Evidence map›Paper›PMID 24839481›Full record

ArticleCanadian Urological Association journal = Journal de l'Association des urologues du Canada2014

Long-term use of solifenacin in pediatric patients with overactive bladder: Extension of a prospective open-label study.

Geneviève Nadeau, Annette Schröder, Katherine Moore, Lucie Genois, Pascale Lamontagne, Micheline Hamel, Eve Pellerin, Stéphane Bolduc

Open access · diamondAbstract read
In one paragraph

Article in Canadian Urological Association journal = Journal de l'Association des urologues du Canada, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
4.1field-weighted citation impact, top 7% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Pooled it
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  13. Clinical outcome data for off-label medications: The more the better.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2014
    Article
  14. Anticholinergic use in children: Persistence and patterns of therapy.Canadian Urological Association journal = Journal de l'Association des urologues du Canada
    Article
  15. Review
  16. Overactive bladder in children.Canadian Urological Association journal = Journal de l'Association des urologues du Canada
    Review
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

8 authors at 3 institutions in 2 countries.

Geneviève NadeauDivision of Urology, Centre Hospitalier Universitaire de Québec (CHUQ), Université Laval, Québec, QC;
Annette SchröderDepartment of Urology, Hospital for Sick Children, Toronto, ON.
Katherine MooreDivision of Urology, Centre Hospitalier Universitaire de Québec (CHUQ), Université Laval, Québec, QC;
Lucie GenoisDivision of Urology, Centre Hospitalier Universitaire de Québec (CHUQ), Université Laval, Québec, QC;
Pascale LamontagneDivision of Urology, Centre Hospitalier Universitaire de Québec (CHUQ), Université Laval, Québec, QC;
Micheline HamelDivision of Urology, Centre Hospitalier Universitaire de Québec (CHUQ), Université Laval, Québec, QC;
Eve PellerinDivision of Urology, Centre Hospitalier Universitaire de Québec (CHUQ), Université Laval, Québec, QC;
Stéphane BolducDivision of Urology, Centre Hospitalier Universitaire de Québec (CHUQ), Université Laval, Québec, QC;
Université Laval · CACentre hospitalier universitaire de Québec · CAHospital for Sick Children · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWe evaluate the efficacy and safety of solifenacin to treat incontinence in children with non-neurogenic (DO) or neurogenic detrusor overactivity (NDO) refractory to oxybutinin or tolterodine.

methodsWe updated and extended our previously published non-randomized uncontrolled study on open-label use of adjusted-dose regimens of solifenacin (1.25-10 mg) in children with refractory incontinence. The follow-up included voiding diaries, post-void residuals, urine cultures, ultrasounds and urodynamic studies. Clinical data were updated as of September 2012. Subjective improvement was assessed with the Patient Perception of Bladder Condition (PPBC) scale. The primary end point was efficacy toward continence and secondary end points were tolerability and safety.

resultsOverall, 244 patients (112 girls, 132 boys) were enrolled; 53 with NDO and 191 with DO. Minimal follow-up was 5 months, the mean duration of treatment was 21.0 months and the mean age at initiation was 9.2 years. Urodynamic capacity improved from 145 ± 76 mL to 339 ± 152 mL and the amplitude of uninhibited contractions decreased from 66 ± 26 to 20 ± 20 cmH2O (p < 0.0001). The overall success rate is 91%, and more specifically 94% for non-neurogenic and 79% for neurogenic, which is significantly different (p = 0.013). Twenty-three patients discontinued treatment for unsatisfactory clinical response or bothersome side effects. No side effects were reported by 175 patients, mild by 46, moderate by 9, and 14 withdrew due to their side effects. Ten patients developed post-void residuals of ≥20 mL.

conclusionAlthough higher in the non-neurogenic group, high subjective and objective success rates were maintained over a longer follow-up with an adjusted-dose regimen of solifenacin to treat pediatric NDO or DO refractory to oxybutynin or tolterodine. Moreover, we found acceptable tolerability and safety profiles.

Identifiers

PMID24839481
PMCPMC4001633
OpenAlexW2024557546

What OpenQuestion holds

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Registered trials

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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.