Evidence map›Paper›PMID 25940401›Full record

ArticleJournal of the American Geriatrics Society2015

Urinary, fecal, and dual incontinence in older U.S. Adults.

Jennifer M Wu, Catherine A Matthews, Camille P Vaughan, Alayne D Markland

Open access · bronzeAbstract read
In one paragraph

Article in Journal of the American Geriatrics Society, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 2 pooled it
7.8field-weighted citation impact, top 2% 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

50 citing papers in PubMed, 2 syntheses or guidelines pooled it, 104 citations in OpenAlex.

  1. Global Prevalence of Fecal Incontinence in Community-Dwelling Adults: A Systematic Review and Meta-analysis.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2024
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  6. Prevalence of Incontinence in the Black Women's Health Study.International urogynecology journal · 2026
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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

4 authors at 3 institutions in 1 country.

Jennifer M WuDivision of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, North Carolina.
Catherine A MatthewsDivision of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, North Carolina.
Camille P VaughanBirmingham/Atlanta Geriatric Research, Education, and Clinical Center, Birmingham Department of Veterans Affairs Medical Center, Birmingham, Alabama.
Alayne D MarklandBirmingham/Atlanta Geriatric Research, Education, and Clinical Center, Birmingham Department of Veterans Affairs Medical Center, Birmingham, Alabama.
University of North Carolina at Chapel Hill · USEmory University · USUniversity of Alabama at Birmingham · US

Funding

Translational Research in Pelvic Floor DisordersK23HD068404 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI WU, JENNIFER M. · 2011 to 2014
$509k
Behavioral therapy to treat urinary symptoms in Parkinson's diseaseIK2RX000747 · VA · VETERANS HEALTH ADMINISTRATION · PI VAUGHAN, ELIZABETH CAMILLE · 2012 to 2016
–
NICHD NIH HHS K23 HD068404NICHD NIH HHS K23HD068404RRD VA IK2 RX000747
6 · The paper itself

Abstract

objectivesTo estimate the prevalence of urinary (UI), fecal (FI), and dual incontinence (DI) and to identify shared factors associated with each type of incontinence in older U.S. women and men.

designPopulation-based cross-sectional study.

settingNational Health and Nutrition Examination Survey (NHANES, 2005-2010).

participantsWomen and men aged 50 and older. MEASUREMENTS: UI was defined as moderate to severe (≥3 on a validated UI severity index, range 0-12); FI was at least monthly loss of solid, liquid, or mucus stool; and DI was the presence of UI and FI.

resultsWomen were more likely than men to report UI only and DI but not FI only (UI only, women 19.8%, men 6.4%; FI only, women 8.2%, men 8.4%; DI women, 6.0%, men 1.9%). In both sexes, prevalence increased with age. In regression models adjusted for parity and hysterectomy, DI in women was associated with non-Hispanic white race (odds ratio (OR)=2.3, 95% confidence interval (CI)=1.5-3.4), depression (OR=4.7, 95% CI=2.0-11.1), comorbidities (OR=4.3, 95% CI=1.9-9.6 for ≥3 comorbidities vs none), hysterectomy (OR=1.8, 95% CI=1.2-2.7), and diarrhea (OR=2.8, 95% CI=1.5-5.0). In men, ADL impairment (OR=2.4, 95% CI=1.2-4.9) and poorer self-rated health (OR=2.8, 95% CI=1.5-5.30) were associated with DI.

conclusionUI, FI, and DI are common in older women and men. Factors associated with DI were distinct from those associated with UI and FI. There were also differences according to sex, with DI associated with depression and comorbid diseases in women and lack of functional ability and poorer self-rated health in men.

Indexed as

AgedAged, 80 and overCross-Sectional StudiesFecal IncontinenceFemaleHumansMaleMiddle AgedPrevalenceSex DistributionUnited StatesUrinary Incontinencedual incontinencefecal incontinenceolder adultsurinary incontinence

Identifiers

PMID25940401
PMCPMC4569486
OpenAlexW1507729602

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.