Evidence map›Paper›PMID 29222718›Full record

ArticleInternational urogynecology journal2018

Treatment of stress urinary incontinence with a mobile app: factors associated with success.

Emma Nyström, Ina Asklund, Malin Sjöström, Hans Stenlund, Eva Samuelsson

Abstract read
In one paragraph

Article in International urogynecology journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing 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.

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

28 citing papers in PubMed.

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  17. Mitigating urinary incontinence condition using machine learning.BMC medical informatics and decision making · 2022
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Emma NyströmDepartment of Public Health and Clinical Medicine, Unit of Research, Education and Development-Östersund, Umeå University, Umeå, Sweden. emma.nystrom@regionjh.se.ORCID http://orcid.org/0000-0003-1745-6808
Ina AsklundDepartment of Public Health and Clinical Medicine, Unit of Research, Education and Development-Östersund, Umeå University, Umeå, Sweden.
Malin SjöströmDepartment of Public Health and Clinical Medicine, Unit of Research, Education and Development-Östersund, Umeå University, Umeå, Sweden.
Hans StenlundDepartment of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.
Eva SamuelssonDepartment of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisStress urinary incontinence is common among women. First-line treatment includes pelvic floor muscle training (PFMT) and lifestyle advice, which can be provided via a mobile app. The efficacy of app-based treatment has been demonstrated in a randomized controlled trial (RCT). In this study, we aimed to analyze factors associated with successful treatment.

methodsSecondary analysis of data from the RCT. At baseline and 3-month follow-up, participants (n = 61) answered questions about symptoms, quality of life, background, and PFMT. Success was defined as rating the condition as much or very much better according to the validated Patient Global Impression of Improvement questionnaire. Factors possibly associated with success were analyzed with univariate logistic regression; if p < 0.20, the factor was entered into a multivariate model that was adjusted for age. Variables were then removed stepwise.

resultsAt follow-up, 34 out of 61 (56%) of participants stated that their condition was much or very much better. Three factors were significantly associated with success: higher expectations for treatment (odds ratio [OR] 11.38, 95% confidence interval [CI] 2.02-64.19), weight control (OR 0.44 per kg gained, 95% CI 0.25-0.79), and self-rated improvement of pelvic floor muscle strength (OR 35.54, 95% CI 4.96-254.61). Together, these factors accounted for 61.4% (Nagelkerke R

conclusionThese results indicate that app-based treatment effects are better in women who are interested in and have high expectations of such treatment. Also, the findings underline the importance of strengthening the pelvic floor muscles and offering lifestyle advice.

Indexed as

Quality of LifeAdultExercise TherapyFemaleFollow-Up StudiesHumansMiddle AgedMobile ApplicationsPelvic FloorPregnancySelf CareSwedenTelemedicineTreatment OutcomeUrinary Incontinence, StressMobile applicationsPelvic floor muscle trainingSelf-managementStress urinary incontinence

Identifiers

PMID29222718
PMCPMC6132677

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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.