Evidence map›Paper›PMID 32673678›Full record

ArticleUrology2021

Female Lower Urinary Tract Symptom Prevention and Treatment Strategies on Social Media: Mixed Correlation With Evidence.

Claire S Burton, Gabriela Gonzalez, Kristina Vaculik, Carine Khalil, Yuliya Zektser, Corey Arnold, Christopher V Almario, Brennan M R Spiegel, Jennifer T Anger

Open access · greenAbstract read
In one paragraph

Article in Urology, 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
1.2field-weighted citation impact, top 20% 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, 12 citations in OpenAlex.

  1. Article
  2. Article
  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

9 authors at 2 institutions in 1 country.

Claire S BurtonDepartment of Urology, David Geffen School of Medicine, UCLA, Los Angeles, CA.
Gabriela GonzalezDavid Geffen School of Medicine, University of California, Los Angeles, CA.
Kristina VaculikCedars-Sinai Center for Outcomes Research and Education (CS-CORE), Los Angeles, CA.
Carine KhalilCedars-Sinai Center for Outcomes Research and Education (CS-CORE), Los Angeles, CA.
Yuliya ZektserDavid Geffen School of Medicine, University of California, Los Angeles, CA.
Corey ArnoldMedical Imaging Informatics, Department of Radiology, UCLA, Los Angeles, CA.
Christopher V AlmarioCedars-Sinai Center for Outcomes Research and Education (CS-CORE), Los Angeles, CA.
Brennan M R SpiegelCedars-Sinai Center for Outcomes Research and Education (CS-CORE), Los Angeles, CA.
Jennifer T AngerDepartment of Surgery, Division of Urology, Cedars-Sinai Medical Center, Los Angeles, CA. Electronic address: Jennifer.Anger@cshs.org.
Cedars-Sinai Medical Center · USUniversity of California, Los Angeles · US

Funding

Prevention of Lower Urinary Tract Symptoms in Women: Bladder Health Scientific and Data Coordinating Center (PLUS-SDCC) (U01)U01DK106786 · NIDDK · UNIVERSITY OF MINNESOTA · PI HARLOW, BERNARD L, RUDSER, KYLE · 2015 to 2019
$8.4M
Prevention of Lower Urinary Tract Symptoms (PLUS) Research Consortium Scientific and Data Coordinating CenterU24DK106786 · NIDDK · UNIVERSITY OF MINNESOTA · PI MCGWIN, GERALD, RUDSER, KYLE · 2020 to 2024
$7.1M
NIDDK NIH HHS U01 DK106786NIDDK NIH HHS U24 DK106786
6 · The paper itself

Abstract

objectiveTo evaluate the level of evidence behind recommendations on social media for disease prevention in five lower urinary tract symptoms. MATERIALS AND

methodsWe conducted a digital analysis of anonymous online posts on social media sites collected by a social media data mining service. One thousand posts about pelvic organ prolapse, stress urinary incontinence, overactive bladder, urinary tract infection, and interstitial cystitis/bladder pain syndrome were randomly selected. We analyzed these posts for recommendations regarding the prevention and treatment of these diseases, which were then compared to recommendations in available clinical guidelines and assessed for level of evidence.

resultsA total of 158 of 1000 posts contained 239 prevention strategies. For pelvic organ prolapse, there were 41 strategies identified, 25 (61%) of which had no evidence. For urinary tract infection 14 of 58 (29%) had no evidence, including recommendations for dietary modifications and urinary alkalization. For overactive bladder 8 of 28 (29%) had level 4 or no evidence. For stress urinary incontinence, 12 of 34 (36%) of prevention strategies had no evidence, such as laser rejuvenation and bladder training. Interstitial cystitis had the highest number of prevention strategies, and most were low or nonevidence based (70/79, 89%).

conclusionPrevention and treatment strategies are common in online discussions of pelvic floor disorders, but at least one third of these recommendations have no evidential support. There is a role for further online education and social media engagement by health care specialists to promote evidence-based practices.

Indexed as

Cystitis, InterstitialEvidence-Based MedicineFemaleHumansLower Urinary Tract SymptomsPelvic Organ ProlapsePractice Guidelines as TopicSocial MediaUrinary Tract InfectionsUrology

Identifiers

PMID32673678
PMCPMC9354551
OpenAlexW3043301805

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.