Accuracy and Usefulness of Select Methods for Assessing Complete Collection of 24‐Hour Urine: A Systematic Review
Abstract
Twenty‐four–hour urine collection is the recommended method for estimating sodium intake. To investigate the strengths and limitations of methods used to assess completion of 24‐hour urine collection, the authors systematically reviewed the literature on the accuracy and usefulness of methods vs para‐aminobenzoic acid ( PABA ) recovery (referent). The percentage of incomplete collections, based on PABA , was 6% to 47% (n=8 studies). The sensitivity and specificity for identifying incomplete collection using creatinine criteria (n=4 studies) was 6% to 63% and 57% to 99.7%, respectively. The most sensitive method for removing incomplete collections was a creatinine index <0.7. In pooled analysis (≥2 studies), mean urine creatinine excretion and volume were higher among participants with complete collection ( P <.05); whereas, self‐reported collection time did not differ by completion status. Compared with participants with incomplete collection, mean 24‐hour sodium excretion was 19.6 mmol higher (n=1781 specimens, 5 studies) in patients with complete collection. Sodium excretion may be underestimated by inclusion of incomplete 24‐hour urine collections. None of the current approaches reliably assess completion of 24‐hour urine collection.
- Authors:
-
[1];
- Epidemiology &, Surveillance Branch Division for Heart Disease and Stroke Prevention National Center for Chronic Disease Prevention and Health Promotion Centers for Disease Control and Prevention Atlanta GA USA
- Departments of Medicine Physiology and Pharmacology and Community Health Sciences O'Brien Institute for Public Health and Libin Cardiovascular Institute of Alberta University of Calgary Calgary Alberta Canada
- Centre for Physical Activity and Nutrition Research School of Exercise and Nutrition Sciences Deakin University Burwood Victoria Australia
- Unit of Noncommunicable Diseases &, Disabilities Department of Noncommunicable Diseases and Mental Health Pan American Health Organization Washington DC USA
- Publication Date:
- Sponsoring Org.:
- USDOE
- OSTI Identifier:
- 1401409
- Resource Type:
- Publisher's Accepted Manuscript
- Journal Name:
- The Journal of Clinical Hypertension
- Additional Journal Information:
- Journal Name: The Journal of Clinical Hypertension Journal Volume: 18 Journal Issue: 5; Journal ID: ISSN 1524-6175
- Publisher:
- Wiley-Blackwell
- Country of Publication:
- Country unknown/Code not available
- Language:
- English
Citation Formats
John, Katherine A., Cogswell, Mary E., Campbell, Norm R., Nowson, Caryl A., Legetic, Branka, Hennis, Anselm J. M., and Patel, Sheena M. Accuracy and Usefulness of Select Methods for Assessing Complete Collection of 24‐Hour Urine: A Systematic Review. Country unknown/Code not available: N. p., 2016.
Web. doi:10.1111/jch.12763.
John, Katherine A., Cogswell, Mary E., Campbell, Norm R., Nowson, Caryl A., Legetic, Branka, Hennis, Anselm J. M., & Patel, Sheena M. Accuracy and Usefulness of Select Methods for Assessing Complete Collection of 24‐Hour Urine: A Systematic Review. Country unknown/Code not available. https://doi.org/10.1111/jch.12763
John, Katherine A., Cogswell, Mary E., Campbell, Norm R., Nowson, Caryl A., Legetic, Branka, Hennis, Anselm J. M., and Patel, Sheena M. Sun .
"Accuracy and Usefulness of Select Methods for Assessing Complete Collection of 24‐Hour Urine: A Systematic Review". Country unknown/Code not available. https://doi.org/10.1111/jch.12763.
@article{osti_1401409,
title = {Accuracy and Usefulness of Select Methods for Assessing Complete Collection of 24‐Hour Urine: A Systematic Review},
author = {John, Katherine A. and Cogswell, Mary E. and Campbell, Norm R. and Nowson, Caryl A. and Legetic, Branka and Hennis, Anselm J. M. and Patel, Sheena M.},
abstractNote = {Twenty‐four–hour urine collection is the recommended method for estimating sodium intake. To investigate the strengths and limitations of methods used to assess completion of 24‐hour urine collection, the authors systematically reviewed the literature on the accuracy and usefulness of methods vs para‐aminobenzoic acid ( PABA ) recovery (referent). The percentage of incomplete collections, based on PABA , was 6% to 47% (n=8 studies). The sensitivity and specificity for identifying incomplete collection using creatinine criteria (n=4 studies) was 6% to 63% and 57% to 99.7%, respectively. The most sensitive method for removing incomplete collections was a creatinine index <0.7. In pooled analysis (≥2 studies), mean urine creatinine excretion and volume were higher among participants with complete collection ( P <.05); whereas, self‐reported collection time did not differ by completion status. Compared with participants with incomplete collection, mean 24‐hour sodium excretion was 19.6 mmol higher (n=1781 specimens, 5 studies) in patients with complete collection. Sodium excretion may be underestimated by inclusion of incomplete 24‐hour urine collections. None of the current approaches reliably assess completion of 24‐hour urine collection.},
doi = {10.1111/jch.12763},
journal = {The Journal of Clinical Hypertension},
number = 5,
volume = 18,
place = {Country unknown/Code not available},
year = {Sun Jan 03 00:00:00 EST 2016},
month = {Sun Jan 03 00:00:00 EST 2016}
}
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