Evidence map›Paper›PMID 30201674›Full record

ArticleJournal of the American Board of Family Medicine : JABFM

If We Don't Ask, They Won't Tell: Screening for Urinary and Fecal Incontinence by Primary Care Providers.

Heidi W Brown, Wen Guan, Nicholas B Schmuhl, Paul D Smith, William E Whitehead, Rebecca G Rogers

Open access · bronzeAbstract read
In one paragraph

Article in Journal of the American Board of Family Medicine : JABFM. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 8% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Article
  4. Article
  5. Research priorities for faecal incontinence in adults: A James Lind Alliance priority setting partnership.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2025
    Article
  6. Care pathways and anorectal evaluation for obstetric anal sphincter injury-related incontinence: A UK survey of obstetricians.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2025
    Observational
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Heidi W BrownFrom the Department of Obstetrics and Gynecology (HWB, WG, NBS), and Department of Family Medicine and Community Health (PDS), University of Wisconsin-Madison School of Medicine and Public Health (UWSMPH), Madison, WI; University of North Carolina Center for Functional GI & Motility Disorders, Chapel Hill, NC (WEW); University of Texas at Austin, Dell Medical School, Austin, TX (RGR). hwbrown2@wisc.edu.
Wen GuanFrom the Department of Obstetrics and Gynecology (HWB, WG, NBS), and Department of Family Medicine and Community Health (PDS), University of Wisconsin-Madison School of Medicine and Public Health (UWSMPH), Madison, WI; University of North Carolina Center for Functional GI & Motility Disorders, Chapel Hill, NC (WEW); University of Texas at Austin, Dell Medical School, Austin, TX (RGR).
Nicholas B SchmuhlFrom the Department of Obstetrics and Gynecology (HWB, WG, NBS), and Department of Family Medicine and Community Health (PDS), University of Wisconsin-Madison School of Medicine and Public Health (UWSMPH), Madison, WI; University of North Carolina Center for Functional GI & Motility Disorders, Chapel Hill, NC (WEW); University of Texas at Austin, Dell Medical School, Austin, TX (RGR).
Paul D SmithFrom the Department of Obstetrics and Gynecology (HWB, WG, NBS), and Department of Family Medicine and Community Health (PDS), University of Wisconsin-Madison School of Medicine and Public Health (UWSMPH), Madison, WI; University of North Carolina Center for Functional GI & Motility Disorders, Chapel Hill, NC (WEW); University of Texas at Austin, Dell Medical School, Austin, TX (RGR).
William E WhiteheadFrom the Department of Obstetrics and Gynecology (HWB, WG, NBS), and Department of Family Medicine and Community Health (PDS), University of Wisconsin-Madison School of Medicine and Public Health (UWSMPH), Madison, WI; University of North Carolina Center for Functional GI & Motility Disorders, Chapel Hill, NC (WEW); University of Texas at Austin, Dell Medical School, Austin, TX (RGR).
Rebecca G RogersFrom the Department of Obstetrics and Gynecology (HWB, WG, NBS), and Department of Family Medicine and Community Health (PDS), University of Wisconsin-Madison School of Medicine and Public Health (UWSMPH), Madison, WI; University of North Carolina Center for Functional GI & Motility Disorders, Chapel Hill, NC (WEW); University of Texas at Austin, Dell Medical School, Austin, TX (RGR).
University of North Carolina at Chapel Hill · USUniversity of Wisconsin–Madison · US

Funding

Wisconsin Multidisciplinary K12 Urologic Research Career Development ProgramK12DK100022 · NIDDK · UNIVERSITY OF WISCONSIN-MADISON · PI CHAD M. VEZINA · 2013 to 2026
$8.6M
Website for Self-Management of Fecal IncontinenceR21DK096545 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI WHITEHEAD, WILLIAM E · 2013 to 2014
$418k
NIDDK NIH HHS K12 DK100022NIDDK NIH HHS R21 DK096545
6 · The paper itself

Abstract

backgroundMore than half of older adults experience urinary (UI) or fecal incontinence (FI), but the majority have never discussed symptoms with health care providers. Little is known about primary care providers' (PCPs') screening for UI and FI.

methodsWe conducted a cross-sectional electronic survey of PCPs within a Midwest academic institution to ascertain and compare PCPs' beliefs, attitudes, and behaviors regarding screening and treatment for UI and FI; determine factors associated with screening for FI; and identify potential barriers to and facilitators of FI screening and treatment.

resultsAmong 154 PCPs, the screening rate for UI (75%) was more than double that for FI (35%;

conclusionsMost PCPs screen for UI but not FI. High reported interest in educational materials, coupled with high reported rates of perceived importance of screening for UI and FI, suggests that PCPs welcome informative interventions to streamline diagnosis and treatment.

Indexed as

Attitude of Health PersonnelCross-Sectional StudiesFecal IncontinenceHumansMass ScreeningPrimary Health CareUrinary IncontinenceCross Sectional AnalysisFecal IncontinencePrimary Health CareSurveys and Questionnaires

Identifiers

PMID30201674
PMCPMC6170156
OpenAlexW2891077132

What OpenQuestion holds

Textmetadata
LicenceTDM
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.