This roundtable will discuss the clinical research networks conducted by the National Institute of Health in the United States. This research covered various aspects of LUT conditions over the past 20 years.
Roundtable 1 Programme
Tamara Bavendam will provide an introduction of brief historical overview of these networks. Representative investigators from the currently funded networks include: Eunice Kennedy Shriver National Institute of Child Health and Human Development’s Pelvic Floor Disorders Network (PFDN) and the National Institute of Diabetes and Digestive and Kidney Diseases’ Multidisciplinary Approach to the Study of Chronic Pelvic Pain (MAPP), Symptoms of Lower Urinary Tract Dysfunction Research Network (LURN) and Prevention of Lower Urinary Tract Symptoms Research Consortium (PLUS) will present innovative aspects of these research efforts.
Jeni Hebert-Beirne will discuss the link between social factors in determining health outcomes and the newly recognised mechanisms and pathways through which social factors impact health. The Prevention of Lower Urinary Tract Symptoms Research Consortium (PLUS) adopted a conceptual framework for all of its foundational research that is grounded in the socio-ecological model with attention to societal, organisational and community structures and systems in which individuals and their social networks experience health. The framework forces broad consideration of health determinants in our research, while revealing multi-level intervention opportunities for our national bladder health promotion.
Kevin Weinfurt will discuss the Symptoms of Lower Urinary Tract Dysfunction Research Network’s (LURN) efforts to understand the different measurement needs (e.g. phenotyping, diagnosis, outcome measure) and fill some of the gaps in measurement of lower urinary tract symptoms and their impact on individuals. He will present new data on the LURN Recall study which includes 2 basic sets of comparisons, 1) comparing 1-day, 1-week, and 1-month recall periods and 2) comparing traditional bladder diary to 3-day and 1-week recall periods.
Jason Kutch discusses how multi-site clinical research networks have the potential to dramatically improve outcomes in the study of lower urinary tract dysfunction, not only by increasing sample size but also by promoting rigor, reproducibility, and generalizability of results.
Jason will cover the efforts in the Multidisciplinary Approach to the Study of Chronic Pelvic Pain (MAPP) Research Network to develop and deploy a large multi-site neuroimaging study, as well as highlight convergent results that have emerged from the MAPP study.
Holly E Richter discusses the latest randomised surgical and non-surgical trials that have advanced the field of pelvic floor conditions since 2001 via the Eunice Kennedy Shriver NICHD sponsored Pelvic Floor Disorders Network (PFDN).
These trials have addressed all female pelvic floor disorders including urinary incontinence, pelvic organ prolapse and faecal incontinence, all of which cause distressing symptoms that impact women’s quality of life and perceived overall health. The network organisation offers several advantages to the study of these disorders including recruitment, increased generalisability, decreased bias, centralised oversight and committed investigators. A discussion of select trials will be presented.
Full Programme Here