SynthesisUrogynecology (Philadelphia, Pa.)2023
Barriers to Urogynecologic Care for Racial and Ethnic Minority Women: A Qualitative Systematic Review.
Synthesis in Urogynecology (Philadelphia, Pa.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Women's perceptions of urinary incontinence during the postpartum period: systematic review of qualitative evidence.BMC pregnancy and childbirth · 2026Pooled it
- A mixed methods systematic literature review of barriers and facilitators to help-seeking among women with stigmatised pelvic health symptoms.BMC women's health · 2024Pooled it
- Barriers to Accessing Urogynecologic Care in a Federally Qualified Health Center.Urogynecology (Philadelphia, Pa.) · 2026Article
- Satisfaction and Decisional Regret After Mesh Versus Non-Mesh Apical Pelvic Organ Prolapse Surgery.Neurourology and urodynamics · 2026Article
- Racial and Ethnic Disparities in Surgical Timing and Preoperative Care for Urinary Incontinence: a Large Single Academic Institution Study in the USA.International urogynecology journal · 2026Article
- Chemodenervation Use for Overactive Bladder in Female Medicare Beneficiaries.Urogynecology (Philadelphia, Pa.) · 2026Article
- Unveiling disparities in urogynecologic surgery research: insights into impact and equity.Gynecology and pelvic medicine · 2025Article
- Impact of race and ethnicity on clinical outcomes and recurrence post-ureteral reconstruction.BJUI compass · 2024Article
- Health Inequalities in Urogynaecology.International urogynecology journal · 2024Article
- Black women's perspectives on bladder health: Social-ecological and life course contexts.Neurourology and urodynamics · 2024Article
- Pelvic Floor Disorders in Black Women: Prevalence, Clinical Care, and a Strategic Agenda to Prioritize Care.Obstetrics and gynecology clinics of North America · 2024Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
importanceStudies have sought to evaluate factors that have perpetuated disparities in health care, including urogynecologic care. However, there remains a lack of understanding of barriers to care specific to racial/ethnic minority populations.
objectivesWe aimed to report identified barriers to urogynecologic care (eg, care for symptoms/diagnoses of urinary incontinence [UI], accidental bowel leakage [ABL], and pelvic organ prolapse [POP]) for underrepresented racial and ethnic minority (URM) women in the United States. STUDY
designWe conducted a systematic search for studies through 5 electronic bibliographic databases. Inclusion criteria for eligible studies included the following: (1) studies reporting barriers to care for those with urogynecologic symptoms/diagnoses, (2) publication date year 2000 or later. Exclusion criteria included study cohorts with children, exclusively non-U.S. populations, cohorts without URM participants, and studies without qualitative research methodology. Study methodology, characteristics, as well as barriers and facilitators to urogynecologic care were captured using a thematic synthesis approach.
resultsThere were 360 studies identified. Twelve studies met criteria: 6 had study populations with UI, 3 with POP, 2 on UI and/or POP, and 1 on ABL. There were 7 focus group studies (total 44 groups, n = 330), 4 interview studies (total 160 interviews, n = 160), and 1 had both (10 interviews, 6 groups, n = 39). Most studies reported on patient-associated barriers (n = 10/12) and physician/provider-associated barriers (n = 10/12), whereas only half reported system-associated barriers (n = 6/12).
conclusionIdentified barriers to urogynecologic care for URM populations were examined. Findings likely do not fully reflect barriers to urogynecologic care for URM populations. Comprehensive evaluation of social determinants of health and systemic racism within studies is needed to understand the unique barriers present for racially/ethnically diverse populations.
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What OpenQuestion holds
Registered trials
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.