Evidence map›Paper›PMID 27942790›Full record

Observational studyInternational urogynecology journal2017

Is mirabegron equally as effective when used as first- or second-line therapy in women with overactive bladder?

Maurizio Serati, Umberto Leone Roberti Maggiore, Paola Sorice, Simona Cantaluppi, Enrico Finazzi Agrò, Fabio Ghezzi, Publication Committee of the Italian Society of Urodynamics

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in International urogynecology journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Observational
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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

7 authors.

Maurizio SeratiDepartment of Obstetrics and Gynecology, University of Insubria, Varese, Italy.
Umberto Leone Roberti MaggioreAcademic Unit of Obstetrics and Gynaecology, IRCCS AOU San Martino-IST, Largo R. Benzi 10, 16132, Genoa, Italy. ulrm@me.com.
Paola SoriceDepartment of Obstetrics and Gynecology, University of Insubria, Varese, Italy.
Simona CantaluppiDepartment of Obstetrics and Gynecology, University of Insubria, Varese, Italy.
Enrico Finazzi AgròDepartment of Experimental Medicine and Surgery, University Tor Vergata, Rome, Italy.
Fabio GhezziDepartment of Obstetrics and Gynecology, University of Insubria, Varese, Italy.
Publication Committee of the Italian Society of Urodynamics

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisNo previous studies have investigated the efficacy of mirabegron 50 mg as the first-line therapy in OAB patients. Hence, the primary objective of this study was to evaluate the efficacy of mirabegron in treatment-naive patients in comparison with those who had discontinued antimuscarinic therapy because of insufficient efficacy.

methodsAll consecutive women who had pure OAB symptoms (including urgency with or without urgency incontinence and frequency) for at least 3 months were considered for this study. Women were divided into two groups: women without any previous pharmacological treatment for OAB (group 1) and women with a previous history of failed antimuscarinics therapy (group 2).

resultsAt 3-month follow-up, the objective results on the basis of the frequency-volume chart showed a significant improvement in both groups. Furthermore, a significant reduction in the Overactive Bladder Questionnaire Short Form (OABq-SF) score and in the Indevus Urgency Severity Scale (IUSS) questionnaire were reported in both groups. However, the improvement in objective and subjective outcomes was superior in group 1 to that in group 2.

conclusionsMirabegron is efficacious in improving OAB symptoms in both naïve patients and those who discontinued primary antimuscarinic therapy; however, its efficacy is superior when prescribed as first-line therapy.

Indexed as

AcetanilidesAdrenergic beta-3 Receptor AgonistsAdultAgedHumansMiddle AgedProspective StudiesThiazolesUrinary Bladder, OveractiveAcetanilidesAdrenergic beta-3 Receptor AgonistsmirabegronThiazolesAntimuscarinicFemaleMedical treatmentMirabegronOveractive bladder

Identifiers

What OpenQuestion holds

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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.