Evidence map›Paper›PMID 28321473›Full record

ReviewInternational urogynecology journal2017

Clinical epidemiological insights into urinary incontinence.

Vatché A Minassian, Tony Bazi, Walter F Stewart

2 registry-linked trialsAbstract readReview
PubMed Publisher
In one paragraph

Review in International urogynecology journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 50 papers.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed
10.6field-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.

NCT04807920 phase4unknown statusnot on this mapstarted 2021, after this paper: background citation

Intravesical OnabotulinumtoxinA Injection at the Time of Prolapse Surgery for the Treatment of Overactive Bladder Syndrome: a Randomized Controlled Trial

TypeinterventionalSponsorWalter Reed National Military Medical CenterRan2021 to 2023Enrolled138ConditionsUrinary Bladder, Overactive, Pelvic Organ ProlapseArmsOnabotulinumtoxinA 100 UNT, Injectable saline
NCT05053373 nacompletednot on this map

Evaluation of Integrated Optimization Schemes for Female Stress Incontinence

TypeinterventionalSponsorShanghai Yueyang Integrated Medicine HospitalRan2014 to 2017Enrolled358ConditionsStress Urinary Incontinence in WomenArmsElectroacupuncture group, Sham electroacupuncture group, Pelvic floor muscle training
3 · Its place in the literature

Who cites it

50 citing papers in PubMed, 117 citations in OpenAlex.

  1. Trial
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  4. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026
    Review
  5. Article
  6. Diagnosis and management of urinary incontinence in females.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026
    Review
  7. Article
  8. Article
  9. Article
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  11. Article
  12. Article
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  15. Bidirectional Relationships between Sarcopenia and Pelvic Floor Disorders.International journal of environmental research and public health · 2024
    Review
  16. Observational
  17. Article
  18. Article
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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

3 authors at 3 institutions in 2 countries.

Vatché A MinassianBrigham and Women's Hospital, Boston, MA, USA. vminassian@partners.org.
Tony BaziAmerican University of Beirut, Beirut, Lebanon.
Walter F StewartSutter Health System, Walnut Creek, CA, USA.
American University of Beirut · LBBrigham and Women's Hospital · USSutter Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisUrinary incontinence (UI) is very common and heterogeneous among women with limited knowledge of progression or prognosis. Evidence based on clinical epidemiology can help to better understand the natural history of UI.

methodsWe examine the challenges of UI definition and its subtypes, its impact on quality of life and health-seeking behavior. We review the proposed pathophysiology of UI subtypes and known risk factors as they relate to our current knowledge of the disease state. Finally, we emphasize the role of epidemiology in the process of acquiring new insight, improving knowledge, and translating this information into clinical practice.

resultsStress UI is most common overall, but mixed UI is most prevalent in older women. The three UI subtypes have some common risk factors, and others that are unique, but there remains a significant gap in our understanding of how they develop. Although the pathophysiology of stress UI is somewhat understood, urgency UI remains mostly idiopathic, whereas mixed UI is the least studied and most complex subtype. Moreover, there exists limited information on the progression of symptoms over time, and disproportionate UI health-seeking behavior. We identify areas of exploration (e.g., epigenetics, urinary microbiome), and offer new insights into a better understanding of the relationship among the UI subtypes and to develop an integrated construct of UI natural history.

conclusionFuture epidemiological strategies using longitudinal study designs could play a pivotal role in better elucidating the controversies in UI natural history and the pathophysiology of its subtypes leading to improved clinical care.

Indexed as

Disease ProgressionFemaleHumansPatient Acceptance of Health CarePrevalenceQuality of LifeRisk FactorsSeverity of Illness IndexTime FactorsUrinary Incontinence, StressUrinary Incontinence, UrgeEpidemiologyMixed urinary incontinenceStressUrgency

Identifiers

PMID28321473
OpenAlexW2599403976

What OpenQuestion holds

Textmetadata
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.