Evidence map›Paper›PMID 22527544›Full record

ArticleInternational urogynecology journal2012

The iceberg of health care utilization in women with urinary incontinence.

Vatche A Minassian, Xiaowei Yan, Marc J Lichtenfeld, Haiyan Sun, Walter F Stewart

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in International urogynecology journal, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 78 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
78citing papers in PubMed, 2 pooled it
2.1field-weighted citation impact, top 14% 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

78 citing papers in PubMed, 2 syntheses or guidelines pooled it, 175 citations in OpenAlex.

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  18. Sinicization and psychometric validation of the German Pelvic Floor Questionnaire for Pregnant and Postpartum Women.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2025
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18 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Vatche A MinassianDivision of Urogynecology, Department of OB/GYN, Brigham and Women's Hospital, 75 Francis Street, ASB1 3-Room 073, Boston, MA 02115, USA. vminassian@partners.org
Xiaowei Yan
Marc J Lichtenfeld
Haiyan Sun
Walter F Stewart
Geisinger Health System · USBrigham and Women's Hospital · US

Funding

Natural History of Stress, Urge and Mixed Urinary Incontinence in WomenR01DK082551 · NIDDK · GEISINGER CLINIC · PI YAN, XIAOWEI SHERRY · 2009 to 2013
$2.6M
NIDDK NIH HHS R01 DK082551
6 · The paper itself

Abstract

introduction and hypothesisThe objective of the study was to estimate prevalence of urinary incontinence (UI) health care utilization in women from the population up to specialty care.

methodsThe General Longitudinal Overactive Bladder Evaluation-UI (GLOBE-UI) is a population-based study on the natural history of UI in women  ≥  40 years of age. Prevalence of UI was estimated by using the Bladder Health Survey (BHS). Survey data were linked with electronic health records to build the different steps of the iceberg of disease. Descriptive statistics were used to estimate the prevalence estimates at all levels of the iceberg.

resultsA total sample of 7,059 women received the BHS. Of those, 3,316 (47 %) responded. Prevalence of UI was 1,366 (41 %). Women with or without UI did not differ by age or marital status. However, women with versus without UI were more parous (91 vs 87 %), significantly more overweight or obese (74 vs 61 %), and more likely to have a college education or higher (54 vs 46 %), P < 0.01. Nine hundred fifty-eight (73 %) women with UI reported duration of more than 2 years and 72 % reported moderate to severe UI symptoms. Of all 1,366 women with BHS UI diagnosis, only 339 (25 %) sought care, 313 (23 %) received some care, and 164 (12 %) received subspecialty care.

conclusionsUI is a highly prevalent disease. Only a minority with UI appears to seek care and a fraction sees a pelvic floor specialist. It is important not only to educate women, but also primary care providers about this highly prevalent yet treatable condition.

Indexed as

Health SurveysAdultAgedAged, 80 and overFemaleHumansMiddle AgedPatient Education as TopicPennsylvaniaPhysicians, Primary CarePrevalenceSurveys and QuestionnairesUrinary IncontinenceWomen's Health Services

Identifiers

PMID22527544
PMCPMC3905313
OpenAlexW2000896038

What OpenQuestion holds

Textmetadata
LicenceTDM
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.