Trial reportNeurourology and urodynamics2016
The cost of preoperative urodynamics: A secondary analysis of the ValUE trial.
Trial report in Neurourology and urodynamics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 50 citations in OpenAlex.
- Heterogeneity of cost estimates in health economic evaluation research. A systematic review of stress urinary incontinence studies.International urogynecology journal · 2019Pooled it
- Urodynamic studies for management of urinary incontinence in children and adults.The Cochrane database of systematic reviews · 2013Pooled it
- Rethinking Catheters to Reduce Costs in Urodynamic Evaluation: Do All Roads Lead to Rome?Neurourology and urodynamics · 2026Trial
- Efficacy Comparison between Kegel Exercises and Extracorporeal Magnetic Innervation in Treatment of Female Stress Urinary Incontinence: A Randomized Clinical Trial.Medicina (Kaunas, Lithuania) · 2022Trial
- Systematic Review and Meta-Analysis of Bladder Wall Thickness for the Diagnosis of Detrusor Overactivity in Women.International urogynecology journal · 2026Review
- Long-term cost-effectiveness of invasive urodynamic studies for overactive bladder in women.BJU international · 2025Article
- Declining utilization of urodynamic studies in urological care in Germany: time to say goodbye?World journal of urology · 2024Article
- The role of artificial intelligence in the future of urogynecology.International urogynecology journal · 2023Article
- Online prediction tool for female pelvic floor dysfunction: development and validation.International urogynecology journal · 2022Article
- Decreasing Number of Urodynamics in Urological and Gynaecological Clinics Reflects Decreased Importance for Surgical Indications: German Population-Based Data from 2013 to 2019.Urologia internationalis · 2022Article
- Comparison of efficacy of extracorporeal magnetic innervation and Kegel exercises for stress urinary incontinence in adult women: study protocol for a randomized controlled trial.Przeglad menopauzalny = Menopause review · 2021Article
- Urinary retention is rare after colpocleisis and concomitant midurethral sling: a 10-year experience.International urogynecology journal · 2021Article
- Effect of Preoperative Urodynamic Study on Urinary Outcomes after Transobturator Sling.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2021Article
- Pure stress urinary incontinence: analysis of prevalence, estimation of costs, and financial impact.BMC urology · 2019Article
- Ambulatory urodynamic monitoring: state of the art and future directions.Nature reviews. Urology · 2019Review
- De-implementation of urodynamics in The Netherlands after the VALUE/VUSIS-2 results: a nationwide survey.International urogynecology journal · 2018Article
- National Trend of Uroflowmetry, Urodynamic Study and Cystoscopy Considering the Change in the Population Structure in Korea from 2010 to 2015.Journal of Korean medical science · 2018Article
- Invasive urodynamic testing prior to surgical treatment for stress urinary incontinence in women: cost-effectiveness and value of information analyses in the context of a mixed methods feasibility study.Pilot and feasibility studies · 2018Article
- The role of preoperative urodynamics in stress urinary incontinence surgery.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2017Review
- Incontinence: Preoperative urodynamics--self evident or evidently unnecessary?Nature reviews. Urology · 2015Article
Corrections and comments
- Commented on by
- Commented on by
Authors and funding
12 authors at 10 institutions in 1 country.
Funding
Abstract
aimsUrodynamic studies (UDS) are generally recommended prior to surgical treatment for stress urinary incontinence (SUI), despite insufficient evidence that it impacts treatment plans or outcomes in patients with uncomplicated SUI. This analysis aimed to calculate the cost incurred when UDS was performed as a supplement to a basic office evaluation and to extrapolate the potential savings of not doing UDS in this patient population on a national basis.
methodsThis is a secondary analysis from the Value of Urodynamic Evaluation (ValUE) trial, a multicenter non-inferiority randomized trial to determine whether a basic office evaluation (OE) is non-inferior in terms of SUI surgery outcomes to office evaluation with addition of urodynamic studies (UDS). All participants underwent an OE; those patients who randomized to supplementary UDS underwent non-instrumented uroflowmetry, filling cystometry, and a pressure flow study. Costs associated with UDS were calculated using 2014 U.S. Medicare allowable fees. Models using various patient populations and payor mixes were created to obtain a range of potential costs of performing UDS in patients undergoing SUI surgery annually in the United States.
resultsSix hundred thirty women were randomized to OE or OE plus UDS. There was no difference in surgical outcomes between the two groups. The per patient cost of UDS varied from site to site, and included complex cystometrogram $314-$343 (CPT codes 51728-51729) plus complex uroflowmetry $16 (CPT code 51741). Extrapolating these costs for US women similar to our study population, 13-33 million US dollars could be saved annually by not performing preoperative urodynamics.
conclusionFor women with uncomplicated SUI and a confirmatory preoperative basic office evaluation, tens of millions of dollars US could be saved annually by not performing urodynamic testing. In the management of such women, eliminating this preoperative test has a major economic benefit.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.