Evidence map›Paper›PMID 25111588›Full record

SynthesisAmerican journal of obstetrics and gynecology2015

Systematic review and metaanalysis of genetic association studies of urinary symptoms and prolapse in women.

Rufus Cartwright, Anna C Kirby, Kari A O Tikkinen, Altaf Mangera, Gans Thiagamoorthy, Prabhakar Rajan, Jori Pesonen, Chris Ambrose, Juan Gonzalez-Maffe, Phillip Bennett and 5 more

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in American journal of obstetrics and gynecology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 8 pooled it
6.1field-weighted citation impact, top 3% 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

38 citing papers in PubMed, 8 syntheses or guidelines pooled it, 101 citations in OpenAlex.

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  9. Article
  10. Chapter 4.5: New Proposed Treatments for Pelvic Organ Prolapse.International urogynecology journal · 2026
    Review
  11. Article
  12. Review
  13. Women with pelvic organ prolapse and fibulin-5 rs12589592 polymorphism.Revista da Associacao Medica Brasileira (1992) · 2024
    Article
  14. Article
  15. Review
  16. Advances in molecular mechanisms of pelvic organ prolapse (Review).Experimental and therapeutic medicine · 2021
    Review
  17. Article
  18. Article
  19. Article
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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

15 authors at 11 institutions in 4 countries.

Rufus CartwrightDepartment of Epidemiology and Biostatistics, Imperial College London, London, England, United Kingdom; Department of Urogynecology, Imperial College London, London, England, United Kingdom. Electronic address: r.cartwright@imperial.ac.uk.
Anna C KirbyDepartment of Reproductive Medicine, University of California, San Diego, School of Medicine, and Department of Obstetrics and Gynecology, Kaiser Permanente, San Diego, CA.
Kari A O TikkinenDepartments of Urology and Public Health, Helsinki University Central Hospital and University of Helsinki, Helsinki, Finland; Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada.
Altaf MangeraDepartment of Urology Research, University of Sheffield, Sheffield, England, United Kingdom.
Gans ThiagamoorthyDepartment of Urogynecology, King's College London, London, England, United Kingdom.
Prabhakar RajanBeatson Institute for Cancer Research, University of Glasgow, Glasgow, Scotland, United Kingdom.
Jori PesonenDepartment of Urology, University of Tampere, Tampere, Finland.
Chris AmbroseUniversity College London Medical School, London, England, United Kingdom.
Juan Gonzalez-MaffeClinical Trials Unit, Imperial College London, London, England, United Kingdom.
Phillip BennettInstitute for Reproductive and Developmental Biology, Imperial College London, London, England, United Kingdom.
Tom PalmerDivision of Health Sciences, Warwick Medical School, University of Warwick, Coventry, England, United Kingdom.
Andrew WalleyDepartment of Genomics of Common Disease and Molecular Genetics and Genomics, Imperial College London, London, England, United Kingdom.
Marjo-Riitta JärvelinDepartment of Epidemiology and Biostatistics, Imperial College London, London, England, United Kingdom; Institute of Health Sciences and Biocenter Oulu, University of Oulu, Finland.
Chris ChappleDepartment of Urology Research, University of Sheffield, Sheffield, England, United Kingdom.
Vik KhullarDepartment of Urogynecology, Imperial College London, London, England, United Kingdom.
Imperial College London · GBUniversity of Sheffield · GBBiocenter Finland · FICancer Research UK Scotland Institute · GBGenomics England · GBKing's College London · GBTampere University · FIUniversity College London · GBUniversity of California San Diego · USUniversity of Helsinki · FIUniversity of Warwick · GB

Funding

Medical Research Council G1100377
6 · The paper itself

Abstract

objectiveFamily studies and twin studies demonstrate that lower urinary tract symptoms and pelvic organ prolapse are heritable. This review aimed to identify genetic polymorphisms tested for an association with lower urinary tract symptoms or prolapse, and to assess the strength, consistency, and risk of bias among reported associations. STUDY

designPubMed and HuGE Navigator were searched up to May 1, 2014, using a combination of genetic and phenotype key words, including "nocturia," "incontinence," "overactive bladder," "prolapse," and "enuresis." Major genetics, urology, and gynecology conference abstracts were searched from 2005 through 2013. We screened 889 abstracts, and retrieved 78 full texts. In all, 27 published and 7 unpublished studies provided data on polymorphisms in or near 32 different genes. Fixed and random effects metaanalyses were conducted using codominant models of inheritance. We assessed the credibility of pooled associations using the interim Venice criteria.

resultsIn pooled analysis, the rs4994 polymorphism of the ADRB3 gene was associated with overactive bladder (odds ratio [OR], 2.5; 95% confidence interval [CI], 1.7-3.6; n = 419). The rs1800012 polymorphism of the COL1A1 gene was associated with prolapse (OR, 1.3; 95% CI, 1.0-1.7; n = 838) and stress urinary incontinence (OR, 2.1; 95% CI, 1.4-3.2; n = 190). Other metaanalyses, including those for polymorphisms of COL3A1,LAMC1,MMP1,MMP3, and MMP9 did not show significant effects. Many studies were at high risk of bias from genotyping error or population stratification.

conclusionThese metaanalyses provide moderate epidemiological credibility for associations of variation in ADRB3 with overactive bladder, and variation of COL1A1 with prolapse. Clinical testing for any of these polymorphisms cannot be recommended based on current evidence.

Indexed as

FemaleGenetic Association StudiesGenotypeHumansLower Urinary Tract SymptomsOdds RatioPelvic Organ Prolapsegeneticsincontinencelower urinary tract symptomsoveractive bladderprolapsesystematic review

Identifiers

PMID25111588
PMCPMC4342521
OpenAlexW2067584056

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.