Evidence map›Paper›PMID 29322401›Full record

ArticleInternational urology and nephrology2018

Is it possible to cure the symptoms of the overactive bladder in women?

Jan Krhut, Alois Martan, Roman Zachoval, Tomas Hanus, Lukas Horcicka, Kamil Svabík, Peter Zvara

Abstract readControlled Clinical TrialMulticenter Study
PubMed Publisher
In one paragraph

Article in International urology and nephrology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Trial
  2. Clinical Utility of βResearch and reports in urology · 2022
    Review
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.

Jan KrhutDepartment of Urology, University Hospital, 17. listopadu 1790, Poruba, 708 52, Ostrava, Czech Republic. jan.krhut@fno.cz.ORCID http://orcid.org/0000-0003-4205-5926
Alois MartanDepartment of Obstetrics and Gynecology, 1-st Medical Faculty, Charles University and General Faculty Hospital, Prague, Czech Republic.
Roman ZachovalDepartment of Urology, Thomayer's Hospital, Prague, Czech Republic.
Tomas HanusDepartment of Urology, 1-st Medical Faculty, Charles University and General Faculty Hospital, Prague, Czech Republic.
Lukas HorcickaGONA, Urogynecological Office, Prague, Czech Republic.
Kamil SvabíkDepartment of Obstetrics and Gynecology, 1-st Medical Faculty, Charles University and General Faculty Hospital, Prague, Czech Republic.
Peter ZvaraDepartment of Urology and Biomedical Laboratory, University of Southern Denmark, Odense, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the feasibility of discontinuing treatment with mirabegron once symptoms have subsided in patients with overactive bladder (OAB).

methodsThe present study evaluated a total of 159 female OAB patients (age 62.9 ± 12.36), each of which were prescribed 50 mg/day mirabegron (Time point 1-T1). Data obtained from voiding diaries and patient-reported outcome variables were assessed during follow-up visits at months 1, 3, 6, 12, 18 (T2), and 21 (T4). At the 18-month visit, patients with an Urgency Bother-Visual Analog Scale score of ≤ 50% were advised to stop treatment with mirabegron. Upon re-emergence or worsening of OAB symptoms, patients were allowed to start taking medication again at their discretion (T3). Statistical analysis was performed using a Chi-square test. An ANOVA analysis and a two-sample t test were used to evaluate differences between groups.

resultsA total of 56 out of 159 (35.3%) patients took 50 mg of mirabegron daily between T1 and T2. A total of 17 out of 56 patients (30.4%) did not meet the criteria for mirabegron discontinuation (Group A). A total of 24 out of 56 patients (42.9%) stopped taking the medication temporarily, but later returned to treatment (Group B). The average time span between T2 and T3 was 53.9 days. Fifteen of 56 patients (26.8%) ceased treatment with mirabegron without starting it again before T4 (Group C). The average time span between T2 and T4, in Group C, was 124.7 days.

conclusionA small percentage of OAB patients were able to discontinue mirabegron due to symptom cessation.

Indexed as

Withholding TreatmentAcetanilidesAgedFeasibility StudiesFemaleHumansMiddle AgedPatient Reported Outcome MeasuresProspective StudiesRecurrenceSeverity of Illness IndexSymptom AssessmentThiazolesTime FactorsUrinary Bladder, OveractiveUrological AgentsAcetanilidesmirabegronThiazolesUrological AgentsMirabegronNatural historyOveractive bladderTreatment discontinuation

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.