Evidence map›Paper›PMID 35664812›Full record

ArticleSkin health and disease2021

Is urinary incontinence associated with lichen sclerosus in females? A systematic review and meta-analysis.

L Kirby, S Gran, I Kreuser-Genis, C Owen, R Simpson

Open access · goldAbstract read
In one paragraph

Article in Skin health and disease, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.0field-weighted citation impact, top 25% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
  2. Review
  3. Barriers to diagnosing and treating vulval lichen sclerosus: a survey study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025
    Article
  4. Efficacy of Fractional COLife (Basel, Switzerland) · 2024
    Article
  5. Review
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

5 authors at 3 institutions in 1 country.

L KirbyDepartment of Dermatology Glasgow Royal Infirmary Glasgow UK.ORCID https://orcid.org/0000-0002-9231-1927
S GranCentre of Evidence Based Dermatology School of Medicine University of Nottingham Nottingham UK.ORCID https://orcid.org/0000-0002-2443-5100
I Kreuser-GenisDepartment of Dermatology Royal Alexandra Hospital Paisley UK.
C OwenDepartment of Dermatology East Lancashire Hospitals NHS Trust Blackburn UK.
R SimpsonCentre of Evidence Based Dermatology School of Medicine University of Nottingham Nottingham UK.ORCID https://orcid.org/0000-0002-8093-7965
University of Nottingham · GBEast Lancashire Hospitals NHS Trust · GBRoyal Alexandra Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Lichen sclerosus (LS) is a scarring chronic inflammatory disease with a predilection for genital skin in both sexes. The aetiology of LS is controversial, but evidence increasingly suggests that the occluded exposure of susceptible epithelium to urine is involved in the pathogenesis of genital LS in males. This theory has not yet been robustly investigated in females. Objectives: This review and meta-analysis examined whether there is an association between urinary incontinence (UI) and genital lichen LS in females. Methods: We performed a comprehensive search of MEDLINE, Embase and CINAHL to identify observational studies assessing the prevalence of UI in females with LS. DerSimonian and Laird random-effects models were used to estimate the overall pooled prevalence and risk ratio compared to controls. Heterogeneity was assessed. Results: In total, eight studies met the inclusion criteria and five studies were included in a meta-analysis. Three studies were graded as moderate quality and five were poor. The pooled prevalence for UI in LS was 0.35 (95% confidence interval [CI] 0.13-0.58, Conclusion: There appears to be no difference between patients with LS and those without LS in terms of UI. Studies are limited by clinical and methodological quality and heterogeneity is high. Well-designed prospective studies are needed.

Identifiers

PMID35664812
PMCPMC9060132
OpenAlexW3131878518

What OpenQuestion holds

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LicenceCC BY
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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.