Evidence map›Paper›PMID 34477567›Full record

ArticleJournal of medical Internet research2021

Presentation, Treatment, and Natural Course of Severe Symptoms of Urinary Tract Infections Measured by a Smartphone App: Observational and Feasibility Study.

Akke Vellinga, Karen Farrell, Roisin Fallon, Daniel Hare, Una Sutton-Fitzpatrick, Martin Cormican

Open access · goldAbstract read
In one paragraph

Article in Journal of medical Internet research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 37% 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, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. A Systematic Review of Health-Related Quality-of-Life Measurement in Patients With Complicated Urinary Tract Infections.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Pooled it
  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

6 authors at 3 institutions in 1 country.

Akke VellingaSchool of Medicine, National University of Ireland Galway, Galway, Ireland.ORCID 0000-0002-6583-4300
Karen FarrellSchool of Medicine, Health Research Board Primary Care Clinical Trials Network Ireland, National University of Ireland Galway, Galway, Ireland.ORCID 0000-0002-5885-0281
Roisin FallonSchool of Medicine, Health Research Board Primary Care Clinical Trials Network Ireland, National University of Ireland Galway, Galway, Ireland.ORCID 0000-0001-5743-5097
Daniel HareDepartment of Clinical Microbiology, University Hospital Galway, Galway, Ireland.ORCID 0000-0003-1351-9154
Una Sutton-FitzpatrickTallaght University Hospital, Dublin, Ireland.ORCID 0000-0002-4109-6665
Martin CormicanHealth Service Executive, Antimicrobial Resistance and Infection Control Team, Dublin, Ireland.ORCID 0000-0002-8023-1882
Ollscoil na Gaillimhe – University of Galway · IETallaght University Hospital · IEUniversity Hospital Galway · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUrinary tract infections (UTIs) are one of the most common conditions in women. Current information on the presentation, management, and natural course of the infection is based on paper diaries filled out and subsequently posted by patients.

objectiveThe aim of this study is to explore the feasibility of a smartphone app to assess the natural course and management of UTIs.

methodsA smartphone app was developed to collect data from study participants presenting with symptoms of UTI in general practice. After initial demographic and treatment information, symptom severity was recorded by the patient after a reminder on their smartphone, which occurred twice daily for a period of 7 days or until symptom resolution.

resultsA total of 181 women aged 18-76 years downloaded the smartphone app. The duration of symptoms was determined from the results of 178 participants. All patients submitted a urine sample, most patients were prescribed an antibiotic (163/181, 90.1%), and 38.7% (70/181) of the patients had a positive culture. Moderately bad or worse symptoms lasted a mean of 3.8 (SD 3.2; median 4) days, and 70.2% (125/178) of the patients indicated that they were cured on day 4 after consultation. This compares with other research assessing symptom duration and management of UTIs using paper diaries. Patients were very positive about the usability of the smartphone app and often found the reminders supportive. On the basis of the feedback and the analysis of the data, some suggestions for improvement were made.

conclusionsSmartphone diaries for symptom scores over the course of infections are an efficient and acceptable means of collecting data in research.

Indexed as

Mobile ApplicationsUrinary Tract InfectionsAnti-Bacterial AgentsFeasibility StudiesFemaleHumansSmartphoneAnti-Bacterial Agentsgeneral practicemobile phonesmartphone applicationurinary tract infections

Identifiers

PMID34477567
PMCPMC8449294
OpenAlexW3138895327

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.