Evidence map›Paper›PMID 26231554›Full record

Trial reportThe Journal of urology2015

Effects of Patient Centered Interventions on Persistent Urinary Incontinence after Prostate Cancer Treatment: A Randomized, Controlled Trial.

Amy Y Zhang, Donald R Bodner, Alex Z Fu, Douglas D Gunzler, Eric Klein, Denise Kresevic, Shirley Moore, Lee Ponsky, Michael Purdum, Gerald Strauss and 1 more

Registry-linked trialOpen access · greenAbstract readComparative StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in The Journal of urology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01365182 (Improving Urinary Continence and Quality of Life in Prostate Cancer Patients), which is not on this map. Cited by 21 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 7 pooled it
2.1field-weighted citation impact, top 14% 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.

NCT01365182 nacompletednot on this map

Improving Urinary Continence and Quality of Life in Prostate Cancer Patients

TypeinterventionalSponsorCase Western Reserve UniversityRan2010 to 2014Enrolled279ConditionsUrinary IncontinenceArmsBF+SUPPORT, BF+PHONE
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 7 syntheses or guidelines pooled it, 34 citations in OpenAlex.

  1. Digital supportive care in prostate cancer: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Pooled it
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  8. Mood outcomes of a behavioral treatment for urinary incontinence in prostate cancer survivors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2019
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  14. Supportive care interventions for men with urological cancers: a scoping review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
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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

11 authors at 3 institutions in 1 country.

Amy Y ZhangSchool of Nursing, Case Western Reserve University, Cleveland, Ohio. Electronic address: Amy.Zhang@case.edu.
Donald R BodnerDepartment of Urology, University Hospitals of Cleveland, Case Western Reserve University, Cleveland, Ohio; School of Medicine, Case Western Reserve University, Cleveland, Ohio; Urology Clinic, Cleveland, Ohio.
Alex Z FuCancer Prevention and Control Program, Georgetown University Medical Center, Washington, D.C.
Douglas D GunzlerCenter for Health Care Research and Policy, Case Western Reserve University, Cleveland, Ohio.
Eric KleinGlickman Urological and Kidney Institute, Lerner College of Medicine, Cleveland Clinic, Cleveland, Ohio.
Denise KresevicLouis Stokes Cleveland Department of Veterans Affairs Medical Center, Cleveland, Ohio.
Shirley MooreSchool of Nursing, Case Western Reserve University, Cleveland, Ohio.
Lee PonskyDepartment of Urology, University Hospitals of Cleveland, Case Western Reserve University, Cleveland, Ohio.
Michael PurdumLouis Stokes Cleveland Department of Veterans Affairs Medical Center, Cleveland, Ohio.
Gerald StraussLouis Stokes Cleveland Department of Veterans Affairs Medical Center, Cleveland, Ohio.
Hui ZhuSchool of Medicine, Case Western Reserve University, Cleveland, Ohio; Urology Clinic, Cleveland, Ohio.
Case Western Reserve University · USLouis Stokes Cleveland VA Medical Center · USCleveland Clinic Lerner College of Medicine · US

Funding

Improving Urinary Continence and Quality of Life in Prostate Cancer PatientsR01CA127493 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI ZHANG, AMY Y · 2009 to 2012
$2.6M
NCI NIH HHS R01 CA127493NCI NIH HHS R01CA127493
6 · The paper itself

Abstract

purposeWe examined whether an intervention combining pelvic floor muscle exercise and symptom self-management would improve urinary continence and quality of life in patients with prostate cancer. MATERIALS AND

methodsIn a randomized, controlled, longitudinal clinical trial 279 patients with prostate cancer with persistent urinary incontinence were randomized to 1 of 3 groups, including biofeedback pelvic floor muscle exercise plus a support group, the biofeedback exercise plus telephone contact and usual care without intervention. The biofeedback plus support and plus telephone groups received 1 session of biofeedback assisted exercise and 6 biweekly sessions of problem solving therapy. This delivered symptom management skills through a peer support group or telephone contacts for 3 months. All subjects were assessed in blinded fashion at baseline, and 3 and 6 months for urinary leakage frequency, leakage amount and disease specific quality of life.

resultsA total of 244 subjects completed the study. The biofeedback plus support and biofeedback plus telephone groups had a lower frequency of daily urinary leakage than the group with usual care without intervention at 3 months (p=0.019 and p≤0.001, respectively) but not at 6 months. The biofeedback plus support group but not the biofeedback plus telephone group had 13.3 gm lower leakage at 6 months than the usual care group (p=0.003). Overall the biofeedback plus support and plus telephone groups reported less symptom severity (p≤0.001) and fewer incontinence problems (p≤0.01) than the usual care group at 6 months.

conclusionsStudy findings show that pelvic floor muscle exercise practice plus symptom self-management in a peer support setting can significantly improve urinary continence and quality of life in patients with prostate cancer.

Indexed as

Biofeedback, PsychologyExercise TherapyPatient-Centered CareAgedCombined Modality TherapyHumansLongitudinal StudiesMaleMiddle AgedPelvic Floor DisordersProblem SolvingProstatic NeoplasmsPsychotherapyQuality of LifeReferral and ConsultationSelf Careexercisepelvic floorprostatic neoplasmsquality of lifeurinary incontinence

Identifiers

PMID26231554
PMCPMC8095366
OpenAlexW1025893596

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.