Evidence map›Paper›PMID 30612126›Full record

ArticleUrologia internationalis2019

The Value of Ambulatory Urodynamics in the Evaluation of Treatment Effect of Sacral Neuromodulation.

Jamie Drossaerts, Kevin L J Rademakers, Sajjad M Rahnama'i, Tom Marcelissen, Philip Van Kerrebroeck, Gommert van Koeveringe

Abstract read
In one paragraph

Article in Urologia internationalis, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Feasibility of Real-Time Conditional Sacral Neuromodulation Using Wireless Bladder Pressure Sensor.IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society · 2021
    Article
  5. Advances in Ambulatory Urodynamics.Current urology reports · 2020
    Review
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

6 authors.

Jamie DrossaertsDepartment of Urology, Maastricht University Medical Centre (MUMC+), Maastricht, The Netherlands, j.drossaerts@outlook.com.
Kevin L J RademakersDepartment of Urology, Maastricht University Medical Centre (MUMC+), Maastricht, The Netherlands.
Sajjad M Rahnama'iDepartment of Urology, Maastricht University Medical Centre (MUMC+), Maastricht, The Netherlands.
Tom MarcelissenDepartment of Urology, Maastricht University Medical Centre (MUMC+), Maastricht, The Netherlands.
Philip Van KerrebroeckDepartment of Urology, Maastricht University Medical Centre (MUMC+), Maastricht, The Netherlands.
Gommert van KoeveringeDepartment of Urology, Maastricht University Medical Centre (MUMC+), Maastricht, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess the improvement of symptoms by sacral neuromodulation (SNM) in an objective way by carrying out an ambulatory urodynamic study (ambulatory-UDS). Until now, successful treatment has been defined as a ≥50% improvement recorded on voiding diaries. Voiding diaries are a patient reported outcome tool. A tool with less bias is desired to evaluate the treatment results before an expensive permanent system is implanted.

methodsBetween 2002 and 2015, a total of 334 patients with lower urinary tract symptoms were included consecutively in an ambulatory-UDS database. From this database, a subgroup of patients was selected which underwent SNM.

resultsIn 51 patients, an ambulatory-UDS was performed both at baseline and during the SNM test period. A positive treatment outcome after test stimulation based on the patients' voiding diary, correlated (p < 0.0001) with an improvement on ambulatory-UDS. Twenty-six of the 30 patients, who have showed improvement of more than 50% on voiding diary parameters and who had subjective improvement of their symptoms, showed an early improvement on ambulatory-UDS.

conclusionsAmbulatory-UDS can be used in clinical decision making, as it is associated with voiding diary improvement during the SNM test period. Using ambulatory-UDS to confirm success could in the future justify the shortening of the test period.

Indexed as

UrinationUrodynamicsAdultDatabases, FactualElectric Stimulation TherapyFemaleHumansLumbosacral PlexusMaleMiddle AgedMonitoring, AmbulatorySacrumTreatment OutcomeUrinary BladderUrinary Bladder, OveractiveUrinary RetentionAmbulatory monitoringNon-obstructive urinary retentionOveractiveOveractive bladderSacral neuromodulationUnderactive bladderUrinary bladderUrinary retentionUrodynamic study

Identifiers

PMID30612126
PMCPMC6518866

What OpenQuestion holds

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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.