Evidence map›Paper›PMID 33296698›Full record

ArticleUrology2021

National Trends in Neuromodulation for Urinary Incontinence Among Insured Adult Women and Men, 2004-2013: The Urologic Diseases in America Project.

Una J Lee, Julia B Ward, Lydia Feinstein, Brian R Matlaga, Erline Martinez-Miller, Tamara Bavendam, Ziya Kirkali, Kathleen C Kobashi, Urologic Diseases in America Project

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
1.1field-weighted citation impact, top 22% 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, 9 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
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 4 institutions in 1 country.

Una J LeeSection of Urology, Virginia Mason Medical Center, Seattle, WA.
Julia B WardSocial & Scientific Systems, Durham, NC.
Lydia FeinsteinSocial & Scientific Systems, Durham, NC. Electronic address: lydia.feinstein@dlhcorp.com.
Brian R MatlagaJohns Hopkins Brady Urological Institute, Department of Urology, Baltimore, MD.
Erline Martinez-MillerSocial & Scientific Systems, Durham, NC.
Tamara BavendamNational Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, MD.
Ziya KirkaliNational Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, MD.
Kathleen C KobashiSection of Urology, Virginia Mason Medical Center, Seattle, WA.
Urologic Diseases in America Project
Social and Scientific Systems (United States) · USVirginia Mason Medical Center · USNational Institute of Diabetes and Digestive and Kidney Diseases · USNational Institutes of Health · US

Funding

NIDDK NIH HHS HHSN276201500204UNLM NIH HHS HHSN276201500204U
6 · The paper itself

Abstract

objectiveTo examine US trends in neuromodulation for urinary incontinence (UI) treatment from 2004 to 2013.

methodsThis study utilized 2 data sources: the Optum© de-identified Clinformatics® Data Mart Database for privately insured adults aged 18-64 years with a UI diagnosis (N≈40,000 women and men annually) and the Medicare 5% Sample for beneficiaries aged ≥65 years with a UI diagnosis (N≈65,000 women and men annually). We created annual cross-sectional cohorts and assessed prevalence of UI-related neuromodulation procedures among men and women separately from 2004 to 2013. Analyses were conducted overall and stratified by age, race/ethnicity, and geographic region.

resultsNearly all neuromodulation procedures occurred in outpatient settings. Sacral neuromodulation (SNM) procedures for UI in both women and men grew steadily from 2004 to 2013, with more procedures performed in women than men. Among women with UI, SNM prevalence grew from 0.1%-0.2% in 2004 to 0.5%-0.6% in 2013. Posterior tibial nerve stimulation (PTNS) experienced growth from 2011 to 2013. Chemodenervation of the bladder with onabotulinumtoxinA (BTX) combined with other injectable procedures (including urethral bulking) remained stable over time.

conclusionsFrom 2004 to 2013, SNM procedures remained relatively uncommon but increased consistently. PTNS experienced growth starting in 2011 when PTNS-specific insurance claims became available. BTX trends remain unclear; future studies should assess it separately from other injectable procedures. Neuromodulation has a growing role in UI treatment, and ongoing trends will be important to examine.

Indexed as

AdolescentAdultAgedBotulinum Toxins, Type ACross-Sectional StudiesFemaleHumansLongitudinal StudiesMaleMedicareMiddle AgedNerve BlockPelvic FloorTranscutaneous Electric Nerve StimulationUnited StatesUrinary BladderBotulinum Toxins, Type A

Identifiers

PMID33296698
PMCPMC8601400
OpenAlexW3111513811

What OpenQuestion holds

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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.