Evidence map›Paper›PMID 22542122›Full record

Trial reportAmerican journal of obstetrics and gynecology2012

Pharmacologic treatment for urgency-predominant urinary incontinence in women diagnosed using a simplified algorithm: a randomized trial.

Alison J Huang, Rachel Hess, Lily A Arya, Holly E Richter, Leslee L Subak, Catherine S Bradley, Rebecca G Rogers, Deborah L Myers, Karen C Johnson, W Thomas Gregory and 3 more

Open access · greenAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in American journal of obstetrics and gynecology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 19% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
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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

13 authors at 7 institutions in 1 country.

Alison J HuangDepartment of Medicine, University of California San Francisco School of Medicine, San Francisco, CA, USA. ahuang@ucsfmed.org
Rachel Hess
Lily A Arya
Holly E Richter
Leslee L Subak
Catherine S Bradley
Rebecca G Rogers
Deborah L Myers
Karen C Johnson
W Thomas Gregory
Stephen R Kraus
Michael Schembri
Jeanette S Brown
University of California, San Francisco · USBrown University · USOregon Health & Science University · USThe University of Texas at San Antonio · USUniversity of Alabama at Birmingham · USUniversity of Pittsburgh · USUniversity of Tennessee Health Science Center · US

Funding

CTSA: K12 COMPONENTKL2RR024130 · NCRR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI JOHNSTON, S. CLAIBORNE · 2006 to 2011
$19.3M
A Multidimensional Approach to Urogenital Aging in Older WomenK23AG038335 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HUANG, ALISON · 2011 to 2013
$504k
NCRR NIH HHS KL2 RR024130NCRR NIH HHS RR024130NIA NIH HHS 1K23AG038335-01A1NIA NIH HHS K23 AG038335
6 · The paper itself

Abstract

objectiveThe purpose of this study was to evaluate clinical outcomes associated with the initiation of treatment for urgency-predominant incontinence in women diagnosed by a simple 3-item questionnaire. STUDY

designWe conducted a multicenter, double-blinded, 12-week randomized trial of pharmacologic therapy for urgency-predominant incontinence in ambulatory women diagnosed by the simple 3-item questionnaire. Participants (N = 645) were assigned randomly to fesoterodine therapy (4-8 mg daily) or placebo. Urinary incontinence was assessed with the use of voiding diaries; postvoid residual volume was measured after treatment.

resultsAfter 12 weeks, women who had been assigned randomly to fesoterodine therapy reported 0.9 fewer urgency and 1.0 fewer total incontinence episodes/day, compared with placebo (P ≤ .001). Four serious adverse events occurred in each group, none of which was related to treatment. No participant had postvoid residual volume of ≥ 250 mL after treatment.

conclusionAmong ambulatory women with urgency-predominant incontinence diagnosed with a simple 3-item questionnaire, pharmacologic therapy resulted in a moderate decrease in incontinence frequency without increasing significant urinary retention or serious adverse events, which provides support for a streamlined algorithm for diagnosis and treatment of female urgency-predominant incontinence.

Indexed as

AlgorithmsDecision Support TechniquesAgedBenzhydryl CompoundsDouble-Blind MethodFemaleFollow-Up StudiesHumansMiddle AgedMuscarinic AntagonistsSurveys and QuestionnairesTreatment OutcomeUrinary Incontinence, UrgeBenzhydryl CompoundsfesoterodineMuscarinic Antagonists

Identifiers

PMID22542122
PMCPMC3570031
OpenAlexW2049338914

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.