Evidence map›Paper›PMID 32016556›Full record

ArticleInternational urogynecology journal2021

Exploratory analysis of the effect of mirabegron on urodynamic sensation parameters and urethral pressure variations.

Maxime T M Kummeling, Joost Egberts, Henk W Elzevier, Gommert A van Koeveringe, Hein Putter, Pieter M Groenendijk

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Article in International urogynecology journal, 2021. 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
0.2field-weighted citation impact, top 49% 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

3 citing papers in PubMed, 4 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

6 authors at 3 institutions in 1 country.

Maxime T M KummelingDepartment of Urology, HaaglandenMC, Postbus 432, 2501 CK, The Hague, The Netherlands. mtmkummeling@gmail.com.ORCID http://orcid.org/0000-0001-8834-071X
Joost EgbertsDepartment of Urology, LUMC, Leiden, The Netherlands.
Henk W ElzevierDepartment of Urology, LUMC, Leiden, The Netherlands.
Gommert A van KoeveringeDepartment of Urology, MUMC, Maastricht, The Netherlands.
Hein PutterDepartment of Medical Statistics and Bioinformatics, LUMC, Leiden, The Netherlands.
Pieter M GroenendijkDepartment of Urology, HaaglandenMC, Postbus 432, 2501 CK, The Hague, The Netherlands.
Leiden University Medical Center · NLMaastricht University Medical Centre · NLMedisch Centrum Haaglanden · NL

Funding

Astellas Pharma Europe unrestricted grant on urogynecology 2013
6 · The paper itself

Abstract

introduction and hypothesisUrethral instability (URI) has in the past been defined by the International Continence Society (ICS), but was excluded from ICS terminology and definitions shortly after because of a lack of consensus about the clinical importance of this phenomenon. Recently, interest in URI and its possible role in overactive bladder (OAB) increased again. In the last decade, a beta 3 adrenoreceptor agonist (mirabegron) was approved for the treatment of OAB. The effect of mirabegron on urethral pressure during filling cystometry is unknown. The aim of this study was to assess the influence of mirabegron on urethral pressure variations during urodynamic investigation and the association of symptoms and voiding diary data before and during treatment.

methodsThis prospective study included 51 consecutive adult female patients, referred with OAB. Patients were evaluated using a voiding diary, two validated questionnaires and two urodynamic investigations, one before and one after 6 weeks of treatment with mirabegron. URI was defined as an urethral pressure drop exceeding 30 cmH

resultsThe prevalence of URI was 31% at initial urodynamic investigation, and 19% at second investigation. URI is more common than DO with 18% prevalence at initial evaluation. Treatment with mirabegron resulted in significant changes in symptoms and urodynamic sensory markers in patients with URI.

conclusionUrethral pressure variations are significantly reduced by treatment with mirabegron in patients with URI. URI seems to have a predictive value in treatment choices for OAB. Future research should elucidate this.

Indexed as

Urinary Bladder, OveractiveUrodynamicsAcetanilidesAdultFemaleHumansProspective StudiesSensationThiazolesAcetanilidesmirabegronThiazolesFemaleMirabegronOveractive bladderUrethral pressureUrodynamics

Identifiers

PMID32016556
OpenAlexW3004874467

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.