Evidence map›Paper›PMID 33987973›Full record

ArticleLower urinary tract symptoms2021

Persistence with mirabegron or antimuscarinic treatment for overactive bladder syndrome: Findings from the PERSPECTIVE registry study.

Kevin V Carlson, Eric S Rovner, Kavita V Nair, Anna S Deal, Rita M Kristy, John C Hairston

Open access · hybridAbstract read
In one paragraph

Article in Lower urinary tract symptoms, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
4.8field-weighted citation impact, top 4% 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

15 citing papers in PubMed, 25 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Observational
  5. Article
  6. Observational
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Mirabegron in the Management of Overactive Bladder Syndrome.International journal of women's health · 2022
    Review
  14. Clinical Utility of βResearch and reports in urology · 2022
    Review
  15. 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

6 authors at 5 institutions in 2 countries.

Kevin V CarlsonSection of Urology, Department of Surgery, University of Calgary, Calgary, Alberta, Canada.
Eric S RovnerDepartment of Urology, Medical University of South Carolina, Charleston, South Carolina, USA.
Kavita V NairCenter for Pharmaceutical Outcomes Research, Department of Clinical Pharmacy, University of Colorado, Anschutz Medical Campus, Skaggs School of Pharmacy and Pharmaceutical Sciences, Aurora, Colorado, USA.
Anna S DealIPC/TeamHealth, Johnson City, Tennessee, USA.
Rita M KristyAstellas Pharma Global Development, Inc., Northbrook, Illinois, USA.
John C HairstonAstellas Pharma Global Development, Inc., Northbrook, Illinois, USA.
Astellas Pharma (United States) · USJohnson City Medical Center · USMedical University of South Carolina · USUniversity of Calgary · CAUniversity of Colorado Anschutz Medical Campus · US

Funding

Astellas Pharma Global Development, Inc.
6 · The paper itself

Abstract

objectivesThis analysis from the PERSPECTIVE (a Prospective, Non-interventional Registry Study of Patients Initiating a Course of Drug Therapy for Overactive Bladder) study evaluated treatment persistence with mirabegron or antimuscarinics over a 12-month period.

methodsParticipants were adults diagnosed with overactive bladder (OAB) by their health care provider (HCP), who were initiating mirabegron or antimuscarinic treatment. The HCP made all treatment decisions, and patients were followed for 12 months with no mandatory scheduled visits. Information requests were sent to patients at baseline and months 1, 3, 6, and 12. Patients were nonpersistent if they switched, discontinued, or added OAB medications/therapies to their initial treatment. Reasons for discontinuation and switching patterns were investigated.

resultsOverall, 1514 patients were included (613 mirabegron and 901 antimuscarinic initiators). Persistence rates decreased steadily over time in both groups. A low proportion of patients added or switched medication at each time point. Unadjusted Kaplan-Meier analysis showed similar persistence rates for both groups. When the data were adjusted for patient characteristics (age, sex, and OAB treatment status), mirabegron initiators had higher persistence rates. No significant differences were noted in unadjusted median time to end of persistence. However, end of treatment persistence by any cause was longer with mirabegron (median: 9.5 vs 6.7 months for antimuscarinics). HCPs stated that the most common reasons for nonpersistence were no symptomatic improvement and side effect aversion.

conclusionsTreatment persistence was longer for mirabegron compared with antimuscarinic initiators after controlling for patient characteristics. End of treatment persistence by any cause was also longer with mirabegron.

Indexed as

Urinary Bladder, OveractiveUrological AgentsAcetanilidesAdultHumansMuscarinic AntagonistsProspective StudiesRegistriesThiazolesTreatment OutcomeAcetanilidesmirabegronMuscarinic AntagonistsThiazolesUrological Agentsantimuscarinicsmirabegronoveractive bladderpersistencePERSPECTIVE study

Identifiers

PMID33987973
PMCPMC8518921
OpenAlexW3162718727

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.