Evidence map›Paper›PMID 24347521›Full record

Trial reportNeurourology and urodynamics2015

Cost-effectiveness of an Internet-based treatment program for stress urinary incontinence.

Malin Sjöström, Göran Umefjord, Lars Lindholm, Eva Samuelsson

Abstract readComparative StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Neurourology and urodynamics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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

21 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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  20. Urinary incontinence in women.Nature reviews. Disease primers · 2017
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Malin SjöströmDepartment of Public Health and Clinical Medicine, Unit of Clinical Research Center - Östersund, Umeå University, Umeå
Göran Umefjord
Lars Lindholm
Eva Samuelsson

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo perform a deterministic cost-utility analysis, from a 1-year societal perspective, of two treatment programs for stress urinary incontinence (SUI) without face-to-face contact: one Internet-based and one sent by post. The treatments were compared with each other and with no treatment.

methodsWe performed this economic evaluation alongside a randomized controlled trial. The study included 250 women aged 18-70, with SUI ≥ 1 time/week, who were randomized to 3 months of pelvic floor muscle training via either an Internet-based program including e-mail support from an urotherapist (n = 124) or a program sent by post (n = 126). Recruitment was web-based, and participants were self-assessed with validated questionnaires and 2-day bladder diaries, supplemented by a telephone interview with a urotherapist. Treatment costs were continuously registered. Data on participants' time for training, incontinence aids, and laundry were collected at baseline, 4 months, and 1 year. We also measured quality of life with the condition-specific questionnaire ICIQ-LUTSqol, and calculated the quality-adjusted life-years (QALYs) gained. Baseline data remained unchanged for the no treatment option. Sensitivity analysis was performed.

resultsCompared to the postal program, the extra cost per QALY for the Internet-based program ranged from 200€ to 7,253€, indicating greater QALY-gains at similar or slightly higher costs. Compared to no treatment, the extra cost per QALY for the Internet-based program ranged from 10,022€ to 38,921€, indicating greater QALY-gains at higher, but probably acceptable costs.

conclusionAn Internet-based treatment for SUI is a new, cost-effective treatment alternative.

Indexed as

InternetAdolescentAdultAgedCost-Benefit AnalysisFemaleHealth Care CostsHumansMiddle AgedQuality-Adjusted Life YearsSurveys and QuestionnairesUrinary Incontinence, StressYoung Adultcost-effectivenessInternetpelvic floor muscle trainingself-managementstress urinary incontinence

Identifiers

PMID24347521
PMCPMC4407951

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.