Evidence map›Paper›PMID 27498309›Full record

ArticleAmerican journal of obstetrics and gynecology2017

Evaluation of the urinary microbiota of women with uncomplicated stress urinary incontinence.

Krystal J Thomas-White, Stephanie Kliethermes, Leslie Rickey, Emily S Lukacz, Holly E Richter, Pamela Moalli, Philippe Zimmern, Peggy Norton, John W Kusek, Alan J Wolfe and 2 more

Registry-linked trialAbstract read
In one paragraph

Article in American journal of obstetrics and gynecology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04090190 (Inflammation in Women With Urgency Urinary Incontinence Treated With Anticholinergics), which is not on this map. Cited by 106 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
106citing papers in PubMed, 2 pooled it
15.9field-weighted citation impact, top 1% 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.

NCT04090190 phase4completednot on this mapstarted 2019, after this paper: background citation

Inflammation in Women With Urgency Urinary Incontinence Treated With Anticholinergics

TypeinterventionalSponsorBrigham and Women's HospitalRan2019 to 2021Enrolled20ConditionsUrinary Incontinence, Urgency UrinaryArmsOxybutynin, Solifenacin, Tolterodine, Trospium, or Fesoterodine
3 · Its place in the literature

Who cites it

106 citing papers in PubMed, 2 syntheses or guidelines pooled it, 177 citations in OpenAlex.

  1. Pooled it
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  15. Immune aging and infectious diseases.Chinese medical journal · 2024
    Review
  16. Observational
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46 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 8 institutions in 1 country.

Krystal J Thomas-WhiteDepartment of Microbiology and Immunology, Stritch School of Medicine, Loyola University, Chicago, IL.
Stephanie KliethermesDepartments of Medicine and Public Health Sciences, Stritch School of Medicine, Loyola University Chicago, Maywood, IL.
Leslie RickeyDepartment of Urology, Yale University, New Haven, CT.
Emily S LukaczDepartment of Reproductive Medicine, University of California-San Diego Health System, San Diego, CA.
Holly E RichterDepartment of Obstetrics and Gynecology, University of Alabama at Birmingham, Birmingham, AL.
Pamela MoalliDepartment of Obstetrics and Gynecology, University of Pittsburgh, Pittsburgh, PA.
Philippe ZimmernDepartment of Urology, University of Texas Southwestern Medical Center, Dallas, TX.
Peggy NortonDepartment of Obstetrics and Gynecology, University of Utah, Salt Lake City, UT.
John W KusekNational Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, MD.
Alan J WolfeDepartment of Microbiology and Immunology, Stritch School of Medicine, Loyola University, Chicago, IL. Electronic address: awolfe@luc.edu.
Linda BrubakerDepartments of Obstetrics and Gynecology and Urology, Stritch School of Medicine, Loyola University, Chicago, IL.
National Institute of Diabetes and Digestive and Kidney Diseases Urinary Incontinence Treatment Network
Loyola University Chicago · USNational Institutes of Health · USThe University of Texas Southwestern Medical Center · USUniversity of Alabama at Birmingham · USUniversity of California, San Diego · USUniversity of Pittsburgh · USUniversity of Utah · USYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Urinary Incontinence Treatment Network: DCCU01DK058229 · NIDDK · NEW ENGLAND RESEARCH INSTITUTES, INC. · PI TENNSTEDT, SHARON L · 2000 to 2012
$16.1M
UAB Continence Treatment Center U01DK060380 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI RICHTER, HOLLY E · 2001 to 2009
$3.9M
Urinary Incontinence Treatment NetworkU01DK058225 · NIDDK · MAGEE-WOMEN'S RES INST AND FOUNDATION · PI ZYCZYNSKI, HALINA M · 2000 to 2009
$3.8M
UCSD INCONTINENCE TREATMENT CENTERU01DK060401 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI ALBO, MICHAEL · 2001 to 2010
$3.6M
Continuation of the Urinary Incontinence Treatment Network (UITN)U01DK060379 · NIDDK · LOYOLA UNIVERSITY CHICAGO · PI BRUBAKER, LINDA · 2001 to 2009
$3.6M
UTAH URINARY INCONTINENCE TREATMENT NETWORK (UUITN)U01DK060393 · NIDDK · UNIVERSITY OF UTAH · PI NORTON, PEGGY A · 2001 to 2009
$3.4M
Urinary Incontinence Treatment NetworkU01DK058231 · NIDDK · WILLIAM BEAUMONT HOSPITAL RESEARCH INST · PI SIRLS, LARRY T · 2000 to 2009
$3.3M
The Female Urinary Microbiome and Urinary IncontinenceR01DK104718 · NIDDK · LOYOLA UNIVERSITY CHICAGO · PI BRUBAKER, LINDA, WOLFE, ALAN J · 2016 to 2020
$3.1M
Loyola Research Computing CoreG20RR030939 · NCRR · LOYOLA UNIVERSITY CHICAGO · PI KENNEDY, RICHARD H. · 2010 to 2010
$2.7M
Urinary Incontinence Treatment Network (UITN)U01DK060397 · NIDDK · UNIVERSITY OF MARYLAND BALTIMORE · PI CHAI, TOBY C · 2001 to 2010
$2.7M
Urinary Incontinence Treatment NetworkU01DK060395 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI ZIMMERN, PHILIPPE E · 2001 to 2009
$2.4M
NCATS NIH HHS UL1 TR001863NCRR NIH HHS G20 RR030939NIDDK NIH HHS R01 DK104718NIDDK NIH HHS R21 DK097435NIDDK NIH HHS U01 DK058225NIDDK NIH HHS U01 DK058229NIDDK NIH HHS U01 DK058231NIDDK NIH HHS U01 DK058234NIDDK NIH HHS U01 DK060379NIDDK NIH HHS U01 DK060380NIDDK NIH HHS U01 DK060393NIDDK NIH HHS U01 DK060395NIDDK NIH HHS U01 DK060397NIDDK NIH HHS U01 DK060401
6 · The paper itself

