Evidence map›Paper›PMID 16176737›Full record

Trial reportThe British journal of general practice : the journal of the Royal College of General Practitioners2005

Clinical and cost-effectiveness of a new nurse-led continence service: a randomised controlled trial.

Kate S Williams, R Phil Assassa, Nicola J Cooper, David A Turner, Christine Shaw, Keith R Abrams, Christopher Mayne, Carol Jagger, Ruth Matthews, Michael Clarke and 2 more

Abstract readRandomized Controlled Trial
PubMed Full text at PMC
In one paragraph

Trial report in The British journal of general practice : the journal of the Royal College of General Practitioners, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 6 pooled it
2.4field-weighted citation impact, top 13% 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

25 citing papers in PubMed, 6 syntheses or guidelines pooled it, 68 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. Pooled it
  4. Weighted vaginal cones for urinary incontinence.The Cochrane database of systematic reviews · 2013
    Pooled it
  5. Habit retraining for the management of urinary incontinence in adults.The Cochrane database of systematic reviews · 2004
    Pooled it
  6. Bladder training for urinary incontinence in adults.The Cochrane database of systematic reviews · 2004
    Pooled it
  7. Trial
  8. Trial
  9. Trial
  10. Article
  11. Review
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  14. Review
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  17. Observational
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  20. How usual is usual care in pragmatic intervention studies in primary care? An overview of recent trials.The British journal of general practice : the journal of the Royal College of General Practitioners · 2010
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 1 institution in 1 country.

Kate S WilliamsUniversity of Leicester, Leicester. ksw6@le.ac.uk
R Phil Assassa
Nicola J Cooper
David A Turner
Christine Shaw
Keith R Abrams
Christopher Mayne
Carol Jagger
Ruth Matthews
Michael Clarke
Catherine W McGrother
Leicestershire MRC Incontinence Study Team
University of Leicester · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundContinence services in the UK have developed at different rates within differing care models, resulting in scattered and inconsistent services. Consequently, questions remain about the most cost-effective method of delivering these services.

aimTo evaluate the impact of a new service led by a continence nurse practitioner compared with existing primary/secondary care provision for people with urinary incontinence and storage symptoms. DESIGN OF STUDY: Randomised controlled trial with a 3- and 6-month follow-up in men and women (n = 3746) aged 40 years and over living in private households (intervention [n = 2958]; control [n = 788]).

settingLeicestershire and Rutland, UK.

methodThe continence nurse practitioner intervention comprised a continence service provided by specially trained nurses delivering evidence-based interventions using predetermined care pathways. They delivered an 8-week primary intervention package that included advice on diet and fluids; bladder training; pelvic floor awareness and lifestyle advice. The standard care arm comprised access to existing primary care including GP and continence advisory services in the area. Outcome measures were recorded at 3 and 6 months post-randomisation.

resultsThe percentage of individuals who improved (with at least one symptom alleviated) at 3 months was 59% in the intervention group compared with 48% in the standard care group (difference of 11%, 95% CI = 7 to 16; P<0.001) The percentage of people reporting no symptoms or 'cured' was 25% in the intervention group and 15% in the standard care group (difference of 10%, 95% CI = 6 to 13, P = 0.001). At 6 months the difference was maintained. There was a significant difference in impact scores between the two groups at 3 and 6 months.

conclusionsThe continence nurse practitioner-led intervention reduced the symptoms of incontinence, frequency, urgency and nocturia at 3 and 6 months; impact was reduced; and satisfaction with the new service was high.

Indexed as

AdultAgedAged, 80 and overCost-Benefit AnalysisExercise TherapyFemaleFollow-Up StudiesHumansMaleMiddle AgedNurse PractitionersPatient SatisfactionPelvic FloorQuality of LifeTreatment OutcomeUrinary Incontinence

Identifiers

PMID16176737
PMCPMC1464065
OpenAlexW2111519836

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.