Evidence map›Paper›PMID 35391498›Full record

ArticleNeurourology and urodynamics2022

Do medication prescription patterns follow guidelines in a cohort of women with interstitial cystitis/bladder pain syndrome?

Lauren N Tholemeier, Catherine Bresee, Amanda M De Hoedt, Kamil E Barbour, Jayoung Kim, Stephen J Freedland, Jennifer T Anger

Open access · greenAbstract 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 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 39% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Pooled it
  2. Quality-of-life impact of interstitial cystitis and other pelvic pain syndromes.Frontiers in pain research (Lausanne, Switzerland) · 2023
    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

7 authors at 4 institutions in 1 country.

Lauren N TholemeierDepartment of Obstetrics and Gynecology, Cedars-Sinai Medical Center, Los Angeles, California, USA.ORCID 0000-0003-3354-228X
Catherine BreseeBiostatistics Core at the Samuel Oschin Comprehensive Cancer Institute, Cedars-Sinai Medical Center, Los Angeles, California, USA.
Amanda M De HoedtDurham Veterans Affairs Health System, Durham, North Carolina, USA.
Kamil E BarbourCenters for Disease Control and Prevention, Atlanta, Georgia, USA.
Jayoung KimDepartment of Surgery, Cedars-Sinai Medical Center, Los Angeles, California, USA.
Stephen J FreedlandDepartment of Surgery, Division of Urology, Cedars-Sinai Medical Center, Los Angeles, California, USA.ORCID 0000-0002-8104-6419
Jennifer T AngerDepartment of Urology, UC San Diego Medical Center, La Jolla, California, USA.ORCID 0000-0002-3897-5941
Cedars-Sinai Medical Center · USCenters for Disease Control and Prevention · USDurham VA Health Care System · USUniversity of California San Diego · US

Funding

The Epidemiology of Interstitial Cystitis in a Nationwide Multiethnic VA CohortU01DP006079 · DP · CEDARS-SINAI MEDICAL CENTER · PI ANGER, JENNIFER TASH, FREEDLAND, STEPHEN JAY · 2015 to 2019
$3.8M
NCCDPHP CDC HHS U01 DP006079
6 · The paper itself

Abstract

objectiveTo describe prescription prevalence of oral bladder pain medications among women with interstitial cystitis/bladder pain syndrome (IC/BPS) and to compare with current treatment guidelines.

methodsWe sampled female patients with an ICD-9/10 diagnosis of IC/BPS (595.1/N30.10) by querying active users of the Veterans Health Administration. Medical records were reviewed to determine whether patients met IC/BPS diagnostic criteria. A cohort of women with other pelvic pain disorders was identified. Prescription prevalence of typical non-narcotic oral bladder pain medications was compared between the two groups and healthy controls. Prescription prevalence was also compared before and after the diagnosis of IC/BPS was made using Poisson regression.

resultsThere were 641 women who met criteria for IC/BPS and 197 women with "Other pelvic pain" disorders. Women with IC/BPS were prescribed a pain medication more often than those with "Other pelvic pain" (77% vs. 59%, p < 0.0001). Of the women with IC/BPS, 44% tried three or more pain medications. Of women with a diagnosis of IC/BPS, only 67% were prescribed an American Urological Association-recommended medication. Prescription prevalence increased after diagnosis for both pentosan polysulfate (10%-29%, p < 0.0001) and hydroxyzine (17%-40%, p < 0.0001), but not for amitriptyline or cimetidine. Amitriptyline was prescribed to 223 women with IC/BPS, only 125 of which (56%) had a documented history of depression.

conclusionsMany women with IC/BPS required multiple bladder prescriptions, highlighting the difficulty in finding an effective treatment for IC/BPS. Pentosan polysulfate and hydroxyzine were preferred IC/BPS medications. Our next step will be to analyze treatment patterns in those patients who did not receive medications.

Indexed as

Chronic PainCystitis, InterstitialAmitriptylineDrug PrescriptionsFemaleHumansHydroxyzinePelvic PainPentosan Sulfuric PolyesterAmitriptylineHydroxyzinePentosan Sulfuric Polyesteramitriptylinebladder pain syndromehydroxyzineinterstitial cystitispentosan polysulfate

Identifiers

PMID35391498
PMCPMC10460127
OpenAlexW4225524069

What OpenQuestion holds

Textmetadata
LicenceTDM
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.