Evidence map›Paper›PMID 30467763›Full record

ArticleInternational urogynecology journal2019

Subjective and objective responses to PTNS and predictors for success: a retrospective cohort study of percutaneous tibial nerve stimulation for overactive bladder.

Shilpa Iyer, Katharina Laus, Angela Rugino, Carolyn Botros, Svjetlana Lozo, Sylvia M Botros, Roger Goldberg, Janet Tomezsko, Adam Gafni-Kane, Kristen Wroblewski and 1 more

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In one paragraph

Article in International urogynecology journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
2.9field-weighted citation impact, top 10% 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.

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  8. Electrical neuromodulation therapy for inflammatory bowel disease.World journal of gastrointestinal pathophysiology · 2022
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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

11 authors at 5 institutions in 1 country.

Shilpa IyerDepartment of Obstetrics and Gynecology, Section of Urogynecology, The University of Chicago, Chicago, IL, USA. Siyer2@bsd.uchicago.edu.ORCID 0000-0001-9133-6594
Katharina LausDepartment of Obstetrics and Gynecology, Section of Urogynecology, The University of Chicago, Chicago, IL, USA.
Angela RuginoDepartment of Obstetrics and Gynecology, Section of Urogynecology, The University of Chicago, Chicago, IL, USA.
Carolyn BotrosDepartment of Obstetrics and Gynecology, Section of Urogynecology, Center for Pelvic Health, North Shore University Health System, affiliated with The University of Chicago, Skokie, IL, USA.
Svjetlana LozoDepartment of Obstetrics and Gynecology, Section of Urogynecology, Center for Pelvic Health, North Shore University Health System, affiliated with The University of Chicago, Skokie, IL, USA.
Sylvia M BotrosDepartment of Urology, The University of Texas at San Antonio, San Antonio, TX, USA.
Roger GoldbergDepartment of Obstetrics and Gynecology, Section of Urogynecology, Center for Pelvic Health, North Shore University Health System, affiliated with The University of Chicago, Skokie, IL, USA.
Janet TomezskoWomens Health Institute of Illinois, Skokie, IL, USA.
Adam Gafni-KaneDepartment of Obstetrics and Gynecology, Section of Urogynecology, Center for Pelvic Health, North Shore University Health System, affiliated with The University of Chicago, Skokie, IL, USA.
Kristen WroblewskiDepartment of Public Health Sciences, The University of Chicago, Chicago, IL, USA.
Peter SandDepartment of Obstetrics and Gynecology, Section of Urogynecology, Center for Pelvic Health, North Shore University Health System, affiliated with The University of Chicago, Skokie, IL, USA.
NorthShore University HealthSystem · USUniversity of Chicago · USChicago Department of Public Health · USSkokie Hospital · USThe University of Texas at San Antonio · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisWe investigated the objective improvements in overactive bladder (OAB) symptoms in patients undergoing percutaneous tibial nerve stimulation (PTNS) and predictive factors of patient satisfaction.

methodsIn this single-center retrospective cohort study at a tertiary urogynecology center, we identified all female patients who underwent PTNS therapy from 1 October 2007 - 1 January 2016 and followed them from their initial visit through medication therapy and PTNS treatments. Patients who tried at least one medication prior to starting PTNS therapy and completed at least one PTNS visit were included. Baseline demographic data, urinary data, and details of medication and PTNS therapy sessions were collected from records through chart review. Paired or two-sample t-tests were used to compare changes over time or groups. Bivariate and multivariable logistic regression were performed.

resultsTwo hundred thirteen patients underwent PTNS therapy and 183 patients met the criteria. Overall patients were able to decrease voiding frequency by 1 h, decrease nocturia episodes by 0.8, and decrease urge incontinence episodes with PTNS therapy by ten episodes per week (p = 0.02). Patients who continued OAB medications did not have additional improvements compared with patients who did not continue OAB medications during PTNS. Overall, 25.4% (43/169) patients reported ≥ 75% improvement during PTNS therapy, and 61.5% (104/169) reported ≥ 50% improvement. When evaluating predictive factors of ≥ 50% overall improvement, the number of PTNS sessions increased odds of subjective success (OR = 1.8, p = 0.004). Other factors were not significant predictors of subjective PTNS success.

conclusionsPTNS can provide both objective and subjective improvements for patients who do not respond to OAB medication therapy.

Indexed as

Patient SatisfactionTranscutaneous Electric Nerve StimulationAgedAged, 80 and overCohort StudiesFemaleHumansMiddle AgedRetrospective StudiesTibial NerveTreatment OutcomeUrinary Bladder, OveractiveOveractive bladderPercutaneous tibial nerve stimulation

Identifiers

PMID30467763
OpenAlexW2901442310

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.