Evidence map›Paper›PMID 31385388›Full record

Trial reportNeurourology and urodynamics2019

Effectiveness of a newly developed online self-management program for male patients with uncomplicated lower urinary tract symptoms.

Marco H Blanker, Anja Admiraal, Pim Brandenbarg, Martijn G Steffens, Michael R van Balken, Henk-Jan Mulder, Henk van der Worp

Abstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Neurourology and urodynamics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Trial
  2. Trial
  3. 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.

Marco H BlankerDepartment of General Practice & Elderly Care Medicine, University Medical Centre Groningen, University of Groningen, Groningen, The Netherlands.ORCID 0000-0002-1086-8730
Anja AdmiraalDepartment of General Practice & Elderly Care Medicine, University Medical Centre Groningen, University of Groningen, Groningen, The Netherlands.
Pim BrandenbargDepartment of General Practice & Elderly Care Medicine, University Medical Centre Groningen, University of Groningen, Groningen, The Netherlands.ORCID 0000-0001-8054-7337
Martijn G SteffensDepartment of Urology, Isala Clinics, Zwolle, The Netherlands.ORCID 0000-0001-7367-643X
Michael R van BalkenDepartment of Urology, Rijnstate Hospital, Arnhem, The Netherlands.
Henk-Jan MulderDepartment of Urology, Martini Hospital, Groningen, The Netherlands.
Henk van der WorpDepartment of General Practice & Elderly Care Medicine, University Medical Centre Groningen, University of Groningen, Groningen, The Netherlands.ORCID 0000-0001-5545-4155

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo explore the effect of an online self-management program in secondary care for men with lower urinary tract symptoms (LUTS).

methodsWe performed a prospective nonrandomized double-cohort pilot study of consecutive adult men referred with uncomplicated LUTS to three urology outpatient departments. Men in both cohorts received care as usual from a urologist, but men in the intervention cohort also had access to an online self-management program. Outcomes were assessed after 6 and 12 weeks: LUTS severity was assessed with the International Prostate Symptom Score (IPSS), the Overactive Bladder Questionnaire (OABq), and the Perceived Global Impression of Improvement (PGI-I). The main outcome of interest was a clear improvement in the PGI-I scores ("much better" or "very much better").

resultsAge, symptom severity, and quality of life scores were comparable between the intervention (n = 113) and standard care (n = 54) cohorts. Clear improvement in the PGI-I scores was reported after 12 weeks in 19.4% and 26.1% of men in the intervention and standard care cohorts, respectively. However, logistic regression analysis indicated that the difference between cohorts was not significant. Multivariable linear regression analysis also indicated no significant differences between cohorts for the IPSS or the OABq score at either assessment point. Notably, the uptake of the intervention was low (53%).

conclusionsWe found no significant benefit from adding an online self-management program to standard care for men with LUTS, probably due to the low uptake of the intervention that may have resulted from the timing in the care pathway.

Indexed as

AgedAged, 80 and overAge FactorsCohort StudiesHumansLower Urinary Tract SymptomsMaleMiddle AgedPilot ProjectsProspective StudiesProstatic DiseasesProstatic HyperplasiaQuality of LifeSelf-ManagementTreatment OutcomeUrinary Bladder, OveractiveBPHconservative treatmentLUTSself-management

Identifiers

PMID31385388
PMCPMC6851635

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Registered trials

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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.