Evidence map›Paper›PMID 31152258›Full record

ArticleClinical rheumatology2019

Lower urinary tract symptoms and perineal function in women with and without fibromyalgia: a cross-sectional study.

Hellen Cristina Souza de Carvalho Fusco, Marco Antônio Gonçalves Pontes Filho, Jorge Milhem Haddad, Míriam Raquel Diniz Zanetti, Amélia Pasqual Marques, Elizabeth Alves Gonçalves Ferreira

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Clinical rheumatology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.5field-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

8 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Observational
  7. Article
  8. 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

6 authors at 3 institutions in 1 country.

Hellen Cristina Souza de Carvalho FuscoDepartment of Physiotherapy, Speech Therapy and Occupational Therapy, Faculty of Medicine, University of São Paulo, Rua Cipotânea, 51, Cidade Universitária, São Paulo, Brazil. hellenfusco@gmail.com.ORCID http://orcid.org/0000-0001-6162-1458
Marco Antônio Gonçalves Pontes FilhoDepartment of Rheumatology, Hospital das Clínicas, Faculty of Medicine, University of São Paulo, São Paulo, Brazil.
Jorge Milhem HaddadDepartment of Obstetrics and Gynecology, Faculty of Medicine, University of São Paulo, São Paulo, Brazil.
Míriam Raquel Diniz ZanettiDepartment of Human Movement Sciences, Federal University of São Paulo (UNIFESP), São Paulo, Brazil.
Amélia Pasqual MarquesDepartment of Physiotherapy, Speech Therapy and Occupational Therapy, Faculty of Medicine, University of São Paulo, Rua Cipotânea, 51, Cidade Universitária, São Paulo, Brazil.
Elizabeth Alves Gonçalves FerreiraDepartment of Physiotherapy, Speech Therapy and Occupational Therapy, Faculty of Medicine, University of São Paulo, Rua Cipotânea, 51, Cidade Universitária, São Paulo, Brazil.
Universidade de São Paulo · BRHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo · BRUniversidade Federal de São Paulo · BR

Funding

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior 1567403
6 · The paper itself

Abstract

introduction and hypothesisFibromyalgia (FM) studies have focused on pain, but a 2010 review of the diagnostic criteria pointed to other symptoms including urinary incontinence (UI). Women with FM present pain, fatigue, and reduced muscle strength; the research hypothesis was that pelvic floor (PF) muscles would be weaker; therefore, FM could be associated with lower urinary tract symptoms (LUTS) and compromise quality of life (QoL). The aim of this paper was to compare PF function, urinary symptoms, and their impact on QoL in women with and without FM and to verify if there is association between FM and LUTS.

methodsWe performed a cross-sectional study with 126 sexually active women aged between 19 and 65 years old, distributed in two groups, women with FM (FG n = 62) and without FM (NFG n = 64). Perineal function was the primary outcome and was assessed by perineometry and bidigital vaginal palpation (PERFECT Scheme). Presence of LUTS was assessed by interview based on international definition, and the impact of UI on QoL was evaluated by the King's Health Questionnaire (KHQ).

resultsFG presented worse PF function on clinical exam (p < 0.001) and perineometry (p = 0.04). LUTS was more frequent among FG (p < 0.001). In terms of QoL, FG obtained lower KHQ scores for general health perception (p < 0.001) and sleep/energy (p < 0.003) domains. The odds of presenting LUTS is 5.03 (95%CI 2.35-10.75) higher in women with FM.

conclusionWomen with FM had worse perineal function, had more LUTS, and presented UI more frequently, which negatively impacts on QoL.

Indexed as

AdultAgedCross-Sectional StudiesFemaleFibromyalgiaHumansLower Urinary Tract SymptomsMiddle AgedPelvisPerineumPressureQuality of LifeSample SizeSurveys and QuestionnairesTreatment OutcomeUrinary IncontinenceFibromyalgiaPelvic floorQuality of lifeUrinary incontinence

Identifiers

PMID31152258
OpenAlexW2947663427

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.