Evidence map›Paper›PMID 37076021›Full record

ArticleUrology2023

Patient-identified Treatment Attributes Among Older Men With Stress Urinary Incontinence: A Qualitative Look at What Matters to Patients Making Treatment Decisions.

Lindsay A Hampson, Nathan M Shaw, Benjamin N Breyer, Louise C Walter, Rebecca L Sudore, Matthew R Cooperberg, Caitlin Baussan, Kathryn Quanstrom, I Elaine Allen, Dan Dohan

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Urology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.7field-weighted citation impact, top 9% 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

6 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
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  3. Review
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  6. 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

10 authors at 4 institutions in 1 country.

Lindsay A HampsonDepartment of Urology, School of Medicine, University of California San Francisco, San Francisco, CA; the; Department of Surgery, San Francisco Veterans Affairs Medical Center, San Francisco, CA; the. Electronic address: Lindsay.hampson@ucsf.edu.
Nathan M ShawDepartment of Urology, School of Medicine, University of California San Francisco, San Francisco, CA; the.
Benjamin N BreyerDepartment of Urology, School of Medicine, University of California San Francisco, San Francisco, CA; the; Department of Epidemiology & Biostatistics, School of Medicine, University of California San Francisco, San Francisco, CA; the.
Louise C WalterDepartment of Medicine, School of Medicine, University of California San Francisco, San Francisco, CA; the; Department of Medicine, San Francisco Veterans Affairs Medical Center, San Francisco, CA; the.
Rebecca L SudoreDepartment of Medicine, School of Medicine, University of California San Francisco, San Francisco, CA; the; Department of Medicine, San Francisco Veterans Affairs Medical Center, San Francisco, CA; the.
Matthew R CooperbergDepartment of Urology, School of Medicine, University of California San Francisco, San Francisco, CA; the; Department of Surgery, San Francisco Veterans Affairs Medical Center, San Francisco, CA; the.
Caitlin BaussanUniversity of Pittsburg School of Health and Rehabilitation Sciences, Pittsburg, PA; the.
Kathryn QuanstromDepartment of Internal Medicine, Trinity Health Livonia Hospital, Livonia.
I Elaine AllenDepartment of Epidemiology & Biostatistics, School of Medicine, University of California San Francisco, San Francisco, CA; the.
Dan Dohan; and the Institute for Health Policy Studies, Department of Medicine, University of California San Francisco, San Francisco, CA.
University of California, San Francisco · USSan Francisco VA Medical Center · USPittsburg State University · USTrinity Health · US

Funding

Clinical and Translational Science InstituteUL1TR001872 · NCATS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI COLLARD, HAROLD R, JACOBY, VANESSA · 2016 to 2025
$112.1M
Mentoring Researchers in Advance Care Planning for Underrepresented Older Adults at Risk for Alzheimer’s Disease and Related Dementias and Their CaregiversK24AG054415 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI REBECCA L SUDORE · 2017 to 2026
$1.7M
Understanding and Improving Treatment Decision-Making for Older Males with Stress Urinary IncontinenceR03AG064372 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HAMPSON, LINDSAY ANN · 2019 to 2020
$242k
NCATS NIH HHS UL1 TR001872NIA NIH HHS K24 AG054415NIA NIH HHS R03 AG064372
6 · The paper itself

Abstract

objectiveTo investigate which treatment attributes matter to patients with stress urinary incontinence (SUI), why and how they matter, and the context in which patients consider treatment attributes. Nearly a quarter of older men have decisional regret following SUI treatment. Knowledge of what matters to patients when making SUI treatment decisions is necessary to improve goal-concordant care.

methodsWe conducted semi-structured interviews with 36 men ≥65 years of age with SUI. Semi-structured interviews were conducted by telephone and transcribed. Four researchers (L.H., N.S., E.A., C.B.) coded the transcripts using both deductive and inductive codes to identify and describe treatment attributes.

resultsWe identified 5 patient-derived treatment attributes of interest among older men with SUI who have faced treatment decisions: (1) dryness, (2) simplicity, (3) potential need for future intervention, (4) treatment regret/satisfaction, and (5) surgical avoidance. These themes reliably emerged in our patient-centered interviews from within various contexts, including prior negative healthcare experiences, the impact of incontinence on daily and quality of life, and the mental health burden of incontinence, among others.

conclusionMen with SUI weigh a variety of treatment attributes in addition to dryness, a traditional clinical endpoint, and do so within the context of their individual experience. These additional attributes, such as simplicity, may run counter to the goal of dryness. This suggests that traditional clinical endpoints alone are not adequate for counseling patients. Contextualized patient-identified treatment attributes should be used to create decision-support materials to promote goal-concordant SUI treatment.

Indexed as

Urinary IncontinenceUrinary Incontinence, StressAgedHumansMaleQuality of Life

Identifiers

PMID37076021
PMCPMC10524507
OpenAlexW4366133804

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.