Evidence map›Paper›PMID 33901531›Full record

ArticleUrology2021

Estimation of Urinary Frequency: Does Question Phrasing Matter?

Rachael D Sussman, Christina Escobar, Dora Jericevic, Cheonguen Oh, Alan Arslan, Ricardo Palmerola, Dominique M Pape, Scott W Smilen, Victor W Nitti, Nirit Rosenblum and 1 more

Abstract read
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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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

  1. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Rachael D SussmanDepartment of Urology, New York University Medical Center, New York, NY. Electronic address: Rachael.d.sussman@medstar.net.
Christina EscobarDepartment of Urology, New York University Medical Center, New York, NY.
Dora JericevicDepartment of Urology, New York University Medical Center, New York, NY.
Cheonguen OhDepartments of Population Health and Environmental Medicine, New York University Medical Center, New York, NY.
Alan ArslanDepartments of Population Health, Environmental Medicine & Obstetrics and Gynecology New York University Medical Center, New York, NY.
Ricardo PalmerolaDepartment of Urology, New York University Medical Center, New York, NY.
Dominique M PapeDepartment of Urology, New York University Medical Center, New York, NY.
Scott W SmilenDepartment of Obstetrics and Gynecology, Hackensack Meridian Health Jersey Shore University Medical Center, Neptune City, NJ.
Victor W NittiDepartment of Urology, UCLA Medical Center, Santa Monica, CA.
Nirit RosenblumDepartment of Urology, New York University Medical Center, New York, NY.
Benjamin M BruckerDepartment of Urology, New York University Medical Center, New York, NY.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate if question phrasing and patient numeracy impact estimation of urinary frequency. MATERIALS AND

methodsWe conducted a prospective study looking at reliability of a patient interview in assessing urinary frequency. Prior to completing a voiding diary, patients estimated daytime, and nighttime frequency in 3 ways: (1) how many times they urinated (2) how many hours they waited in between urinations (3) how many times they urinated over the course of 4 hours. Numeracy was assessed using the Lipkus Numeracy Scale.

resultsSeventy-one patients completed the study. Correlation of estimates from questions 1, 2, and 3 to the diary were not statistically different. Prediction of nighttime frequency was better than daytime for all questions (correlation coefficients 0.751, 0.754, and 0.670 vs 0.596, 0.575, and 0.460). When compared to the diary, Question 1 underestimated (8.5 vs 9.7, P = .014) while Question 2 overestimated (11.8 vs 9.7, P = .027) recorded voids on a diary. All questions overpredicted nighttime frequency with 2.6, 2.9, and 3.9 predicted versus 1.6 recorded voids (P < .001). Although not statistically significant, for each question, the predicted frequency of numerate patients was more correlated to the diary than those of innumerate patients.

conclusionWhen compared to a voiding diary for daytime urinary frequency, asking patients how many times they urinated underestimated, and asking patients how many hours they waited between urinations overestimated the number recorded voids. Regardless of phrasing, patients overestimated nighttime urination. Patients in our functional urology population have limited numeracy, which may impact accuracy of urinary frequency estimation.

Indexed as

Interviews as TopicMedical History TakingUrinationAdultAgedAged, 80 and overDiaries as TopicFemaleHumansMaleMiddle AgedNocturiaProspective StudiesProstatismReproducibility of ResultsSymptom Assessmentnocturianumeracyurinary frequencyvoiding diary

Identifiers

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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.