Evidence map›Paper›PMID 34181466›Full record

Observational studyThe Journal of urology2021

The Urinary Microbiome in Postmenopausal Women with Recurrent Urinary Tract Infections.

Monique H Vaughan, Jialiang Mao, Lisa A Karstens, Li Ma, Cindy L Amundsen, Kenneth E Schmader, Nazema Y Siddiqui

Abstract readObservational Study
In one paragraph

Observational study in The Journal of urology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 1 pooled it
–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

42 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  11. Bacteriophage-mediated reduction of uropathogenicbioRxiv : the preprint server for biology · 2025
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  17. Draft genomes ofMicrobiology resource announcements · 2025
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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

7 authors.

Monique H VaughanDepartment of Obstetrics & Gynecology, Division of Pelvic Medicine and Reconstructive Surgery, University of Virginia, Charlottesville, Virginia.
Jialiang MaoDepartment of Statistical Science, Duke University, Durham, North Carolina.
Lisa A KarstensDepartment of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland, Oregon.
Li MaDepartment of Statistical Science, Duke University, Durham, North Carolina.
Cindy L AmundsenDepartment of Obstetrics and Gynecology, Division of Urogynecology & Reconstructive Pelvic Surgery, Duke University Medical Center, Durham, North Carolina.
Kenneth E SchmaderDepartment of Medicine, Division of Geriatrics, Duke University Medical Center, Durham, North Carolina.
Nazema Y SiddiquiDepartment of Obstetrics and Gynecology, Division of Urogynecology & Reconstructive Pelvic Surgery, Duke University Medical Center, Durham, North Carolina.

Funding

Resource Core 3 - Metabolomics CoreP30AG028716 · NIA · DUKE UNIVERSITY · PI Virginia B Kraus · 2006 to 2026
$24.6M
Statistical modeling of cross-sample variation and learning of latent structures in microbiome sequencing dataR01GM135440 · NIGMS · DUKE UNIVERSITY · PI MA, LI · 2020 to 2024
$1.7M
Functional Considerations of the Urinary Microbiome in Overactive BladderK01DK116706 · NIDDK · OREGON HEALTH & SCIENCE UNIVERSITY · PI KARSTENS, LISA ANNE · 2018 to 2021
$545k
Effects of Aging and the Urinary Microbiome on Recurrent Urinary Tract InfectionsR03AG060082 · NIA · DUKE UNIVERSITY · PI SIDDIQUI, NAZEMA Y · 2018 to 2019
$228k
NIA NIH HHS P30 AG028716NIA NIH HHS R03 AG060082NIDDK NIH HHS K01 DK116706NIGMS NIH HHS R01 GM135440
6 · The paper itself

Abstract

purposeThe etiology of postmenopausal recurrent urinary tract infection (UTI) is not completely known, but the urinary microbiome is thought to be implicated. We compared the urinary microbiome in menopausal women with recurrent UTIs to age-matched controls, both in the absence of acute infection. MATERIALS AND

methodsThis is a cross-sectional analysis of baseline data from 64 women enrolled in a longitudinal cohort study. All women were using topically applied vaginal estrogen. Women >55 years of age from the following groups were enrolled: 1) recurrent UTIs on daily antibiotic prophylaxis, 2) recurrent UTIs not on antibiotic prophylaxis and 3) age-matched controls without recurrent UTIs. Catheterized urine samples were collected at least 4 weeks after last treatment for UTI and at least 6 weeks after initiation of vaginal estrogen. Samples were evaluated using expanded quantitative urine culture (EQUC) and 16S rRNA gene sequencing.

resultsWith EQUC, there were no significant differences in median numbers of microbial species isolated among groups (p=0.96), even when considering Lactobacilli (p=0.72). However, there were trends toward different

conclusionsAssociations between anaerobes within the urinary microbiome and postmenopausal recurrent UTI warrants further investigation.

Indexed as

MicrobiotaPostmenopauseAdministration, IntravaginalAgedAnti-Bacterial AgentsAntibiotic ProphylaxisBacteria, AnaerobicBacteriuriaCross-Sectional StudiesDNA, BacterialDrug Therapy, CombinationEstrogensFemaleHumansLongitudinal StudiesMiddle AgedAnti-Bacterial AgentsDNA, BacterialEstrogensRNA, Ribosomal, 16Smicrobiotapostmenopauseurinary tract infections

Identifiers

PMID34181466
PMCPMC8497440

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.