGRlIHF1YWxxdWVyIG9mZW5zYSBhIGRpcmVpdG9zIGF1dG9yYWlzIG91CmRpcmVpdG9zIGRlIHZveiBvdSBpbWFnZW0sIHByaW5jaXBhbG1lbnRlIG5vIHF1ZSBkaXogcmVzcGVpdG8gYSBwbMOhZ2lvIGUgdmlvbGHDp8O1ZXMgZGUgZGlyZWl0b3M7CgooNSkgQUZJUk1BIHF1ZSBjb25oZWNlIGEgUG9sw610aWNhIEluc3RpdHVjaW9uYWwgZGUgQWNlc3NvIEFiZXJ0byBkYSBGSU9DUlVaIC0gRlVOREHDh8ODTwpPU1dBTERPIENSVVogZSBhcyBkaXJldHJpemVzIHBhcmEgbyBmdW5jaW9uYW1lbnRvIGRvIHJlcG9zaXTDs3JpbyBpbnN0aXR1Y2lvbmFsIEFSQ0EuCgpBIFBvbMOtdGljYSBJbnN0aXR1Y2lvbmFsIGRlIEFjZXNzbyBBYmVydG8gZGEgRklPQ1JVWiAtIEZVTkRBw4fDg08gT1NXQUxETyBDUlVaIHJlc2VydmEKZXhjbHVzaXZhbWVudGUgYW8gQVVUT1Igb3MgZGlyZWl0b3MgbW9yYWlzIGUgb3MgdXNvcyBjb21lcmNpYWlzIHNvYnJlIGFzIG9icmFzIGRlIHN1YSBhdXRvcmlhCmUvb3UgdGl0dWxhcmlkYWRlLCBzZW5kbyBvcyB0ZXJjZWlyb3MgdXN1w6FyaW9zIHJlc3BvbnPDoXZlaXMgcGVsYSBhdHJpYnVpw6fDo28gZGUgYXV0b3JpYSBlIG1hbnV0ZW7Dp8OjbwpkYSBpbnRlZ3JpZGFkZSBkYSBPQlJBIGVtIHF1YWxxdWVyIHV0aWxpemHDp8Ojby4KCkEgUG9sw610aWNhIEluc3RpdHVjaW9uYWwgZGUgQWNlc3NvIEFiZXJ0byBkYSBGSU9DUlVaIC0gRlVOREHDh8ODTyBPU1dBTERPIENSVVoKcmVzcGVpdGEgb3MgY29udHJhdG9zIGUgYWNvcmRvcyBwcmVleGlzdGVudGVzIGRvcyBBdXRvcmVzIGNvbSB0ZXJjZWlyb3MsIGNhYmVuZG8gYW9zIEF1dG9yZXMKaW5mb3JtYXIgw6AgSW5zdGl0dWnDp8OjbyBhcyBjb25kacOnw7VlcyBlIG91dHJhcyByZXN0cmnDp8O1ZXMgaW1wb3N0YXMgcG9yIGVzdGVzIGluc3RydW1lbnRvcy4KRepositório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352023-03-15T17:32:52Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false |
dc.title.en_US.fl_str_mv |
Bladder dysfunction in human T cell lymphotropic virus infection: a prospective cohort study |
title |
Bladder dysfunction in human T cell lymphotropic virus infection: a prospective cohort study |
spellingShingle |
Bladder dysfunction in human T cell lymphotropic virus infection: a prospective cohort study Carneiro Neto, José Abraão Paraparesia Espástica Tropical Vírus Linfotrópico T Tipo 1 Humano Bexiga urinária Paraparesis, Tropical Spastic Human T-lymphotropic virus 1 Urinary bladder |
title_short |
Bladder dysfunction in human T cell lymphotropic virus infection: a prospective cohort study |
title_full |
Bladder dysfunction in human T cell lymphotropic virus infection: a prospective cohort study |
title_fullStr |
Bladder dysfunction in human T cell lymphotropic virus infection: a prospective cohort study |
title_full_unstemmed |
Bladder dysfunction in human T cell lymphotropic virus infection: a prospective cohort study |
title_sort |
Bladder dysfunction in human T cell lymphotropic virus infection: a prospective cohort study |
author |
Carneiro Neto, José Abraão |
author_facet |
Carneiro Neto, José Abraão Oliveira, Cássius José Vitor de Ferraz, Sheila Nunes Guerra, Mariele Oliveira, Lívia Alves Passos, Lúcia Carvalho, Edgar M Rocha, Paulo Novis |
author_role |
author |
author2 |
Oliveira, Cássius José Vitor de Ferraz, Sheila Nunes Guerra, Mariele Oliveira, Lívia Alves Passos, Lúcia Carvalho, Edgar M Rocha, Paulo Novis |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Carneiro Neto, José Abraão Oliveira, Cássius José Vitor de Ferraz, Sheila Nunes Guerra, Mariele Oliveira, Lívia Alves Passos, Lúcia Carvalho, Edgar M Rocha, Paulo Novis |
dc.subject.other.en_US.fl_str_mv |
Paraparesia Espástica Tropical Vírus Linfotrópico T Tipo 1 Humano Bexiga urinária |
topic |
Paraparesia Espástica Tropical Vírus Linfotrópico T Tipo 1 Humano Bexiga urinária Paraparesis, Tropical Spastic Human T-lymphotropic virus 1 Urinary bladder |
dc.subject.en.en_US.fl_str_mv |
Paraparesis, Tropical Spastic Human T-lymphotropic virus 1 Urinary bladder |
description |
Conselho Nacional de Pesquisa (CNPq). Ministério da Ciência e Tecnologia. Fundação Maria Emília Freire Pedreira de Carvalho. |
publishDate |
2022 |
dc.date.accessioned.fl_str_mv |
2022-09-23T18:33:23Z |
dc.date.available.fl_str_mv |
2022-09-23T18:33:23Z |
dc.date.issued.fl_str_mv |
2022 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
CARNEIRO NETO, José Abraão et al. Bladder dysfunction in human T cell lymphotropic virus infection: a prospective cohort study. Plos Neglected Tropical Diseases. V. 16, n. 1, p. 1-10, 2022. |
dc.identifier.uri.fl_str_mv |
https://www.arca.fiocruz.br/handle/icict/54860 |
dc.identifier.issn.en_US.fl_str_mv |
1935-2735 |
dc.identifier.doi.none.fl_str_mv |
10.1371/journal.pntd.0009772 |
identifier_str_mv |
CARNEIRO NETO, José Abraão et al. Bladder dysfunction in human T cell lymphotropic virus infection: a prospective cohort study. Plos Neglected Tropical Diseases. V. 16, n. 1, p. 1-10, 2022. 1935-2735 10.1371/journal.pntd.0009772 |
url |
https://www.arca.fiocruz.br/handle/icict/54860 |
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eng |
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eng |
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info:eu-repo/semantics/openAccess |
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Public Library of Science |
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