Evidence map›Paper›PMID 37670465›Full record

ArticleNeurourology and urodynamics2023

Recurrent urinary tract infection management and prevention techniques among a population-based cohort of women.

Stephanie Gleicher, Elisabeth M Sebesta, Melissa R Kaufman, Roger R Dmochowski, William Stuart Reynolds

Open access · bronzeAbstract read
In one paragraph

Article in Neurourology and urodynamics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 21% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. 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

5 authors at 1 institution in 1 country.

Stephanie GleicherDepartment of Urology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.ORCID 0000-0002-2118-4246
Elisabeth M SebestaDepartment of Urology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Melissa R KaufmanDepartment of Urology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Roger R DmochowskiDepartment of Urology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.ORCID 0000-0002-9838-9178
William Stuart ReynoldsDepartment of Urology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.ORCID 0000-0003-3444-1421
Vanderbilt University Medical Center · US

Funding

Central Sensitization and Psychosocial Impacts on Overactive BladderR01DK128293 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI MCKERNAN, LINDSEY COLMAN, SEBESTA, ELISABETH M · 2021 to 2024
$2.0M
Stress and Anxiety Effects on Overactive Bladder: A Controlled StudyR01DK129624 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI MCKERNAN, LINDSEY COLMAN, SEBESTA, ELISABETH M · 2021 to 2025
$2.0M
NIDDK NIH HHS R01 DK128293NIDDK NIH HHS R01 DK129624NIDDK NIH HHS R01DK129624
6 · The paper itself

Abstract

introductionRecurrent urinary tract infection (rUTI), defined as three or more UTIs in 12 months, has psychological, physical, and financial burden. Many women with rUTI are not satisfied with care and report only starting preventative measures after several infections. The goal of this study is to elucidate current UTI management trends and the implementation of UTI prevention strategies.

methodsA web-based study was sent to a national sample of adult women enrolled in ResearchMatch.org. Women were recruited to participate if they had a self-reported UTI in the past 12 months.

resultsOf the 755 subjects, nearly 30% reported rUTI. Among women with rUTI, more than 50% reported being peri- or postmenopausal, and two-thirds reported vaginal symptoms. 15.8% of women with rUTI reported dissatisfaction with care versus 7.9% of women without rUTI. Most women see their primary care physician for UTI management and only 26% of women with rUTI follow with a urologist. More than 65% of women increase their fluid intake, wipe from front to back, and urinate after sexual activity to prevent UTIs. Significantly more women with rUTI use transvaginal estrogen, cranberry extract, and low-dose prophylactic antibiotics. These interventions appear to be driven by urologists.

conclusionMost women who have had a UTI in the last 12 months implement lifestyle changes to prevent future infections. Most women see their PCP for UTI management and women with rUTI are twice as likely to report dissatisfaction with care. Despite urologists optimizing medical rUTI prevention, they appear to be underutilized.

Indexed as

Urinary Tract InfectionsAdultEstrogensFemaleHumansPlant ExtractsRecurrenceSecondary PreventionVaginaEstrogensPlant Extractsrecurrent UTItransvaginal estrogen creamurinary tract infectionUTI managementUTI prevention

Identifiers

PMID37670465
PMCPMC13169508
OpenAlexW4386467439

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.