Evidence map›Paper›PMID 28239296›Full record

ArticleBMC nursing2017

Cost-effectiveness of a nurse-led intervention to optimise implementation of guideline-concordant continence care: Study protocol of the COCON study.

Aaltje P D Jansen, Maaike E Muntinga, Judith E Bosmans, Bary Berghmans, Janny Dekker, Jacqueline Hugtenburgh, Giel Nijpels, Paul van Houten, Miranda G H Laurant, Huub C H van der Vaart

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC nursing, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04117126 (Efficacy of Prompted Voiding Therapy for Reverse the Urinary Incontinence Status in Elderly Patients Hospitalized in a Functional Recovery Ward.), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

NCT04117126 nacompletednot on this mapstarted 2019, after this paper: background citation

Efficacy of Prompted Voiding Therapy for Reverse the Urinary Incontinence Status in Elderly Patients Hospitalized in a Functional Recovery Ward.

TypeinterventionalSponsorGuadarrama HospitalRan2019 to 2023Enrolled158ConditionsUrinary IncontinenceArmsPrompted voiding
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
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

10 authors.

Aaltje P D JansenAmsterdam Public Health research institute, VU University Medical Center, Amsterdam, The Netherlands.
Maaike E MuntingaAmsterdam Public Health research institute, VU University Medical Center, Amsterdam, The Netherlands.
Judith E BosmansDepartment of Health Sciences and Amsterdam Public Health research institute, Faculty of Earth and Life Sciences, Vrije Universiteit, Amsterdam, The Netherlands.
Bary BerghmansMaastricht University, Maastricht, The Netherlands; Pelvic care Center Maastricht, Maastricht University Medical Centre, Maastricht, The Netherlands.
Janny DekkerDepartment of General Practice, University of Groningen; University Medical Center Groningen, Groningen, The Netherlands.
Jacqueline HugtenburghAmsterdam Public Health research institute, VU University Medical Center, Amsterdam, The Netherlands.
Giel NijpelsAmsterdam Public Health research institute, VU University Medical Center, Amsterdam, The Netherlands.
Paul van HoutenZonnehuisgroep Amstelland, Amstelveen, The Netherlands.
Miranda G H LaurantFaculty of Health and Social Studies, HAN University of Applied Sciences, Nijmegen, The Netherlands.
Huub C H van der VaartDepartment of Obstetrics and Gynaecology, University Medical Centre Utrecht, Utrecht, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGuidelines on urinary incontinence recommend that absorbent products are only used as a coping strategy pending definitive treatment, as an adjunct to ongoing therapy, or for long-term management after all treatment options have been explored. However, these criteria are rarely met and a significant share of long-term product users could still benefit from therapeutic interventions recommended in guidelines for urinary incontinence. Better implementation of these guidelines can potentially result in both health benefits for women and long-term cost savings for society. The aim of the COCON study is to evaluate the (cost-)effectiveness of a nurse-led intervention to optimise implementation of guideline-concordant continence care in comparison with usual care for urinary incontinent women aged 55 years and over who use absorbent products.

methodsThis randomised clinical trial compares usual care with a nurse-led intervention to optimise implementation of guideline-concordant continence care. Women (anticipated DISCUSSION: Results will add to current knowledge of the (cost-)effectiveness of nurse-led primary healthcare to improve guideline-concordant care for older women with urinary incontinence. In addition, the results will provide more insight into care needs and health service utilization of this group of women, as well as into use of absorbent products in accordance with the recommended criteria in guidelines. Finally, results will increase our understanding of the intervention's uptake and could provide useful insights for future dissemination and sustenance.

trial registrationDutch Trial Register NTR4396, registered 13-January-2014.

Indexed as

Absorbent productsCommunity continence careCost-effectivenessImplementationNursingPrimary careRandomised controlled trialSupplementationUrinary incontinence

Identifiers

PMID28239296
PMCPMC5320796

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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.