Evidence map›Paper›PMID 28656509›Full record

ArticleDrugs & aging2017

Older People's Preferences for Side Effects Associated with Antimuscarinic Treatments of Overactive Bladder: A Discrete-Choice Experiment.

Veerle H Decalf, Anja M J Huion, Dries F Benoit, Marie-Astrid Denys, Mirko Petrovic, Karel C M M Everaert

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In one paragraph

Article in Drugs & aging, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
2.4field-weighted citation impact, top 11% 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.

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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 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

6 authors at 3 institutions in 1 country.

Veerle H DecalfDepartment of Medical Sciences, Ghent University, De Pintelaan 185, 9000, Ghent, Belgium. veerle.decalf@uzgent.be.ORCID 0000-0002-0357-9252
Anja M J HuionDepartment Education, Health and Social work, University College Ghent, Keramiekstraat 80, 9000, Ghent, Belgium.
Dries F BenoitDepartment of Marketing, Ghent University, Tweekerkenstraat 2, 9000, Ghent, Belgium.
Marie-Astrid DenysDepartment of Urology, Ghent University Hospital, De Pintelaan 185, 9000, Ghent, Belgium.
Mirko PetrovicDepartment of Geriatrics, Ghent University Hospital, De Pintelaan 185, 9000, Ghent, Belgium.
Karel C M M EveraertDepartment of Urology, Ghent University Hospital, De Pintelaan 185, 9000, Ghent, Belgium.
Ghent University Hospital · BEGhent University · BEUniversity College Ghent · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionUnderstanding the importance older people attribute to the different side effects associated with oral antimuscarinic treatments for overactive bladder (OAB) could help inform prescribers, healthcare policy makers and the drug industry.

objectiveOur objective was to quantify the importance of the most prevalent cognitive and side effects of oral antimuscarinic treatments for OAB in older people.

methodsWe conducted a discrete-choice experiment (DCE) with the assistance of an interviewer with community-dwelling and hospitalized older people aged >65 years. The DCE involved two hypothetical drugs for imaginary OAB, with three levels of four side effects for each drug, and the International Consultation on Incontinence Questionnaire-Overactive Bladder and EuroQol 5-Dimensions (EQ-5D) questionnaire were also administered. Data were analysed using a conditional logit model.

resultsIn total, 276 older people participated in the study. The median age was 75 years (interquartile range [IQR] 69-80), 63% were women and 21% had OAB syndrome. The most unwanted side effect in the choice of antimuscarinics for OAB was severe cognitive effects, followed by severe constipation, severe blurred vision, severe dry mouth, moderate cognitive effects and moderate constipation. Severe cognitive effects were at least 1.7 times as important as severe constipation. Exploratory subgroup analysis showed that none of the attributes was found to be significant in people who scored as anxious or depressed on the EQ-5D, and preferences about cognitive effects, constipation and blurred vision were equal in people with and without OAB.

conclusionOlder people attribute more importance to loss of cognitive function as a possible side effect of antimuscarinic treatment than to the three most prevalent possible side effects of this treatment.

Indexed as

Patient PreferenceAdministration, OralAgedChoice BehaviorDrug-Related Side Effects and Adverse ReactionsFemaleHumansLogistic ModelsMaleMuscarinic AntagonistsPrevalenceSurveys and QuestionnairesUrinary Bladder, OveractiveUrinary IncontinenceMuscarinic Antagonists

Identifiers

PMID28656509
OpenAlexW2724146533

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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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.