Evidence map›Paper›PMID 33115618›Full record

ArticleUrology2021

Prevalence of Cognitive Impairment and Sphincter Misuse Among Men With Artificial Urinary Sphincters.

Christopher C Ballantyne, Devang Sharma, David E Rapp, Kimberly R Boatman, Sarah C Krzastek, Raymond A Costabile

Abstract read
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Article in Urology, 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
0.5field-weighted citation impact, top 33% 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, 6 citations in OpenAlex.

  1. Review
  2. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Christopher C BallantyneDepartment of Urology, University of Virginia Health System, Charlottesville, VA.
Devang SharmaDepartment of Urology, University of Virginia Health System, Charlottesville, VA.
David E RappDepartment of Urology, University of Virginia Health System, Charlottesville, VA. Electronic address: der4m@virginia.edu.
Kimberly R BoatmanSchool of Medicine, University of Virginia, Charlottesville, VA.
Sarah C KrzastekDepartment of Urology, University of Virginia Health System, Charlottesville, VA; Division of Urology, Virginia Commonwealth University School of Medicine, Richmond, VA; Division of Urology, McGuire Veterans Association Medical Center, Richmond, VA.
Raymond A CostabileDepartment of Urology, University of Virginia Health System, Charlottesville, VA.
University of Virginia Health System · USUniversity of Virginia · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo define the prevalence of cognitive impairment and sphincter misuse among men who had undergone AUS placement.

methodsMen who had previously undergone AUS placement from 2004 to 2019 were assessed through comprehensive telephone surveys. The primary survey outcome was cognitive function, assessed via validated Telephone Mini-Mental State Examination. Secondary survey outcomes included rate of AUS misuse, surgical outcomes, and overall device satisfaction. Statistical analysis was performed to assess for differences between patients with and without cognitive impairment.

resultsA total of 74 patients participated, with a mean age and follow-up of 75 and 7.8 years, respectively. Telephone Mini-Mental State Examination assessment revealed cognitive impairment in 18 (24%) patients, 13 (18%) with mild-moderate and 5 (7%) with severe impairment. Overall, 23 (31%) and 11 (15%) patients reported inconsistent use (not cycling AUS with every void) and device neglect, respectively. Patients with impaired cognition were more likely to report difficulty with AUS use compared to those with normal cognition (39% vs 9%, P= .01). There was no difference seen in rates of revision, rates of retention, or urinary tract infections between cognitive groups.

conclusionsOur study revealed significant rates of cognitive impairment and sphincter misuse among men with AUS. These data suggest a role for long-term follow-up and monitoring for cognitive changes. Prospective study of cognitive decline and surgical outcomes in patients undergoing AUS is warranted.

Indexed as

AgedAged, 80 and overCognitive DysfunctionEquipment FailureHumansMalePrevalenceUrinary Sphincter, Artificial

Identifiers

PMID33115618
OpenAlexW3023367527

What OpenQuestion holds

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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.