Evidence map›Paper›PMID 35181928›Full record

Trial reportNeurourology and urodynamics2022

Exploratory evaluation of baseline cognition as a predictor of perceived benefit in a study of behavioral therapy for urinary incontinence in Parkinson disease.

Phat L Chang, Felicia C Goldstein, Kathryn L Burgio, Jorge L Juncos, Gerald McGwin, Lisa Muirhead, Alayne D Markland, Theodore M Johnson, Camille P Vaughan

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report 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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 56% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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 at 4 institutions in 1 country.

Phat L ChangDivision of Geriatrics and Gerontology, Department of Medicine, Emory University, Decatur, Georgia, USA.
Felicia C GoldsteinDepartment of Neurology, Emory University, Atlanta, Georgia, USA.
Kathryn L BurgioBirmingham/Atlanta VA Geriatric Research, Education, and Clinical Center, Birmingham, Alabama, USA.
Jorge L JuncosDepartment of Neurology, Emory University, Atlanta, Georgia, USA.
Gerald McGwinBirmingham/Atlanta VA Geriatric Research, Education, and Clinical Center, Birmingham, Alabama, USA.
Lisa MuirheadBirmingham/Atlanta VA Geriatric Research, Education, and Clinical Center, Birmingham, Alabama, USA.
Alayne D MarklandBirmingham/Atlanta VA Geriatric Research, Education, and Clinical Center, Birmingham, Alabama, USA.
Theodore M JohnsonBirmingham/Atlanta VA Geriatric Research, Education, and Clinical Center, Birmingham, Alabama, USA.
Camille P VaughanDivision of Geriatrics and Gerontology, Department of Medicine, Emory University, Decatur, Georgia, USA.
Emory University · USGeriatric Research Education and Clinical Center · USUniversity of Alabama at Birmingham · USBirmingham VA Medical Center · US

Funding

Atlanta Clinical and Translational Science Institute (ACTSI) RenewalUL1TR000454 · NCATS · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2012 to 2016
$25.8M
Behavioral therapy to treat urinary symptoms in Parkinson's diseaseIK2RX000747 · VA · VETERANS HEALTH ADMINISTRATION · PI VAUGHAN, ELIZABETH CAMILLE · 2012 to 2016
–
NCATS NIH HHS UL1 TR000454NIH HHSRRD VA IK2 RX000747U.S. Department of Veterans Affairs
6 · The paper itself

Abstract

aimsWhile behavior-based pelvic floor muscle exercise therapy is an effective treatment for overactive bladder in Parkinson's disease (PD) patients, cognitive function may be a predictor of rehabilitation outcomes.

methodsIn a planned exploratory analysis, participants who had a Montreal Cognitive Assessment (MoCA) with a score ≥18 who were randomized in a clinical trial to behavioral treatment were classified by perceived improvement (Benefit vs. No Benefit) as reported on a validated Satisfaction and Benefit Questionnaire. General cognition (MoCA), motor procedural learning (Serial reaction time task), verbal memory (Buschke delayed recall), spatial memory (Nonverbal/Spatial selective reminding test), and working memory (Wisconsin card sorting task) were compared between the two groups using Wilcoxon rank-sum test.

resultsOf the 26 participants randomized to behavioral treatment (70% male, mean age 71 ± 6.1 years), 22 participants (85%) reported Benefit and four reported No Benefit. General cognition, motor procedural learning, verbal memory, spatial memory, and working memory did not differ between these groups. While the difference between the time to complete the final practiced series and the random series of the Serial Reaction Time Task (SRTT) was statistically similar between the groups, the Benefit group performed the random sequence more quickly (567.0 ± 136.5 ms) compared to the No Benefit group (959.4 ± 443.0 ms; p = 0.03) and trended toward faster performance in the final practiced series.

conclusionsPerceived benefit from behavioral treatment for overactive bladder was not associated with measures of baseline cognition other than faster completion of the SRTT. This is noteworthy because many behavior-based therapy studies exclude participants with mild cognitive impairment. Additional studies may evaluate if domain-specific cognitive function, particularly the assessment of implicit memory, could lead to individualized behavioral therapy recommendations.

Indexed as

Parkinson DiseaseUrinary Bladder, OveractiveUrinary IncontinenceAgedBehavior TherapyCognitionFemaleHumansMaleMiddle Agedcognitive dysfunctionexercise therapyoveractiveParkinson diseasepelvic floortreatment outcomeurinary bladder

Identifiers

PMID35181928
PMCPMC8957523
OpenAlexW4212922027

What OpenQuestion holds

Textmetadata
LicenceTDM
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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.