Evidence map›Paper›PMID 34437756›Full record

Trial reportBJOG : an international journal of obstetrics and gynaecology2022

One year effectiveness of an app-based treatment for urinary incontinence in comparison to care as usual in Dutch general practice: A pragmatic randomised controlled trial over 12 months.

Anne Mm Loohuis, Henk Van Der Worp, Nienke J Wessels, Janny H Dekker, Marijke CPh Slieker-Ten Hove, Marjolein Y Berger, Karin M Vermeulen, Marco H Blanker

Open access · hybridAbstract readPragmatic Clinical TrialRandomized Controlled TrialEquivalence Trial
In one paragraph

Trial report in BJOG : an international journal of obstetrics and gynaecology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 14% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Article
  8. 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

8 authors at 1 institution in 1 country.

Anne Mm LoohuisDepartment of General Practice and Elderly Care Medicine, University of Groningen, University Medical Centre Groningen, Groningen, The Netherlands.ORCID 0000-0001-6582-1502
Henk Van Der WorpDepartment of General Practice and Elderly Care Medicine, University of Groningen, University Medical Centre Groningen, Groningen, The Netherlands.ORCID 0000-0001-5545-4155
Nienke J WesselsDepartment of General Practice and Elderly Care Medicine, University of Groningen, University Medical Centre Groningen, Groningen, The Netherlands.ORCID 0000-0002-1153-8709
Janny H DekkerDepartment of General Practice and Elderly Care Medicine, University of Groningen, University Medical Centre Groningen, Groningen, The Netherlands.ORCID 0000-0001-5005-9324
Marijke CPh Slieker-Ten HoveEducation and Research, Profundum Institute, Dordrecht, The Netherlands.ORCID 0000-0001-9516-8372
Marjolein Y BergerDepartment of General Practice and Elderly Care Medicine, University of Groningen, University Medical Centre Groningen, Groningen, The Netherlands.
Karin M VermeulenDepartment of Epidemiology, University of Groningen, University Medical Centre Groningen, Groningen, The Netherlands.
Marco H BlankerDepartment of General Practice and Elderly Care Medicine, University of Groningen, University Medical Centre Groningen, Groningen, The Netherlands.ORCID 0000-0002-1086-8730
University Medical Center Groningen · NL

Funding

P.W. Boer FoundationZonMw 837001508
6 · The paper itself

Abstract

objectiveTo assess the long-term effectiveness of app-based treatment for female stress, urgency or mixed urinary incontinence (UI) compared with care-as-usual in primary care.

designA pragmatic, randomised controlled, superiority trial.

settingPrimary care in the Netherlands from 2015 to 2018, follow up at 12 months. POPULATION: Women with two or more UI episodes per week and access to mobile apps, wanting treatment. A total of 262 women were randomised equally to app or care-as-usual; 89 (68%) and 83 (63%) attended 1 year follow up.

interventionsThe standalone app included conservative management for UI with motivation aids (e.g. reminders). Care-as-usual was delivered according to the Dutch GP guideline for UI.

main outcome measuresEffectiveness assessed by the change in symptom severity score (ICIQ-UI-SF) and the change in quality of life (ICIQ-LUTSqol) with linear regression on an intention-to-treat basis.

resultsClinically relevant improvement of UI severity for both app (-2.17 ± 2.81) and care-as-usual (-3.43 ± 3.6) groups, with a non-significant mean difference of 0.903 (-0.66 to 1.871).

conclusionApp-based treatment is a viable alternative to care-as-usual for UI in primary care in terms of effectiveness after 1 year. TWEETABLE ABSTRACT: App-based treatment for female urinary incontinence is a viable alternative to care-as-usual after 12 months.

Indexed as

General PracticeMobile ApplicationsUrinary IncontinenceUrinary Incontinence, StressFemaleHumansQuality of LifeappeffectivenesseHealthgeneral practicelong termpragmaticprimary careself-managementurinary incontinence

Identifiers

PMID34437756
PMCPMC9544358
OpenAlexW3193933023

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.