Evidence map›Paper›PMID 35019163›Full record

ArticleNeurourology and urodynamics2022

Patient-tailored healthcare and tibial nerve neuromodulation in the treatment of patients with overactive bladder symptoms.

Manon Te Dorsthorst, Alex Digesu, Philip van Kerrebroeck, Sohier Elneil, Jetske van Breda, Dick Janssen, Frank Martens, Michael van Balken, John Heesakkers

Open access · hybridAbstract read
In one paragraph

Article in Neurourology and urodynamics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.8field-weighted citation impact, top 17% 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, 8 citations in OpenAlex.

  1. Review
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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

9 authors at 6 institutions in 2 countries.

Manon Te DorsthorstDepartment of Urology, RadboudUMC, Nijmegen, The Netherlands.ORCID 0000-0001-5025-156X
Alex DigesuDepartment of Urogynaecology, Imperial College NHS Healthcare, London, UK.
Philip van KerrebroeckDepartment of Urology, Maastricht University Medical Center (MUMC+), Maastricht, The Netherlands.
Sohier ElneilDepartment of Uro-Neurology, National Hospital of Neurology and Neurosurgery, London, UK.ORCID 0000-0002-9047-5418
Jetske van BredaDepartment of Urology, UMC Utrecht, Utrecht, The Netherlands.
Dick JanssenDepartment of Urology, RadboudUMC, Nijmegen, The Netherlands.
Frank MartensDepartment of Urology, RadboudUMC, Nijmegen, The Netherlands.ORCID 0000-0002-5883-7116
Michael van BalkenDepartment of Urology, Rijnstate, Arnhem, The Netherlands.
John HeesakkersDepartment of Urology, Maastricht University Medical Center (MUMC+), Maastricht, The Netherlands.ORCID 0000-0003-1570-1945
Radboud University Nijmegen · NLMaastricht University · NLImperial College Healthcare NHS Trust · GBNational Hospital for Neurology and Neurosurgery · GBRijnstate Hospital · NLUtrecht University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this study was to demonstrate features predictive of treatment response for patient-tailored overactive bladder (OAB) intervention with an implantable tibial neurostimulator using patient and technical prediction factors. MATERIALS AND

methodsThis study was designed as a follow-up study based on parameter settings and patients' preferences during the pilot and extended study of the implantable tibial nerve stimulator (RENOVA™ iStim system). For this study, we compared all treatment parameters (stimulation amplitude, frequency, and pulse width) and usage data (duration of treatment) during the different follow-up visits.

resultsWe obtained usage data from a total of 32 patients who were implanted with the system between February and September 2015. Age, sex, body mass index (BMI) and previous experience with percutaneous tibial nerve stimulation (PTNS) treatment were considered as possible prediction factors for treatment success. However, only BMI was considered a statistically significant prediction factor (p = 0.042). A statistically significant increase in mean treatment level was seen in the responder group during the 3 month follow-up visit (mean: 6.7 mA, SD 0.416) as compared with the initial system activation visit (mean: 5.8 mA, SD 0.400) (p = 0.049). No other visits demonstrated statistically significant changes in both groups (responders and nonresponders) during the defined timepoints.

conclusionThis data underscores the need to use patient-tailored OAB treatment. BMI was found to be a negative predictive factor for treatment success. However, it was not possible to develop a specific responder model. A model predicting response to treatment could be useful for implementing shared decision making.

Indexed as

Transcutaneous Electric Nerve StimulationUrinary Bladder, OveractiveFollow-Up StudiesHumansPatient PreferenceTibial NerveTreatment OutcomeimplantOABPTNStibial nerve stimulationurge incontinenceurgency

Identifiers

PMID35019163
PMCPMC9306561
OpenAlexW4205130350

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.