Evidence map›Paper›PMID 31856359›Full record

ArticleNeurourology and urodynamics2020

Comparative-fill urodynamics in individuals with and without detrusor overactivity supports a conceptual model for dynamic elasticity regulation.

Zachary E Cullingsworth, Adam P Klausner, Rui Li, Anna S Nagle, Ashley W Carroll, John T Roseman, John E Speich

Open access · greenAbstract read
In one paragraph

Article in Neurourology and urodynamics, 2020. 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
0.9field-weighted citation impact, top 24% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

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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 1 institution in 1 country.

Zachary E CullingsworthDepartment of Mechanical and Nuclear Engineering, College of Engineering, Virginia Commonwealth University, Richmond, Virginia.ORCID 0000-0002-4087-9764
Adam P KlausnerDivision of Urology, Department of Surgery, Virginia Commonwealth University School of Medicine, Richmond, Virginia.ORCID 0000-0003-3849-7131
Rui LiDepartment of Mechanical and Nuclear Engineering, College of Engineering, Virginia Commonwealth University, Richmond, Virginia.ORCID 0000-0003-0006-818X
Anna S NagleDepartment of Mechanical and Nuclear Engineering, College of Engineering, Virginia Commonwealth University, Richmond, Virginia.ORCID 0000-0001-9960-4864
Ashley W CarrollDepartment of Obstetrics and Gynecology, Virginia Commonwealth University School of Medicine, Richmond, Virginia.
John T RosemanDivision of Urology, Department of Surgery, Virginia Commonwealth University School of Medicine, Richmond, Virginia.ORCID 0000-0001-6031-4595
John E SpeichDepartment of Mechanical and Nuclear Engineering, College of Engineering, Virginia Commonwealth University, Richmond, Virginia.ORCID 0000-0002-8824-4098
Virginia Commonwealth University · US

Funding

The Detrusor Tension Sensor: A Model for Novel Cystometrics in Overactive BladderR01DK101719 · NIDDK · VIRGINIA COMMONWEALTH UNIVERSITY · PI KLAUSNER, ADAM PHILIP, SPEICH, JOHN E · 2015 to 2023
$2.4M
NIDDK NIH HHS R01 DK101719
6 · The paper itself

Abstract

aimsDynamic elasticity was previously identified in individuals with overactive bladder (OAB) using comparative-fill urodynamics (UD) and is a biomechanical mechanism for acutely regulating detrusor wall tension. On the basis of this data, a conceptual model of dynamic elasticity regulation mediated through a balance of passive mechanisms and active contractions was constructed. The present study tested this model by determining whether individuals with detrusor overactivity (DO) exhibit less dynamic elasticity than individuals without DO.

methodsIndividuals with and without urgency based on International Consultation on Incontinence Questionnaire-OAB surveys were prospectively enrolled in a comparative-fill UD study. An initial fill defined the presence or absence of DO and determined cystometric capacity. Three additional fills were employed with either passive emptying via a catheter or active voiding. To identify dynamic elasticity, average filling pressures (P

resultsFrom 28 participants, those without DO showed decreased P

conclusionsThis study supports a conceptual model for dynamic elasticity, a mechanism to acutely regulate detrusor wall tension through a balance of competing active contractile and passive strain mechanisms. Improved understanding of this mechanistic model may help us to identify novel treatment strategies for OAB.

Indexed as

ElasticityUrodynamicsAdultBiomechanical PhenomenaFemaleHumansMaleMiddle AgedModels, BiologicalMuscle ContractionProspective StudiesSurveys and QuestionnairesUrinary BladderUrinary Bladder, OveractiveUrinary Incontinencebladder biomechanicsbladder compliancecystometryoveractive bladder

Identifiers

PMID31856359
PMCPMC7065248
OpenAlexW2995125178

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.