Evidence map›Paper›PMID 33009262›Full record

ArticleFemale pelvic medicine & reconstructive surgery2021

Relationship of Bladder Pain With Clinical and Urinary Markers of Neuroinflammation in Women With Urinary Urgency Without Urinary Incontinence.

Alex Soriano, Uduak Andy, Daisy Hassani, Kristene Whitmore, Heidi Harvie, Anna P Malykhina, Lily Arya

Open access · greenAbstract read
In one paragraph

Article in Female pelvic medicine & reconstructive surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.9field-weighted citation impact, top 26% 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

7 citing papers in PubMed, 9 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Cytokines in Bladder Pain Syndrome: A Review of the Literature.International urogynecology journal · 2024
    Review
  5. Review
  6. Review
  7. 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

7 authors at 2 institutions in 1 country.

Alex SorianoFrom the Division of Urogynecology and Pelvic Reconstructive Surgery, University of Pennsylvania.
Uduak AndyFrom the Division of Urogynecology and Pelvic Reconstructive Surgery, University of Pennsylvania.
Daisy HassaniFrom the Division of Urogynecology and Pelvic Reconstructive Surgery, University of Pennsylvania.
Kristene WhitmorePelvic and Sexual Health Institute, Philadelphia, PA.
Heidi HarvieFrom the Division of Urogynecology and Pelvic Reconstructive Surgery, University of Pennsylvania.
Anna P MalykhinaUniversity of Colorado Anschutz Medical Campus, Denver, Aurora, CO.
Lily AryaFrom the Division of Urogynecology and Pelvic Reconstructive Surgery, University of Pennsylvania.
University of Pennsylvania · USPelvic & Sexual Health Institute · US

Funding

Mechanisms of neurogenic bladder dysfunction in a viral murine model of multiple sclerosisR01DK116648 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI MALYKHINA, ANNA P · 2020 to 2022
$1.0M
Regulation of pelvic pain and micturition reflex by VEGF in urological chronic pelvic pain syndromeR01DK121506 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI MALYKHINA, ANNA P · 2019 to 2021
$700k
NIDDK NIH HHS R01 DK116648NIDDK NIH HHS R01 DK121506
6 · The paper itself

Abstract

purposeThe pathogenesis of bladder pain is poorly understood. Our hypothesis is that in women with urinary urgency without incontinence, bladder pain is associated with the presence of neurogenic inflammation in the bladder wall and neuroinflammatory biomarkers in the urine.

methodsWe conducted a prospective cross-sectional study of women with urinary urgency without incontinence. Urinary symptoms were measured using Female Genitourinary Pain Index. Neuropathic pain, a clinical biomarker of neuroinflammation, was measured using the PainDETECT questionnaire. Inflammatory neuropeptides measured in the urine included nerve growth factor (NGF), brain-derived neurotrophic factor, vascular endothelial growth factor, and osteopontin. Neuropathic pain scores and urinary neuropeptide levels were compared between patients with and without bladder pain using univariable and multivariable analyses.

resultsIn 101 women with urinary urgency without incontinence, 62 (61%) were in the bladder pain group (visual analog scale score, ≤ 3), whereas 39 (39%) were in the no bladder pain group. Urinary symptom scores (5.0 ± 3.1 versus 3.5 ± 2.4, P < 0.001) and neuropathic pain scores (13.3 ± 8.6 vs 5.1 ± 4.8, P < 0.001) were significantly higher for the bladder pain group than for the no bladder pain group. On multivariable analysis after controlling for age, body mass index, and severity of urinary urgency, bladder pain score was significantly associated with elevated urinary levels of vascular endothelial growth factor (P = 0.04) and osteopontin (P = 0.02), whereas the neuropathic pain score was significantly associated with an increased NGF level (P = 0.03).

conclusionsIn women with urinary urgency without incontinence, bladder pain is associated with the presence of clinical and urinary biomarkers of neuroinflammation.

Indexed as

AdultBiomarkersBrain-Derived Neurotrophic FactorCross-Sectional StudiesCystitis, InterstitialFemaleHumansMiddle AgedNerve Growth FactorNeuroinflammatory DiseasesOsteopontinProspective StudiesSeverity of Illness IndexVascular Endothelial Growth Factor AVisual Analog ScaleBiomarkersBrain-Derived Neurotrophic FactorNerve Growth FactorNGF protein, humanOsteopontinVascular Endothelial Growth Factor A

Identifiers

PMID33009262
PMCPMC7854944
OpenAlexW3091146366

What OpenQuestion holds

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Registered trials

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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.