Evidence map›Paper›PMID 34006320›Full record

ArticleDiagnostic and prognostic research2021

Conducting invasive urodynamics in primary care: qualitative interview study examining experiences of patients and healthcare professionals.

Sarah Milosevic, Natalie Joseph-Williams, Bethan Pell, Elizabeth Cain, Robyn Hackett, Ffion Murdoch, Haroon Ahmed, A Joy Allen, Alison Bray, Samantha Clarke and 9 more

Open access · goldAbstract read
In one paragraph

Article in Diagnostic and prognostic research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.5field-weighted citation impact, top 35% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. 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

19 authors at 8 institutions in 1 country.

Sarah MilosevicCentre for Trials Research, Cardiff University, Cardiff, UK. MilosevicS@cardiff.ac.uk.ORCID http://orcid.org/0000-0003-1973-8286
Natalie Joseph-WilliamsPRIME Centre Wales, Division of Population Medicine, School of Medicine, Neuadd Meirionnydd, Cardiff University, Cardiff, UK.
Bethan PellCentre for the Development and Evaluation of Complex Interventions for Public Health Improvement (DECIPHer), Cardiff University, Cardiff, UK.
Elizabeth CainPRIME Centre Wales, Division of Population Medicine, School of Medicine, Neuadd Meirionnydd, Cardiff University, Cardiff, UK.
Robyn HackettPRIME Centre Wales, Division of Population Medicine, School of Medicine, Neuadd Meirionnydd, Cardiff University, Cardiff, UK.
Ffion MurdochPRIME Centre Wales, Division of Population Medicine, School of Medicine, Neuadd Meirionnydd, Cardiff University, Cardiff, UK.
Haroon AhmedPRIME Centre Wales, Division of Population Medicine, School of Medicine, Neuadd Meirionnydd, Cardiff University, Cardiff, UK.
A Joy AllenNIHR Newcastle In Vitro Diagnostics Co-operative, Newcastle University, Newcastle upon Tyne, UK.
Alison BrayTranslational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK.
Samantha ClarkeNorth Bristol NHS Trust, Southmead Hospital, Southmead Road, Westbury-on-Trym, Bristol, UK.
Marcus J DrakeTranslational Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Michael DrinnanTranslational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK.
Kerenza HoodCentre for Trials Research, Cardiff University, Cardiff, UK.
Tom SchatzbergerCorbridge Health Centre, NHS Northumberland Clinical Commissioning Group, Newcastle Road, Corbridge, Northumberland, UK.
Yemisi TakwoingiTest Evaluation Research Group, Institute of Applied Health Research, University of Birmingham, Birmingham, UK.
Emma Thomas-JonesCentre for Trials Research, Cardiff University, Cardiff, UK.
Raymond WhitePPI Representative, formerly of Grampian University Hospital Trust, Biomedical Physics and Bioengineering, Foresterhill, Aberdeen, UK.
Adrian EdwardsPRIME Centre Wales, Division of Population Medicine, School of Medicine, Neuadd Meirionnydd, Cardiff University, Cardiff, UK.
Chris HardingDepartment of Urology, Newcastle upon Tyne NHS Hospital Trust, Newcastle Freeman Hospital, Freeman Road, High Heaton, Newcastle upon Tyne, UK.
Cardiff University · GBRoyal Victoria Infirmary · GBFreeman Hospital · GBNHS Grampian · GBNIHR Leeds In Vitro Diagnostics Co-operative · GBNorth Bristol NHS Trust · GBUniversity of Birmingham · GBUniversity of Bristol · GB

Funding

Health Technology Assessment Programme 15-40-05Medical Research Council MR/K023233/1
6 · The paper itself

Abstract

backgroundInvasive urodynamics is used to investigate the causes of lower urinary tract symptoms; a procedure usually conducted in secondary care by specialist practitioners. No study has yet investigated the feasibility of carrying out this procedure in a non-specialist setting. Therefore, the aim of this study was to explore, using qualitative methodology, the feasibility and acceptability of conducting invasive urodynamic testing in primary care.

methodsSemi-structured interviews were conducted during the pilot phase of the PriMUS study, in which men experiencing bothersome lower urinary tract symptoms underwent invasive urodynamic testing along with a series of simple index tests in a primary care setting. Interviewees were 25 patients invited to take part in the PriMUS study and 18 healthcare professionals involved in study delivery. Interviews were audio-recorded, transcribed verbatim and analysed using a framework approach.

resultsPatients generally found the urodynamic procedure acceptable and valued the primary care setting due to its increased accessibility and familiarity. Despite some logistical issues, facilitating invasive urodynamic testing in primary care was also a positive experience for urodynamic nurses. Initial issues with general practitioners receiving and utilising the results of urodynamic testing may have limited the potential benefit to some patients. Effective approaches to study recruitment included emphasising the benefits of the urodynamic test and maintaining contact with potential participants by telephone. Patients' relationship with their general practitioner was an important influence on study participation.

conclusionsConducting invasive urodynamics in primary care is feasible and acceptable and has the potential to benefit patients. Facilitating study procedures in a familiar primary care setting can impact positively on research recruitment. However, it is vital that there is a support network for urodynamic nurses and expertise available to help interpret urodynamic results.

Indexed as

Lower urinary tract symptomsPrimary careQualitative researchUrodynamics

Identifiers

PMID34006320
PMCPMC8130146
OpenAlexW3161260862

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.