Abstract

backgroundFemale urinary microbiota are associated with urgency urinary incontinence and response to medication. The urinary microbiota of women with stress urinary incontinence has not been described.

objectiveWe sought to study the cross-sectional relationships between urinary microbiota features and demographic and clinical characteristics of women undergoing stress urinary incontinence surgery. STUDY

designPreoperative urine specimens were collected from women without urinary tract infection and were available from 197 women (174 voided, 23 catheterized) enrolled in a multicenter prospective randomized trial, the Value of Urodynamic Evaluation study. Demographic and clinical variables were obtained including stress and urgency urinary incontinence symptoms, menopausal status, and hormone use. The bacterial composition of the urine was qualitatively assessed by sequencing the bacterial 16S ribosomal RNA gene. Phylogenetic relatedness and microbial alpha diversity were compared to demographics and symptoms using generalized estimating equation models.

resultsThe majority of 197 urine samples (86%) had detectable bacterial DNA. Bacterial diversity was significantly associated with higher body mass index (P = .02); increased Medical, Epidemiologic, and Social Aspects of Aging urge index score (P = .04); and hormonal status (P < .001). No associations were detected with stress urinary incontinence symptoms. Increased diversity was also associated with a concomitant lower frequency of Lactobacillus in hormone-negative women.

conclusionWomen undergoing stress urinary incontinence surgery have detectable urinary microbiota. This cross-sectional analysis revealed that increased diversity of the microbiota was associated with urgency urinary incontinence symptoms, hormonal status, and body mass index. In contrast, the female urinary microbiota were not associated with stress urinary incontinence symptoms.

Indexed as

ActinobacteriaAdultBacterial Typing TechniquesBiodiversityBody Mass IndexCorynebacteriumCross-Sectional StudiesDNA, BacterialFemaleHumansLactobacillusMicrobiotaMiddle AgedPhylogenyPrevotellaRandomized Controlled Trials as TopicDNA, BacterialRNA, Ribosomal, 16Sbladderestrogenmicrobiomestress urinary incontinenceurgency urinary incontinence

Identifiers

PMID27498309
PMCPMC5182144
OpenAlexW2490106537

What OpenQuestion holds

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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.