Evidence map›Paper›PMID 28480273›Full record

ArticleOpen forum infectious diseases2017

The Increase in Hospitalizations for Urinary Tract Infections and the Associated Costs in the United States, 1998-2011.

Jacob E Simmering, Fan Tang, Joseph E Cavanaugh, Linnea A Polgreen, Philip M Polgreen

2 registry-linked trialsAbstract read
In one paragraph

Article in Open forum infectious diseases, 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 146 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
146citing papers in PubMed, 3 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.

NCT03644966 nacompletednot on this mapstarted 2018, after this paper: background citation

Probiotic and Effects on Multi-Drug Resistant Urinary Tract Infection

TypeinterventionalSponsorOchsner Health SystemRan2018 to 2022Enrolled25ConditionsUrinary Tract Infections, Recurrent UTI, Antibiotic Resistant InfectionArmsBifidobacterium infantis, Placebo, Antibiotics
NCT04108910 completednot on this map

Reduction in Morbidity Rate for Urinary Tract Infections Through Use of PCR-Based Diagnosis and Management

TypeobservationalSponsorPathnosticsRan2016 to 2020Enrolled66,381ConditionsUrinary Tract InfectionsArmsGuidance UTI
3 · Its place in the literature

Who cites it

146 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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86 more citing papers are in PubMed but not listed here.

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

5 authors.

Jacob E SimmeringUniversity of Iowa Health Venture's Signal Center for Health Innovation, Iowa City.
Fan TangGenentech, San Francisco, California.
Joseph E CavanaughBiostatistics, College of Public Health, University of Iowa, Iowa City.
Linnea A PolgreenPharmacy Practice and Science, College of Pharmacy, University of Iowa, Iowa City.
Philip M PolgreenInternal Medicine, College of Medicine, and Epidemiology, College of Public Health, University of Iowa, University of Iowa Health Venture's Signal Center for Health Innovation, Iowa City.

Funding

Observational data and treatment effectiveness: which methods work best?K25HL122305 · NHLBI · UNIVERSITY OF IOWA · PI POLGREEN, LINNEA ANN · 2015 to 2018
$588k
NHLBI NIH HHS K25 HL122305
6 · The paper itself

Abstract

backgroundOutpatient therapies for urinary tract infections (UTIs) are becoming limited due to antimicrobial resistance. The purpose of this paper is to report how the incidence of hospitalizations for UTIs have varied over time in both men and women and across age groups. We also explore how the severity for UTI hospitalizations has changed and describe the seasonality of UTI hospitalizations.

methodsUsing the Nationwide Inpatient Sample, we compute a time-series of UTI incidence and subdivide the series by age and sex. We fit a collection of time-series models to explore how the trend and seasonal intensity varies by age and sex. We modeled changes in severity using regression with available confounders.

resultsIn 2011, there were approximately 400000 hospitalizations for UTIs with an estimated cost of $2.8 billion. Incidence increased by 52% between 1998 and 2011. The rate of increase was larger among both women and older patients. We found that the seasonal intensity (summer peaks and winter troughs) increased over time among women while decreasing among men. For both men and women, seasonality decreased with advancing age. Relative to controls and adjusted for demographics, we found that costs among UTI patients grew more slowly, patients left the hospital earlier, and patients had lower odds of death.

conclusionsIncidence of UTI hospitalization is increasing and is seasonal, peaking in the summer. However, the severity of UTI admissions seems to be decreasing, indicating that patients previously treated as outpatients may now be admitted to the hospital due to increasing antimicrobial resistance.

Indexed as

healthcare costsseasonalitytime seriestrendsurinary tract infections.

Identifiers

PMID28480273
PMCPMC5414046

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.