Evidence map›Paper›PMID 29324595›Full record

Trial reportObstetrics and gynecology2018

Association of Pharmacologic Treatment of Urgency Urinary Incontinence With Sleep Quality and Daytime Sleepiness.

Qurratul A Warsi, Alison J Huang, Rachel Hess, Lily A Arya, Holly E Richter, Catherine S Bradley, Rebecca G Rogers, Deborah L Myers, Karen C Johnson, William D Winkelman and 6 more

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Obstetrics and gynecology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00862745 (A Multi-center, Randomized, Placebo-controlled Clinical Trial Comparing Fesoterodine to Placebo in Women Diagnosed With Urge Urinary Incontinence by the 3 Incontinence Questions), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.4field-weighted citation impact, top 20% 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.

NCT00862745 phase4completednot on this map

A Multi-center, Randomized, Placebo-controlled Clinical Trial Comparing Fesoterodine to Placebo in Women Diagnosed With Urge Urinary Incontinence by the 3 Incontinence Questions (3IQ). Followed by a Multi-center Open Label Clinical Cohort Study of Long-term Effects of Treatment With Fesoterodine.

TypeinterventionalSponsorUniversity of California, San FranciscoRan2009 to 2011Enrolled645ConditionsUrge Urinary Incontinence, Overactive BladderArmsFesoterodine, Matching Placebo
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 1 institution in 1 country.

Qurratul A WarsiDepartments of Obstetrics, Gynecology, & Reproductive Sciences and Medicine, University of California, San Francisco, San Francisco, California; the Department of Population Health Sciences, University of Utah, Salt Lake City, Utah; the Departments of Obstetrics and Gynecology, University of Pennsylvania, Philadelphia, Pennsylvania, University of Alabama at Birmingham, Birmingham, Alabama, University of Iowa, Iowa City, Iowa, Dell Medical School, University of Texas at Austin, Austin, Texas, Brown University, Providence, Rhode Island, Mount Auburn Hospital/Harvard Medical School, Boston, Massachusetts, Oregon Health Sciences University, Portland, Oregon, and Stanford University School of Medicine, Stanford, California; the Department of Preventive Medicine, University of Tennessee Health Sciences Center, Memphis, Tennessee; the Department of Urology, University of Texas Health Science at San Antonio, San Antonio, Texas; and California Pacific Medical Center Research Institute, San Francisco, California.
Alison J Huang
Rachel Hess
Lily A Arya
Holly E Richter
Catherine S Bradley
Rebecca G Rogers
Deborah L Myers
Karen C Johnson
William D Winkelman
W Thomas Gregory
Stephen R Kraus
Michael Schembri
Jeanette S Brown
Katie L Stone
Leslee L Subak
University of Alabama at Birmingham Hospital · US

Funding

Patient Oriented Research and Mentoring in Obesity and Urinary IncontinenceK24DK080775 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SUBAK, LESLEE L · 2008 to 2019
$1.7M
NIDDK NIH HHS K24 DK080775
6 · The paper itself

Abstract

objectiveTo evaluate the association between pharmacologic therapy for urgency urinary incontinence (UUI) and sleep quality.

methodsWe conducted a planned secondary data analysis of sleep outcomes in a previously conducted multicenter, double-blind, 12-week randomized trial of pharmacologic therapy for urgency-predominant incontinence among community-dwelling women self-diagnosed using the 3-Incontinence Questions questionnaire. Participants (N=645) were assigned randomly to 4-8 mg antimuscarinic therapy daily or placebo. At baseline and 12 weeks, participants completed a validated voiding diary to evaluate incontinence and voiding symptoms, the Pittsburgh Sleep Quality Index to evaluate sleep quality, and the Epworth Sleepiness Scale to evaluate daytime sleepiness.

resultsMean (SD) age was 56 (±14) years, 68% were white, and 57% had poor sleep quality (Pittsburgh Sleep Quality Index score greater than 5). Mean frequency of any urinary incontinence and UUI was 4.6 and 3.9 episodes/d, respectively. After 12 weeks, women randomized to the antimuscarinic group reported greater decrease compared with the placebo group in UUI frequency (0.9 episodes/d; P<.001) and diurnal and nocturnal voiding frequency (P<.05). As compared with the placebo group, women in the antimuscarinic group also reported greater improvement in sleep quality (total Pittsburgh Sleep Quality Index score 0.48; P=.02) with greater improvement in sleep duration and sleep efficiency subscales (P<.05). The intervention did not affect daytime sleepiness.

conclusionPharmacologic treatment of UUI is associated with decreased incontinence frequency and nocturia and improvement in overall sleep quality, sleep duration, and sleep efficiency. CLINICAL

trial registrationClinicalTrials.gov, NCT00862745.

Indexed as

SleepAdultAgedBenzhydryl CompoundsDouble-Blind MethodFemaleHumansMiddle AgedMuscarinic AntagonistsSelf ReportTreatment OutcomeUrinary Bladder, OveractiveUrinary Incontinence, UrgeBenzhydryl CompoundsfesoterodineMuscarinic Antagonists

Identifiers

PMID29324595
PMCPMC6059366
OpenAlexW2783648251

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.