Evidence map›Paper›PMID 37626690›Full record

ArticleBiomedicines2023

Neurogenic Lower Urinary Tract Symptoms, Fatigue, and Depression-Are There Correlations in Persons with Multiple Sclerosis?

Anke K Jaekel, Julius Watzek, Jörn Nielsen, Anna-Lena Butscher, Pirmin Zöhrer, Franziska Schmitz, Ruth K M Kirschner-Hermanns, Stephanie C Knüpfer

Abstract read
In one paragraph

Article in Biomedicines, 2023. 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
–field-weighted citation impact
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.

  1. Fatigue and contributing factors in relapsing-remitting multiple sclerosis: a descriptive study based on the comprehensive fatigue assessment battery for multiple sclerosis (CFAB-MS).Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
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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

8 authors.

Anke K JaekelDepartment of Neuro-Urology, Clinic for Urology, University Hospital Bonn, 53127 Bonn, Germany.ORCID 0000-0001-7359-4047
Julius WatzekDepartment of Neuro-Urology, Clinic for Urology, University Hospital Bonn, 53127 Bonn, Germany.ORCID 0009-0007-9742-4684
Jörn NielsenDepartment of Cognitive Rehabilitation, Neurological Rehabilitation Center Godeshoehe GmbH, 53177 Bonn, Germany.ORCID 0000-0002-8944-2299
Anna-Lena ButscherDepartment of Neuro-Urology, Johanniter Neurological Rehabilitation Center Godeshoehe GmbH, 53177 Bonn, Germany.ORCID 0000-0001-5556-4610
Pirmin ZöhrerDepartment of Neuro-Urology, Clinic for Urology, University Hospital Bonn, 53127 Bonn, Germany.
Franziska SchmitzDepartment of Neuro-Urology, Clinic for Urology, University Hospital Bonn, 53127 Bonn, Germany.ORCID 0000-0003-3032-7410
Ruth K M Kirschner-HermannsDepartment of Neuro-Urology, Clinic for Urology, University Hospital Bonn, 53127 Bonn, Germany.
Stephanie C KnüpferDepartment of Neuro-Urology, Clinic for Urology, University Hospital Bonn, 53127 Bonn, Germany.

Funding

the German charity fund ´Förderverein zur Kontinenzforschung und Kontinenzaufklärung e. V. ', Karmeliterhöfe, Karmeliterstr, 10, 52064 Aachen, Germany. 2022/003
6 · The paper itself

Abstract

The symptoms of multiple sclerosis (MS) frequently include fatigue, depression, and neurogenic lower urinary tract symptoms (LUTS), causing severe burdens on affected individuals. The relationships between these symptoms have not been intensively researched and there are no studies on the detailed influence of the different neurogenic LUTS. We aimed to investigate the relationships between fatigue, depression, and neurogenic LUTS as recorded in bladder diaries by persons with MS. We analyzed the bladder diaries of 274 people and their scores on the Fatigue Scale for Motor and Cognitive Functions and the Centre for Epidemiologic Studies Depression Scale (German version). The neurogenic LUTS were defined as urgency, reduced voided volume, increased standardized voiding frequency, nocturia, and urinary incontinence. Those suffering from incontinence, nocturia, reduced voided volume, or urgency had higher fatigue scores compared to those without these symptoms. Those with nocturia showed significantly higher scores for depression. The severity of urgency and voided volume had the greatest effect on the severity of individuals' fatigue and depression levels. With increasing urgency, the risk of clinically significant fatigue and depression was expected to increase. Urgency and voided volume correlated most with fatigue and depression. A prospective longitudinal study investigating fatigue/depression after the successful treatment of neurogenic LUTS is needed to clarify causality and offer possible treatment options for fatigue and depression.

Indexed as

bladder diary (BD)depressionfatiguemultiple sclerosis (MS)neurogenic lower urinary tract symptoms (LUTS)neuro-urology

Identifiers

PMID37626690
PMCPMC10452515

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Registered trials

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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.