Evidence map›Paper›PMID 34965536›Full record

ArticleUrologia internationalis2022

Decreasing Number of Urodynamics in Urological and Gynaecological Clinics Reflects Decreased Importance for Surgical Indications: German Population-Based Data from 2013 to 2019.

Martin Baunacke, Isabel Leuchtweis, Albert Kaufmann, Marcel Schmidt, Christer Groeben, Angelika Borkowetz, Nicole Eisenmenger, Christian Thomas, Johannes Huber

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In one paragraph

Article in Urologia internationalis, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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

7 citing papers in PubMed.

  1. Article
  2. Article
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  5. Article
  6. [Imaging of the pelvic floor : The urological perspective].Radiologie (Heidelberg, Germany) · 2023
    Review
  7. 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

9 authors.

Martin BaunackeDepartment of Urology, TU Dresden, Dresden, Germany, martinbaunacke@gmail.com.
Isabel LeuchtweisDepartment of Urology, TU Dresden, Dresden, Germany.
Albert KaufmannCentre for Continence and Neurourology, Kliniken Maria Hilf GmbH, Mönchengladbach, Germany.
Marcel SchmidtColoplast GmbH, Hamburg, Germany.
Christer GroebenDepartment of Urology, TU Dresden, Dresden, Germany.
Angelika BorkowetzDepartment of Urology, TU Dresden, Dresden, Germany.
Nicole EisenmengerReimbursement Institute, Hürth, Germany.
Christian ThomasDepartment of Urology, TU Dresden, Dresden, Germany.
Johannes HuberDepartment of Urology, TU Dresden, Dresden, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe routine use of urodynamic studies (UDS) has been questioned. Additionally, the material and personnel costs are poorly remunerated. We aimed to analyse the UDS utilization in Germany.

methodsWe analysed UDS performed by hospitals based on quality reports from 2013 to 2019. A representative sample of 4 million insured persons was used to estimate outpatient UDS utilization from 2013 to 2018.

resultsThere was an overall decrease of 14% in UDS in Germany from 2013 to 2018 (60,980 to 52,319; p = 0.003). In the outpatient sector, there was a slight non-continuous drop of 11% from 34,551 to 30,652 from 2013 to 2018 (p = 0.06). UDS utilization in hospitals decreased by 26% from 26,429 in 2013 to 19,453 in 2019 (p = 0.004). University hospitals showed a smaller decrease (3,007 to 2,685; p = 0.02). In urology, the number of UDS (11,758 to 6,409; p < 0.001) and the number of performing departments (328 to 263 clinics; p < 0.001) decreased. Gynaecological departments also showed a decrease in UDS (1,861 to 866; p < 0.001) and performing departments (159 to 68; p < 0.001). However, in paediatrics, there was an increase in UDS (1,564 to 2,192; p = 0.02). By age, the number of children remained constant (1,371 to 1,252; p = 0.2), but there was a strong decrease seen in 60- to 79-year-olds (9,792 to 5,564; p < 0.001).

conclusionUDS appear to be less important in the indication for surgery. Despite high resource expenditure and low remuneration, the decrease in urodynamics in the outpatient sector is less pronounced, indicating a trend to perform UDS in an outpatient setting.

Indexed as

Urinary Incontinence, StressUrologyChildGermanyHumansUrodynamicsUrologic Surgical ProceduresEpidemiologyHealth services researchLower urinary tract symptomsUrinary incontinenceUrodynamics

Identifiers

PMID34965536
PMCPMC9677849

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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.