Evidence map›Paper›PMID 30255417›Full record

SynthesisAdvances in therapy2018

The Association Between Overactive Bladder and Falls and Fractures: A Systematic Review.

Shelagh M Szabo, Katherine L Gooch, David R Walker, Karissa M Johnston, Adrian S Wagg

Registry-linked trialOpen access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Advances in therapy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07738354 (Construction, Validation, and Demonstration of a Comprehensive Prevention, Treatment, and Rehabilitation System for Toileting-Related Falls in Older Adults and People With Disabilities), which is not on this map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
5.5field-weighted citation impact, top 4% 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.

NCT07738354 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Construction, Validation, and Demonstration of a Comprehensive Prevention, Treatment, and Rehabilitation System for Toileting-Related Falls in Older Adults and People With Disabilities

TypeinterventionalSponsorQing YuanRan2026 to 2028Enrolled300ConditionsToileting-Related Falls, Fall RiskArmsIndividualized Multidimensional Management Program for Toileting-Related Fall Prevention
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 58 citations in OpenAlex.

  1. Pooled it
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  5. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

Shelagh M SzaboBroadstreet Health Economics and Outcomes Research, Vancouver, Canada. sszabo@broadstreetheor.com.ORCID 0000-0002-9044-3192
Katherine L GoochAstellas Pharma Global Development, Inc., Northbrook, IL, USA.
David R WalkerAstellas Pharma Global Development, Inc., Northbrook, IL, USA.
Karissa M JohnstonBroadstreet Health Economics and Outcomes Research, Vancouver, Canada.
Adrian S WaggUniversity of Alberta, Edmonton, Canada.
Astellas Pharma (United States) · USVancouver Coastal Health · CAUniversity of Alberta · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionUrinary symptoms are associated with an increased risk of falls, but few studies have focused on patients with overactive bladder (OAB). This study aimed to synthesize estimates of the risk of falls and fractures in patients with OAB.

methodsMedline, EMBASE, the Cumulative Index to Nursing and Allied Health Literature, and Scopus were systematically searched for observational studies that focused on patients with OAB. When available, data from a non-OAB comparison sample were included. Double independent review and data extraction were performed. Falls and fractures data were summarized by unadjusted and adjusted risks, and percent attributable risk (PAR) of falls and fractures associated with OAB.

resultsFifteen studies were included in the analyses. The proportion of patients with OAB experiencing at least one fall over a year ranged from 18.9% to 50.0%, and the proportion of patients with OAB experiencing recurrent or serious falls ranged from 10.2% to 56.0%. In studies that included a non-OAB comparison sample, a higher risk of falls was observed in patients with OAB compared to those without. A significantly increased (1.3- to 2.3-fold) adjusted OAB-associated risk of falls was reported, while unadjusted PARs for OAB associated falls ranged from 3.7% to 15.5%. Risk was higher among women and those 65 years of age or older. While analysis of fractures showed elevated point estimates, most studies were underpowered to detect a statistically significant difference between groups.

conclusionsEvidence from the published literature clearly demonstrates the importance of OAB and its symptoms as risk factors for falls and fractures.

fundingAstellas.

Indexed as

Accidental FallsAdultAgedAged, 80 and overFemaleFractures, BoneHumansMaleMiddle AgedRisk FactorsUrinary Bladder, OveractiveAccidental fallsFractures, boneOveractiveReviewUrinary bladderUrology

Identifiers

PMID30255417
PMCPMC6223978
OpenAlexW2894087307

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.