Evidence map›Paper›PMID 30865568›Full record

ArticleThe Journal of urology2019

Outpatient Evaluation and Management Visits for Urinary Incontinence in Older Women.

Elisabeth Erekson, Kaitlin A Hagan, Andrea Austin, Donald Carmichael, Vatche A Minassian, Francine Grodstein, Julie P W Bynum

Open access · greenAbstract read
In one paragraph

Article in The Journal of urology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 13% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Patient-Provider Discussions About Urinary Incontinence Among Older Women.The journals of gerontology. Series A, Biological sciences and medical sciences · 2021
    Observational
  15. Article
  16. Article
  17. Article
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

7 authors at 4 institutions in 1 country.

Elisabeth EreksonGeisel School of Medicine at Dartmouth , Hanover , New Hampshire.
Kaitlin A HaganC hanning Division of Network Medicine, Brigham and Women's Hospital, Harvard Medical School and Department of Epidemiology, Harvard School of Public Health , Boston , Massachusetts.
Andrea AustinDepartment of Obstetrics and Gynecology and Dartmouth Institute for Health Policy and Clinical Practice , Hanover , New Hampshire.
Donald CarmichaelDepartment of Obstetrics and Gynecology and Dartmouth Institute for Health Policy and Clinical Practice , Hanover , New Hampshire.
Vatche A MinassianDivision of Urogynecology, Department of Obstetrics and Gynecology, Brigham and Women's Hospital , Boston , Massachusetts.
Francine GrodsteinC hanning Division of Network Medicine, Brigham and Women's Hospital, Harvard Medical School and Department of Epidemiology, Harvard School of Public Health , Boston , Massachusetts.
Julie P W BynumDepartment of Obstetrics and Gynecology and Dartmouth Institute for Health Policy and Clinical Practice , Hanover , New Hampshire.
Dartmouth Institute for Health Policy and Clinical Practice · USBrigham and Women's Hospital · USDartmouth College · USHarvard University · US

Funding

Long Term Multidisciplinary Study of Cancer in Women: The Nurses Health StudyUM1CA186107 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI ELIASSEN, A. HEATHER, STAMPFER, MEIR · 2014 to 2023
$22.3M
SYNERGY: The Dartmouth Center for clinical and Translational ScienceKL2TR001088 · NCATS · DARTMOUTH COLLEGE · PI GREEN, ALAN I · 2013 to 2017
$3.3M
Urinary Incontinence Epidemiology and Care SeekingR01DK105050 · NIDDK · BRIGHAM AND WOMEN'S HOSPITAL · PI GRODSTEIN, FRANCINE · 2016 to 2018
$1.3M
NCATS NIH HHS KL2 TR001088NCI NIH HHS UM1 CA186107NIDDK NIH HHS R01 DK105050
6 · The paper itself

Abstract

purposeThe aims of this investigation were to examine how often outpatient visits addressing urinary incontinence in women with self-reported incontinence symptoms occur and to explore characteristics associated with an outpatient visit for incontinence. MATERIALS AND

methodsWe studied the records of 18,576 women from the Nurses' Health Study who were 65 years old or older, reported prevalent incontinence symptoms in 2012 on a mailed questionnaire and were linked with Medicare utilization data. We compared demographic, personal and clinical characteristics in women with and without claims for outpatient visits for urinary incontinence. In logistic regression models we controlled for potential confounding factors, including age, race, parity, body mass index, medical comorbidities, smoking status, health seeking behavior, disability, physical function and geographic region.

resultsIn this linkage between symptom report and insurance claims data we found that only 16% of older women with current incontinence symptoms also had an outpatient visit addressing incontinence in the prior 2 years. In multivariable adjusted models severe vs slight incontinence (OR 3.75, 95% CI 3.10-4.53) and urgency vs stress incontinence (OR 1.80, 95% CI 1.56-2.08) were the strongest predictors of undergoing outpatient evaluation.

conclusionsOverall only a small percent of women who report urinary incontinence symptoms also have medical outpatient visits for incontinence, which is a marker of care seeking. Our study highlights the discordance between the high prevalence of incontinence in older women and the lack of clinical assessment despite symptoms even among nurses with high health care literacy.

Indexed as

Urinary IncontinenceAgedAged, 80 and overAmbulatory CareDiagnostic Self EvaluationFemaleHumansfemalehealth services researchoutpatientsurinary bladderurinary incontinence

Identifiers

PMID30865568
PMCPMC7372503
OpenAlexW2921880289

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.