Evidence map›Paper›PMID 30578542›Full record

Trial reportJournal of the American Geriatrics Society2019

Comparing Vitamin D Supplementation Versus Placebo for Urgency Urinary Incontinence: A Pilot Study.

Alayne D Markland, Vin Tangpricha, T Mark Beasley, Camille P Vaughan, Holly E Richter, Kathryn L Burgio, Patricia S Goode

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Geriatrics Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.4field-weighted citation impact, top 18% 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

9 citing papers in PubMed, 21 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Vitamin D intake and the 10-year risk of urgency urinary incontinence in women.The Journal of steroid biochemistry and molecular biology · 2020
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Alayne D MarklandDepartment of Veterans Affairs, Birmingham/Atlanta Geriatric Research, Education, and Clinical Center, Birmingham, Alabama.ORCID 0000-0002-6567-6744
Vin TangprichaDepartment of Medicine, Emory University, Atlanta, Georgia.
T Mark BeasleyDepartment of Veterans Affairs, Birmingham/Atlanta Geriatric Research, Education, and Clinical Center, Birmingham, Alabama.
Camille P VaughanDepartment of Veterans Affairs, Birmingham/Atlanta Geriatric Research, Education, and Clinical Center, Birmingham, Alabama.
Holly E RichterDepartment of Obstetrics and Gynecology, University of Alabama at Birmingham, Birmingham, Alabama.
Kathryn L BurgioDepartment of Veterans Affairs, Birmingham/Atlanta Geriatric Research, Education, and Clinical Center, Birmingham, Alabama.
Patricia S GoodeDepartment of Veterans Affairs, Birmingham/Atlanta Geriatric Research, Education, and Clinical Center, Birmingham, Alabama.
University of Alabama at Birmingham · USEmory University · US

Funding

Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone (IMPROVE)UL1TR002378 · NCATS · EMORY UNIVERSITY · PI Andres J Garcia, Elizabeth O. Ofili · 2017 to 2026
$92.1M
UAB Center for Clinical and Translational Science (CCTS)UL1TR001417 · NCATS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI KIMBERLY, ROBERT P. · 2015 to 2018
$31.4M
Role of Vitamin D in the Prevention and Progression of Urinary IncontinenceR01DK115473 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI MARKLAND, ALAYNE DENISE · 2018 to 2021
$1.4M
Vitamin D Supplementation in Older Adults with Urinary IncontinenceR21DK096201 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI MARKLAND, ALAYNE DENISE · 2013 to 2014
$582k
MOLECULAR ANALYSIS--TRANSFORMATION BY EPSTEIN-BARR VIRUSK08CA001417 · NCI · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI COHEN, JEFFREY I · 1989 to 1990
–
NCATS NIH HHS UL1 TR001417NCATS NIH HHS UL1 TR002378NIDDK NIH HHS R01 DK115473NIDDK NIH HHS R21 DK096201
6 · The paper itself

Abstract

objectivesTo estimate the efficacy of vitamin D supplementation to reduce urgency urinary incontinence (UUI) episodes.

designPilot, two-arm, randomized trial conducted from 2013 to 2017. Interventions were 12 weeks of weekly oral 50,000 IU vitamin D3 or placebo.

settingAcademic, university-based outpatient clinic.

participantsCommunity-dwelling postmenopausal women, 50 years or older, with at least three UUI episodes on 7-day bladder diary and serum vitamin 25-hydroxyvitamin D (25[OH]D) of 30 ng/mL or less. MEASUREMENTS: The primary efficacy estimate was the percentage change in UUI episodes. Secondary estimates included changes in other lower urinary tract symptoms, along with exploratory subgroup analysis by race/ethnicity and obesity.

resultsWe randomized 56 women (aged 50-84 years; mean = 60.5 ± 8.2 years), 28 to vitamin D and 28 to placebo; 51 completed treatments. Mean serum 25(OH)D at baseline (21.2 ± 5.2 and 18.2 ± 5.6, P = .30) improved to 57.9 ± 16.3 ng/mL with vitamin D3 and 21.9 ± 8.2 ng/mL with placebo (P < .001). UUI episodes per 24-hour day decreased by 43.0% with vitamin D3 compared to 27.6% with placebo (P = .22). Among black women (n = 33), UUI episodes decreased by 63.2% with vitamin D3 compared to 22.9% with placebo (P = .03). Among obese women, UUI episodes decreased by 54.1% with vitamin D compared to 32.7% with placebo (P = .29). For all women, changes in voiding frequency (P = .40), nocturia (P = .40), urgency (P = .90), incontinence severity (P = .81), and overactive bladder symptom severity (P = .47) were not different between arms.

conclusionsPostmenopausal women with UUI and vitamin D insufficiency demonstrated a greater than 40% decrease in UUI episodes, which did not reach statistical significance compared to placebo, except in the subset of black women. The results of this pilot study support further investigation of vitamin D3 alone or in combination with other treatments for UUI, particularly for women in higher-risk subgroups. J Am Geriatr Soc 67:570-575, 2019.

Indexed as

Urinary Bladder, OveractiveUrinary Incontinence, UrgeAgedDietary SupplementsFemaleHumansIndependent LivingMedical RecordsMiddle AgedPilot ProjectsPostmenopauseRisk FactorsSymptom AssessmentTreatment OutcomeVitamin DVitamins25-hydroxyvitamin DVitamin DVitaminspostmenopausal womenurinary incontinencevitamin D

Identifiers

PMID30578542
PMCPMC6403014
OpenAlexW2906506265

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.