Evidence map›Paper›PMID 24464849›Full record

ArticleNeurourology and urodynamics2015

A screening tool for clinically relevant urinary incontinence.

Anne M Suskind, Rodney L Dunn, Daniel M Morgan, John O L DeLancey, Karl T Rew, John T Wei

Abstract readEvaluation Study
In one paragraph

Article 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 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Women's Urological Health as a Priority to the Woman Well Visit.Women's health issues : official publication of the Jacobs Institute of Women's Health
    Article
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

6 authors.

Anne M SuskindDepartment of Urology, The University of Michigan, Ann Arbor, Michigan.
Rodney L Dunn
Daniel M Morgan
John O L DeLancey
Karl T Rew
John T Wei

Funding

Which pelvic floor defects cause stress incontinence?P50HD044406 · NICHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI DELANCEY, JOHN O.L. · 2002 to 2017
$17.1M
Uro Translational Research and Clinical Research Training (UroTRACT)T32DK007782 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI WEI, JOHN T · 2000 to 2019
$2.9M
Race Differences in Female UI: Epidemiology and BiologyR01HD041123 · NICHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI DELANCEY, JOHN O.L. · 2001 to 2005
$1.8M
NICHD NIH HHS P50 HD 044406NICHD NIH HHS P50 HD044406NICHD NIH HHS R01 HD 041123NICHD NIH HHS R01 HD041123NIDDK NIH HHS T32 DK007782NIDDK NIH HHS T32 DK07782
6 · The paper itself

Abstract

aimsThe Michigan Incontinence Symptom Index (M-ISI) is a validated measure for urinary incontinence. This study evaluates the M-ISI as a screening tool for clinically relevant urinary incontinence in a population-based sample of women.

methodsThe Establishing the Prevalence of Incontinence (EPI) Study is a case-control, population-based study that enrolled women ages 35-64, with and without urinary incontinence. The M-ISI is a validated questionnaire with subdomains for stress and urgency urinary incontinence. Two hundred fourteen EPI subjects underwent a clinical evaluation and urodynamic testing to establish the presence and type of urinary incontinence, and also completed the M-ISI. The M-ISI scores were evaluated using receiver operating characteristic (ROC) curves to determine the optimal diagnostic threshold scores above which women were likely to have clinically relevant urinary incontinence.

resultsThe optimal M-ISI diagnostic threshold scores were determined to be ≥ 3 for the stress urinary incontinence subdomain (area under the curve of 0.79), ≥ 5 for the urgency urinary incontinence subdomain (area under the curve of 0.88), and ≥ 7 for the Total M-ISI score (area under the curve of 0.89). The sensitivity and specificity of the M-ISI questionnaire for stress, urgency, and total urinary incontinence were 77% and 73%, 86% and 76%, and 84% and 75%, respectively.

conclusionsThe M-ISI may be used to screen for clinically relevant urinary incontinence with high sensitivity and specificity among women ages 35-64. A brief, self-administered tool such as the M-ISI can help health care providers identify and manage women with urinary incontinence.

Indexed as

Surveys and QuestionnairesAdultArea Under CurveFemaleHumansMichiganMiddle AgedPredictive Value of TestsPrevalencePrognosisROC CurveSex FactorsUrinary BladderUrinary IncontinenceUrodynamicspopulationquality of lifereceiver operating characteristic curvescreeningsensitivityspecificityvalidation

Identifiers

PMID24464849
PMCPMC4111784

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.