Evidence map›Paper›PMID 31028455›Full record

ArticleWorld journal of urology2020

Urinary fungi associated with urinary symptom severity among women with interstitial cystitis/bladder pain syndrome (IC/BPS).

J Curtis Nickel, Alisa Stephens, J Richard Landis, Chris Mullins, Adrie van Bokhoven, Jennifer T Anger, A Lenore Ackerman, Jayoung Kim, Siobhan Sutcliffe, Jaroslaw E Krol and 4 more

Abstract read
In one paragraph

Article in World journal of urology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–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

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Review
  6. Review
  7. Review
  8. Review
  9. Review
  10. The Role of Metabolomics and Microbiology in Urinary Tract Infection.International journal of molecular sciences · 2024
    Review
  11. Urinary Tract Infection and Microbiome.Diagnostics (Basel, Switzerland) · 2023
    Review
  12. Article
  13. Review
  14. The healthy urinary microbiome in asymptomatic participants in the MAPP Network Study: Relation to gender, age, and menopausal status.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2022
    Article
  15. Article
  16. Article
  17. Review
  18. The Bladder is Not Sterile: an Update on the Urinary Microbiome.Current bladder dysfunction reports · 2019
    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

14 authors.

J Curtis NickelDepartment of Urology, Queen's University at Kingston, Kingston General Hospital, 76 Stuart Street, Kingston, ON, K7L 2V7, Canada. jcn@queensu.ca.ORCID http://orcid.org/0000-0002-4865-7293
Alisa StephensCenter for Clinical Epidemiology and Biostatistics, University of Pennsylvania, Philadelphia, PA, USA.
J Richard LandisCenter for Clinical Epidemiology and Biostatistics, University of Pennsylvania, Philadelphia, PA, USA.
Chris MullinsNational Institutes of Health/NIDDK, Bethesda, MD, USA.
Adrie van BokhovenDepartment of Pathology, University of Colorado, Aurora, CO, USA.
Jennifer T AngerDivision of Urology, Cedars-Sinai Medical Center, Beverly Hills, CA, USA.
A Lenore AckermanDivision of Urology, Cedars-Sinai Medical Center, Beverly Hills, CA, USA.
Jayoung KimDivision of Urology, Cedars-Sinai Medical Center, Beverly Hills, CA, USA.
Siobhan SutcliffeDepartment of Surgery, Washington University School of Medicine, St. Louis, MO, USA.
Jaroslaw E KrolDepartment of Microbiology and Immunology, Drexel College of Medicine, Philadelphia, PA, USA.
Bhaswati SenDepartment of Microbiology and Immunology, Drexel College of Medicine, Philadelphia, PA, USA.
Jocelyn HammondDepartment of Microbiology and Immunology, Drexel College of Medicine, Philadelphia, PA, USA.
Garth D EhrlichDepartment of Microbiology and Immunology, Drexel College of Medicine, Philadelphia, PA, USA.
Multidisciplinary Approach to the Study of Chronic Pelvic Pain (MAPP) Research Network

Funding

MAPP Research NetworkU01DK082316 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI LANDIS, J RICHARD · 2008 to 2018
$17.2M
WSU Urologic Chronic Pelvic Pain Syndromes Discovery CenterU01DK082325 · NIDDK · WASHINGTON STATE UNIVERSITY · PI BOGIC, MARIJA · 2008 to 2021
$9.0M
Washington University MAPP Network Discovery SiteU01DK082315 · NIDDK · WASHINGTON UNIVERSITY · PI LAI, HING HUNG HENRY · 2008 to 2021
$9.0M
MAPP Research Network Tissue Analysis and Technology CoreU01DK082333 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI LUCIA, M. SCOTT · 2008 to 2018
$6.1M
Limited Competition for Continuation of the MAPP-RN DCCU24DK082316 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI LANDIS, J RICHARD · 2019 to 2021
$4.9M
Expansion of the MAPP Research Network: Microbial and Biopsychosocial ContributioU01DK103271 · NIDDK · QUEEN'S UNIVERSITY AT KINGSTON · PI NICKEL, JOHN CURTIS · 2014 to 2018
$1.2M
Microbiome and Proteome As Predictive Biomarkers of UCPPSU01DK103260 · NIDDK · CEDARS-SINAI MEDICAL CENTER · PI ANGER, JENNIFER TASH, FREEMAN, MICHAEL R · 2014 to 2018
$1.2M
A Practice-based Intervention to Improve Care for Women with Urinary IncontinenceR56DK117261 · NIDDK · CEDARS-SINAI MEDICAL CENTER · PI NUCKOLS, TERYL · 2018 to 2020
$402k
NIDDK NIH HHS U01 DK082315NIDDK NIH HHS U01DK082315NIDDK NIH HHS U01 DK082316NIDDK NIH HHS U01DK082316NIDDK NIH HHS U01 DK082325NIDDK NIH HHS U01 DK082333NIDDK NIH HHS U01DK082333NIDDK NIH HHS U01 DK103260NIDDK NIH HHS U01DK103260NIDDK NIH HHS U01 DK103271NIDDK NIH HHS U01DK103271NIDDK NIH HHS U24 DK082316
6 · The paper itself

Abstract

purposeTo correlate the presence of fungi with symptom flares, pain and urinary severity in a prospective, longitudinal study of women with IC/BPS enrolled in the MAPP Research Network.

methodsFlare status, pelvic pain, urinary severity, and midstream urine were collected at baseline, 6 and 12 months from female IC/BPS participants with at least one flare and age-matched participants with no reported flares. Multilocus PCR coupled with electrospray ionization/mass spectrometry was used for identification of fungal species and genus. Associations between "mycobiome" (species/genus presence, relative abundance, Shannon's/Chao1 diversity indices) and current flare status, pain, urinary severity were evaluated using generalized linear mixed models, permutational multivariate analysis of variance, Wilcoxon's rank-sum test.

resultsThe most specific analysis detected 13 fungal species from 8 genera in 504 urine samples from 202 females. A more sensitive analysis detected 43 genera. No overall differences were observed in fungal species/genus composition or diversity by flare status or pain severity. Longitudinal analyses suggested greater fungal diversity (Chao1 Mean Ratio 3.8, 95% CI 1.3-11.2, p = 0.02) and a significantly greater likelihood of detecting any fungal species (OR = 5.26, 95% CI 1.1-25.8, p = 0.04) in high vs low urinary severity participants. Individual taxa analysis showed a trend toward increased presence and relative abundance of Candida (OR = 6.63, 95% CI 0.8-58.5, p = 0.088) and Malassezia (only identified in 'high' urinary severity phenotype) for high vs low urinary symptoms.

conclusionThis analysis suggests the possibility that greater urinary symptom severity is associated with the urinary mycobiome urine in some females with IC/BPS.

Indexed as

AdultCystitis, InterstitialDNA, FungalFemaleFollow-Up StudiesFungiHumansPhenotypeProspective StudiesTime FactorsUrinary TractDNA, FungalBladder pain syndromeFlaresFungalInterstitial cystitisMycobiome

Identifiers

PMID31028455
PMCPMC6815247

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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.