Evidence map›Paper›PMID 15877562›Full record

Trial reportJournal of the American Geriatrics Society2005

Effects of behavioral and drug therapy on nocturia in older incontinent women.

Theodore M Johnson, Kathryn L Burgio, David T Redden, Kate Clark Wright, Patricia S Goode

Abstract readClinical TrialComparative StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Journal of the American Geriatrics Society, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 4 pooled it
3.7field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 4 syntheses or guidelines pooled it, 101 citations in OpenAlex.

  1. Bladder training for treating overactive bladder in adults.The Cochrane database of systematic reviews · 2023
    Pooled it
  2. Pooled it
  3. Bladder training for urinary incontinence in adults.The Cochrane database of systematic reviews · 2004
    Pooled it
  4. Habit retraining for the management of urinary incontinence in adults.The Cochrane database of systematic reviews · 2004
    Pooled it
  5. Trial
  6. Trial
  7. Trial
  8. Nocturia, nocturnal incontinence prevalence, and response to anticholinergic and behavioral therapy.International urogynecology journal and pelvic floor dysfunction · 2008
    Trial
  9. Nocturnal polyuria and nocturia relief in patients treated with solifenacin for overactive bladder symptoms.International urogynecology journal and pelvic floor dysfunction · 2007
    Trial
  10. Canadian Urological Association best practice report: Diagnosis and management of nocturia.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2022
    Article
  11. Review
  12. Article
  13. Economic Burden of Illness in Adult Patients with Nocturia.Journal of managed care & specialty pharmacy · 2019
    Article
  14. Article
  15. Nocturia: aetiology and treatment in adults.Nature reviews. Urology · 2016
    Review
  16. Management of nocturia in the female.Current urology reports · 2015
    Review
  17. Review
  18. Nocturia reported in nightly sleep diaries: common occurrence with significant implications?Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2014
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Theodore M JohnsonBirmingham/Atlanta Geriatric Research, Education, and Clinical Center, Department of Veterans Affairs Medical Centers, Birmingham, Alabama, and Decatur, Georgia.
Kathryn L Burgio
David T Redden
Kate Clark Wright
Patricia S Goode
Emory University · US

Funding

NIA NIH HHS AG R01108010
6 · The paper itself

Abstract

objectivesTo examine changes in nocturia from a multicomponent behavioral training program or drug therapy in older women with urge or mixed (urge-predominant) urinary incontinence.

designA secondary analysis of data from a prospective, randomized clinical trial.

settingParent trial was an outpatient research protocol in Alabama.

participantsOne hundred ninety-seven women (aged 55-92) with incontinence and urodynamic evidence of bladder dysfunction. At baseline, 131 women (66% of participants) had nocturia.

interventionIn the parent study, participants received behavioral training, including four sessions of biofeedback-assisted pelvic floor muscle exercises, drug treatment (oxybutynin IR titrated from 2.5 mg per day to 5.0 mg three times a day), or placebo. MEASUREMENTS: Participant-completed bladder diaries were used to calculate changes in nocturia.

resultsBehavioral training reduced nocturia by a median 0.50 episodes per night and was significantly more effective than drug treatment (median reduction=0.30 episodes; P=.02) and placebo (median reduction=0.00 episodes; P<.001). Also, drug treatment was more effective than control (P=.007).

conclusionBoth behavioral training and drug treatment reduced nocturia more than placebo, but behavioral training was the most effective.

Indexed as

Behavior TherapyAgedAged, 80 and overBiofeedback, PsychologyFemaleHumansMandelic AcidsMedical RecordsMiddle AgedProspective StudiesTreatment OutcomeUrinary IncontinenceUrination DisordersMandelic Acidsoxybutynin

Identifiers

PMID15877562
OpenAlexW1571302831

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.