Evidence map›Paper›PMID 32353111›Full record

Observational studyThe journals of gerontology. Series A, Biological sciences and medical sciences2021

Patient-Provider Discussions About Urinary Incontinence Among Older Women.

Giulia I Lane, Kaitlin Hagan, Elisabeth Erekson, Vatche A Minassian, Francine Grodstein, Julie Bynum

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in The journals of gerontology. Series A, Biological sciences and medical sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 14% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Observational
  6. Article
  7. Review
  8. Article
  9. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Giulia I LaneDepartment of Urology, University of Michigan, Ann Arbor.
Kaitlin HaganChanning Division of Network Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.
Elisabeth EreksonDepartment of Obstetrics and Gynecology, Maine Medical Center, Portland.
Vatche A MinassianDivision of Urogynecology, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, Massachusetts.
Francine GrodsteinRush Alzheimer's Disease Center, Rush Medical College, Chicago, Illinois.
Julie BynumDepartment of Internal Medicine, University of Michigan, Ann Arbor.
Brigham and Women's Hospital · USUniversity of Michigan · USRush University Medical Center · USTufts University · US

Funding

Statistical MethodsP01CA087969 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI ROSNER, BERNARD A · 2000 to 2019
$77.8M
Life Course Cancer Epidemiology Cohort in WomenU01CA176726 · NCI · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI ELIASSEN, A. HEATHER, WILLETT, WALTER C. · 2018 to 2025
$22.4M
Long Term Multidisciplinary Study of Cancer in Women: The Nurses Health StudyUM1CA186107 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI ELIASSEN, A. HEATHER, STAMPFER, MEIR · 2014 to 2023
$22.3M
Natural History of Stress, Urge and Mixed Urinary Incontinence in WomenR01DK082551 · NIDDK · GEISINGER CLINIC · PI YAN, XIAOWEI SHERRY · 2009 to 2013
$2.6M
Urinary Incontinence Epidemiology and Care SeekingR01DK105050 · NIDDK · BRIGHAM AND WOMEN'S HOSPITAL · PI GRODSTEIN, FRANCINE · 2016 to 2018
$1.3M
NCI NIH HHS P01 CA087969NCI NIH HHS U01 CA176726NCI NIH HHS UM1 CA186107NIDDK NIH HHS R01 DK082551NIDDK NIH HHS R01 DK105050
6 · The paper itself

Abstract

backgroundUrinary incontinence (UI) is prevalent in women and has been associated with decreased quality of life and institutionalization. Despite this, and the fact that several treatment options exist, few women discuss UI with clinicians. The aim of this study was to examine the proportion of middle aged and older women with urinary incontinence who have discussed UI with clinicians, focusing on female health professionals as a way to examine this question outside of issues of health care access.

methodsData are from the Nurses Health Studies (NHS), two ongoing observational, prospective, cohort studies. The surveys collected detailed information about UI, including frequency, amount and type. Women were also asked if they had discussed UI with a clinician. We used multivariable-adjusted logistic regression to estimate odds ratios (OR) of participants reporting discussion about UI.

results94,692 women with UI aged 49-91 years old were included in this study. Of these, 34% reported that they had discussed their incontinence with a clinician. Women with daily UI had 4.4 times greater odds of discussing it with clinicians when compared to those with monthly UI (OR = 4.36, 95% confidence interval [CI] 4.06-4.69). When controlling for severity of symptoms, the oldest women, greater than eighty years, were 20% less likely to have discussed UI with their clinician, compared to the youngest women (OR = 0.81, 95% CI 0.73-0.89).

conclusionsA minority of women with UI, even among health professionals, discuss their symptoms with clinicians. Oldest women were the least likely to discuss their UI with a provider.

Indexed as

CommunicationPhysician-Patient RelationsAgedAged, 80 and overCohort StudiesFemaleHumansMiddle AgedSocioeconomic FactorsSurveys and QuestionnairesUrinary IncontinenceEpidemiological studiesFemaleUrinary incontinence

Identifiers

PMID32353111
PMCPMC7907491
OpenAlexW3020981057

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.