Evidence map›Paper›PMID 26825489›Full record

ArticleUrology2016

Incidence and Management of Uncomplicated Recurrent Urinary Tract Infections in a National Sample of Women in the United States.

Anne M Suskind, Christopher S Saigal, Janet M Hanley, Julie Lai, Claude M Setodji, J Quentin Clemens, Urologic Diseases of America Project

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Urology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04108910 (Reduction in Morbidity Rate for Urinary Tract Infections Through Use of PCR-Based Diagnosis and Management), which is not on this map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
5.5field-weighted citation impact, top 4% 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.

NCT04108910 completednot on this map

Reduction in Morbidity Rate for Urinary Tract Infections Through Use of PCR-Based Diagnosis and Management

TypeobservationalSponsorPathnosticsRan2016 to 2020Enrolled66,381ConditionsUrinary Tract InfectionsArmsGuidance UTI
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 1 synthesis or guideline pooled it, 75 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Efficacy ofClinics and practice · 2026
    Article
  5. Review
  6. State-of-the-Art Review: Recurrent Uncomplicated Urinary Tract Infections in Women.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Review
  7. Article
  8. Recurrent urinary tract infections and prophylactic antibiotic use in women: a cross-sectional study in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024
    Article
  9. Article
  10. Observational
  11. Article
  12. Article
  13. Review
  14. Review
  15. Review
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Anne M SuskindDepartment of Urology, University of California, San Francisco, San Francisco, CA. Electronic address: Anne.Suskind@ucsf.edu.
Christopher S SaigalDepartment of Urology, University of California, Los Angeles, Los Angeles, CA.
Janet M HanleyRAND Corporation, Santa Monica, CA.
Julie LaiRAND Corporation, Santa Monica, CA.
Claude M SetodjiRAND Corporation, Santa Monica, CA.
J Quentin ClemensDepartment of Urology, University of Michigan, Ann Arbor, MI.
Urologic Diseases of America Project
RAND Corporation · USUniversity of California, Los Angeles · USUniversity of California, San Francisco · USUniversity of Michigan–Ann Arbor · US

Funding

VARC CoreP30AG044281 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Alexander Keliimoeanu Smith · 2013 to 2026
$19.9M
UCSF KURe Career Development ProgramK12DK083021 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BASKIN, LAURENCE, CARROLL, PETER R · 2008 to 2017
$5.9M
NIA NIH HHS P30 AG044281NIDDK NIH HHS K12 DK083021NIDDK NIH HHS K12 DK83021-07NIDDK NIH HHS N01 DK012460
6 · The paper itself

Abstract

objectiveTo determine the incidence and characteristics of women with uncomplicated recurrent urinary tract infections (UTIs) and to explore whether the use of culture-driven treatment affects rates of UTI-related complications and resource utilization. MATERIALS AND

methodsUsing MarketScan claims from 2003 to 2011, we identified UTI-naive women ages 18-64 with incident-uncomplicated recurrent UTIs. Recurrent UTIs were defined as 3 UTI visits associated with antibiotics during a 12-month period. Cases were excluded if they had a UTI in the preceding year, or if they had any complicating factors (eg, abnormality of the urinary tract, neurologic condition, pregnancy, diabetes, or currently taking immunosuppression). We next assessed use of urine cultures, imaging, and cystoscopy, and performed propensity score matching with logistic regression to determine whether having a urine culture associated with >50% of UTIs affected rates of complications and downstream resource utilization.

resultsWe identified 48,283 women with incident-uncomplicated recurrent UTIs, accounting for an overall incidence of 102 per 100,000 women, highest among women ages 18-34 and 55-64. Sixty-one percent of these women had at least 1 urine culture, 6.9% had imaging, and 2.8% had cystoscopy. Having a urine culture >50% of the time was associated with fewer UTI-related hospitalizations and lower rates of intravenous antibiotic use, whereas demonstrating higher rates of UTI-related office visits and pyelonephritis.

conclusionThe incidence of uncomplicated recurrent UTIs increases with age. Urine culture-directed care is beneficial in reducing high-cost services including UTI-related hospitalizations and intravenous antibiotic use, making urine cultures a valuable component to management of these patients.

Indexed as

AdolescentAdultAnti-Bacterial AgentsCohort StudiesFemaleHumansIncidenceMiddle AgedUnited StatesUrinary Tract InfectionsYoung AdultAnti-Bacterial Agents

Identifiers

PMID26825489
PMCPMC4822518
OpenAlexW2250727729

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.