Evidence map›Paper›PMID 32902761›Full record

ArticleInternational urogynecology journal2021

Sacral neuromodulation for symptomatic chronic urinary retention in females: do age and comorbidities make a difference?

Rachel A High, William Winkelman, Joseph Panza, Derrick J Sanderson, Hyde Yuen, Gabriela E Halder, Courtney Shaver, Erin T Bird, Rebecca G Rogers, Jill M Danford

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In one paragraph

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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.1field-weighted citation impact, top 23% 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

2 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
  2. 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

10 authors at 7 institutions in 1 country.

Rachel A HighDepartment of Obstetrics and Gynecology, Baylor Scott & White Health, Temple, TX, USA. Rachel.High@bswhealth.org.ORCID http://orcid.org/0000-0002-3717-0893
William WinkelmanDepartment of Obstetrics and Gynecology, Mount Auburn Hospital, Cambridge, and the Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, and the Department of Obstetrics, Gynecology, and Reproductive Biology, Harvard Medical School, Boston, MA, USA.
Joseph PanzaDepartment of Obstetrics and Gynecology, Vanderbilt University Medical Center, Nashville, TN, USA.
Derrick J SandersonDepartment of Obstetrics & Gynecology, School of Medicine & Dentistry, University of Rochester, Rochester, NY, USA.
Hyde YuenDepartment of Obstetrics and Gynecology, Christ Hospital, Cincinnati, OH, USA.
Gabriela E HalderUniversity of Texas - Dell School of Medicine, Austin, TX, USA.
Courtney ShaverOffice of Biostatistics Baylor Scott & White, Temple, TX, USA.
Erin T BirdDepartment of Urology Baylor Scott & White Health, Temple, TX, USA.
Rebecca G RogersUniversity of Texas - Dell School of Medicine, Austin, TX, USA.
Jill M DanfordDepartment of Urology Baylor Scott & White Health, Temple, TX, USA.
Baylor Scott & White Health · USThe University of Texas at Austin · USBaylor Medical Center at Garland · USChrist Hospital · USMount Auburn Hospital · USUniversity of Rochester · USVanderbilt University Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate if age and medical comorbidities are associated with progression to implantation of sacral neuromodulation devices in women with symptomatic chronic urinary retention.

methodsThis multisite retrospective cohort included women with symptomatic chronic urinary retention who had a trial phase of sacral neuromodulation. The primary outcome was progression to implantation. Post-implantation outcomes were assessed as stable response versus decreased efficacy. A sub-analysis of catheter-reliant (intermittent-self catheterization or indwelling) patients was performed. Age was analyzed by 10-year units (decades of age). Multivariate logistic regression determined odds ratios for outcomes of implantation and for post-implantation stable response.

resultsImplantation occurred in 86% (243/284) women across six academic institutions. Most patients (160/243, 66%) were catheter reliant at the time of trial phase. Increased decade of age was associated with reduced implantation in all women [OR 0.54 (95% CI 0.42, 0.70)] and in the subgroup of catheter-reliant women [OR 0.52 (95% CI 0.37, 0.73)]. Post-implantation stable response occurred in 68% (193/243) of women at median follow-up of 2 years (range 0.3-15 years). Medical comorbidities present at the time of trials did not impact progression to implantation or post-implantation success.

conclusionsIncreasing decade of age is associated with reduced implantation in women with symptomatic chronic urinary retention. There is no age cutoff at which outcomes change. Post-implantation stable response was not associated with age or medical comorbidities.

Indexed as

Electric Stimulation TherapyUrinary RetentionFemaleHumansRetrospective StudiesSacrumTreatment OutcomeAgingElderlySacral neuromodulationUrinary retention

Identifiers

PMID32902761
OpenAlexW3085438440

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.