Evidence map›Paper›PMID 28371019›Full record

ArticleInternational journal of clinical practice2017

Adherence and persistence of mirabegron and anticholinergic therapies in patients with overactive bladder: a real-world claims data analysis.

D Sussman, A Yehoshua, J Kowalski, W Lee, J Kish, S Chaudhari, B Murray

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in International journal of clinical practice, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04807920 (Intravesical OnabotulinumtoxinA Injection at the Time of Prolapse Surgery for the Treatment of Overactive Bladder Syndrome), which is not on this map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
9.6field-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
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 57 citations in OpenAlex.

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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 at 3 institutions in 1 country.

D SussmanDivision of Urology, Department of Surgery, Rowan University School of Osteopathic Medicine, Stratford, NJ, USA.
A YehoshuaAllergan Inc, Irvine, CA, USA.
J KowalskiAllergan Inc, Irvine, CA, USA.
W LeeXcenda, Palm Harbor, FL, USA.
J KishXcenda, Palm Harbor, FL, USA.
S ChaudhariXcenda, Palm Harbor, FL, USA.
B MurraySt Peter's Health Partners, Albany, NY, USA.
Allergan (United States) · USHealthPartners · USRowan University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdherence and persistence rates of anticholinergic (ACH) therapies have been well described. To date, few studies describe these metrics for mirabegron in patients with overactive bladder.

methodsThis retrospective analysis of MarketScan

resultsThe mean age of mirabegron users (n = 4037) was 67 years and 43% were ACH naïve while the mean age of ACH users was 62 years (n = 67,943). Over the 12-month follow-up period, 44% of patients treated with mirabegron and 31% of patients treated with ACH were adherent to their indexed medications. Treatment failure was 81% for mirabegron and 88% for ACH. Most mirabegron treatment failures were because of treatment discontinuation (67%) versus switching to ACH therapy (14%). The ACH discontinuation rate was 84% and treatment switching rate was 4%. The mean (standard deviation) time to treatment failure was 143 (130) days for mirabegron and 69 (69) days for ACH. Adherence and persistence patterns were similar in the sensitivity analysis using a ≥ 45-day supply gap threshold.

conclusionsThis real-world study demonstrated low adherence and persistence to mirabegron similar to ACH therapies.

Indexed as

AcetanilidesAdultAgedCholinergic AntagonistsDatabases, FactualDelayed-Action PreparationsFemaleHumansMaleMiddle AgedPatient ComplianceRetrospective StudiesThiazolesTreatment RefusalUrinary Bladder, OveractiveUrological AgentsAcetanilidesCholinergic AntagonistsDelayed-Action PreparationsmirabegronThiazolesUrological Agents

Identifiers

PMID28371019
PMCPMC6680256
OpenAlexW2601152318

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.