Evidence map›Paper›PMID 34536320›Full record

ArticleBJOG : an international journal of obstetrics and gynaecology2022

Incidence and risk factors of female urinary incontinence: a 4-year longitudinal study among 24 985 adult women in China.

H Pang, J Lv, T Xu, Z Li, J Gong, Q Liu, Y Wang, J Wang, Z Xia, Z Li and 2 more

Abstract read
In one paragraph

Article 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 45 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 2 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

45 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. A clinical trial on pelvic floor sensory testing in women with and without stress urinary incontinence.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2024
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  11. Short-Term Superiority of Transvaginal COInternational journal of women's health · 2026
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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

12 authors.

H PangMedical Research Center, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
J LvSchool of Public Health, Peking University Health Science Center, Beijing, China.
T XuDepartment of Epidemiology and Statistics, Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences and School of Basic Medicine, Peking Union Medical College, Beijing, China.
Z LiDepartment of Gynaecology and Obstetrics, Children's Hospital of Shanxi Province, Shanxi, China.
J GongDepartment of Gynaecology and Obstetrics, Maternal and Child Health Hospital of Wuxi, Jiangsu, China.
Q LiuDepartment of Gynaecology and Obstetrics, Maternal and Child Health Hospital of Gansu Province, Lanzhou, China.
Y WangDepartment of Gynaecology and Obstetrics, Maternal and Child Health Hospital of Foshan, Guangdong, China.
J WangDepartment of Gynaecology and Obstetrics, Maternal and Child Health Hospital of Guiyang, Guizhou, China.
Z XiaDepartment of Gynaecology and Obstetrics, Sheng Jing Hospital of China Medical University, Liaoning, China.
Z LiDepartment of Gynecology and Obstetrics, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
L LiSchool of Public Health, Peking University Health Science Center, Beijing, China.
L ZhuDepartment of Gynecology and Obstetrics, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.

Funding

The CAMS Initiative for Innovative Medicine 2017-I2M-1-002The National Key R&D Program of China 2018YFC2002201The National Natural Science Foundation of China 72104247The National Natural Science Foundation of China 81830043
6 · The paper itself

Abstract

objectiveTo estimate the incidence of urinary incontinence (UI), including its subtypes stress UI (SUI), urgency UI (UUI) and mixed UI (MUI), and to examine risk factors for de novo SUI and UUI in Chinese women.

designNationwide longitudinal study.

settingSix geographic regions of China.

participantsWomen aged ≥20 years old were included using a multistage, stratified, cluster sampling method.

methodsThis study was conducted between May 2014 and March 2016, with follow up in 2018. Data on demographics, medical history, lifestyle and physiological and anthropometric information were collected. MAIN OUTCOME MEASUREMENTS: Incidence, rate ratio (RR).

resultsAnalyses included 24 985 women (mean age 41.9 years).The follow-up response rate was 55.5%, median follow-up time was 3.7 years. The standardised incidences of UI, SUI, UUI and MUI were 21.2, 13.1, 3.0 and 5.1 per 1000 person-years, respectively. Risk factors for de novo SUI included delivery pattern (vaginal spontaneous delivery RR 2.12, 95% CI 1.62-2.78 and instrumental delivery RR 3.30, 95% CI 1.99-5.45), high body mass index (BMI) (overweight RR 1.52, 95% CI 1.33-1.74 and obesity RR 1.67, 95% CI 1.32-2.11), cigarette smoking (RR 1.54, 95% CI 1.12-2.12), chronic cough (RR 1.44, 95% CI 1.17-1.76), diabetes (RR 1.33, 95% CI 1.10-1.60) and older age (50-59 years RR 1.49, 95% CI 1.16-1.90 and 60-69 years RR 1.61, 95% CI 1.22-2.13).The risk factors significantly associated with de novo UUI were age (RR increased from 1.21, 95% CI 0.74-1.99, at 30-39 years to 6.3, 95% CI 3.85-10.30, at >70 years) and diabetes (RR 1.48, 95% CI 1.05-2.09).

conclusionsThe incidence of female UI is 21.2 per 1000 person-years in China. Delivery (vaginal spontaneous delivery, instrumental delivery), high BMI, cigarette smoking, chronic cough, diabetes and older age were risk factors. TWEETABLE ABSTRACT: The incidence of female urinary incontinence was 21.2 per 1000 person-years in China. Delivery, BMI, diabetes and old age are risk factors.

Indexed as

AdultAgedChinaDelivery, ObstetricFemaleHumansIncidenceLongitudinal StudiesMiddle AgedPregnancyProspective StudiesRisk FactorsUrinary IncontinenceFemale urinary incontinenceincidence ratemixed urinary incontinencerisk factorsstress urinary incontinenceurgency urinary incontinence

Identifiers

PMID34536320
PMCPMC9298368

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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.