Evidence map›Paper›PMID 35779110›Full record

Trial reportInternational urogynecology journal2022

How effectively do we apply first-line treatment in overactive bladder?

Okan Alkis, Aysun Ozlu, Ibrahim Guven Kartal, Mehmet Sevim, Aykut Baser, Bekir Aras

Open access · bronzeAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in International urogynecology journal, 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
0.4field-weighted citation impact, top 38% 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, 2 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

6 authors at 3 institutions in 1 country.

Okan AlkisFaculty of Medicine, Department of Urology, Kütahya Health Science University, Kutahya, Turkey. okanalks@hotmail.com.ORCID 0000-0001-6116-9588
Aysun OzluFaculty of Medicine, Department of Physical Medicine and Rehabilitation, Kütahya Health Science University, Kutahya, Turkey.ORCID 0000-0002-1912-6039
Ibrahim Guven KartalFaculty of Medicine, Department of Urology, Kütahya Health Science University, Kutahya, Turkey.ORCID 0000-0002-2313-3522
Mehmet SevimFaculty of Medicine, Department of Urology, Kütahya Health Science University, Kutahya, Turkey.ORCID 0000-0002-7571-7669
Aykut BaserFaculty of Medicine, Department of Urology, Bandırma Ondokuzeylül University, Bandırma, Turkey.ORCID 0000-0003-0457-512X
Bekir ArasFaculty of Medicine, Department of Urology, Kütahya Health Science University, Kutahya, Turkey.ORCID 0000-0002-7020-8830
Sağlık Bilimleri Üniversitesi · TRBandırma Onyedi Eylül University · TRDumlupinar University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisWe aimed to reveal the effectiveness of the combination of behavioral therapy (BT), drug therapy, and pelvic floor muscle training (PFMT) in patients with the diagnosis of overactive bladder (OAB) who did not respond to drug therapy.

methodsSeventy female patients aged between 18 and 65 years diagnosed with wet-type OAB, who did not respond to drug therapy, were included in our study, which was planned as a prospective randomized controlled trial. The patients were randomly assigned to one of two groups. BT and a combination of anticholinergic + beta3-agonist was implemented in the control group for 12 weeks. BT and PFMT were applied with a combination of anticholinergic + beta3-agonist in the active therapy group for 12 weeks. Post-treatment changes in OAB, ICIQ-SF scores, and frequency and nocturia were compared.

resultsThe age and BMI averages of the groups were similar (p>0.01). After the treatment, no significant decrease was observed in OAB scores in the control group (p = 0.06), but a significant decrease was observed in the active therapy group (p<0.01). The mean ICIQ-SF scores and the number of nocturia were found to decrease in both groups after 12 weeks of treatment (p<0.01). There was no significant decrease in frequency in the control group (p = 0.054). It regressed significantly in the active therapy group (p<0.01). After the treatment, 3 of 30 the patients in control group (10%) and 11 of the 32 patients in the active therapy group (34.3%) said that their complaints had regressed and that they were pleased with their current situation. Although after the treatment, 4 patients in the control group were dry (13.3%), 10 patients in the active therapy group were dry (31.25%).

conclusionsWe demonstrated that drug therapy, BT, and PFMT, which are recommended in the first-line treatment of OAB reduce the need for invasive treatments when they are well explained to the patients and combined.

Indexed as

NocturiaUrinary Bladder, OveractiveAdolescentAdultAgedCholinergic AntagonistsFemaleHumansMiddle AgedPelvic FloorProspective StudiesTreatment OutcomeYoung AdultCholinergic AntagonistsBehavior therapyOveractivePelvic floorUrinary bladder

Identifiers

PMID35779110
OpenAlexW4283784170

What OpenQuestion holds

Textmetadata
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.