Evidence map›Paper›PMID 37691849›Full record

ArticleContemporary clinical trials communications2023

Rationale and design of an implant procedure and pivotal study to evaluate safety and effectiveness of Medtronic's tibial neuromodulation device.

Una J Lee, Keith Xavier, Kevin Benson, Kimberly Burgess, Janet E Harris-Hicks, Robert Simon, Jeffrey G Proctor, Katie C Bittner, Kira Q Stolen, Chris P Irwin and 5 more

Abstract read
In one paragraph

Article in Contemporary clinical trials communications, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. 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

15 authors.

Una J LeeVirginia Mason Medical Center, Seattle, WA, USA.
Keith XavierUrology Partners of North Texas, Arlington, TX, USA.
Kevin BensonSanford Female Pelvic Medicine Reconstructive Surgery Clinic, Sioux Falls, SD, USA.
Kimberly BurgessPrisma Health, Greenville, SC, USA.
Janet E Harris-HicksFirstHealth Urogynecology, Hamlet, NC, USA.
Robert SimonUrologic Research and Consulting, Englewood, NJ, USA.
Jeffrey G ProctorGeorgia Urology, Atlanta, GA, USA.
Katie C BittnerMedtronic Pelvic Health, Minneapolis, MN, USA.
Kira Q StolenMedtronic Pelvic Health, Minneapolis, MN, USA.
Chris P IrwinMedtronic Pelvic Health, Minneapolis, MN, USA.
Sarah J OffuttMedtronic Pelvic Health, Minneapolis, MN, USA.
Anne E MillerMedtronic Pelvic Health, Minneapolis, MN, USA.
Elizabeth M MichaudMedtronic Pelvic Health, Minneapolis, MN, USA.
Phillip C FalknerMedtronic Pelvic Health, Minneapolis, MN, USA.
J Chris CoetzeeTwin Cities Orthopedics, Edina, MN, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Percutaneous tibial neuromodulation is a medical guideline recommended therapy for treating symptoms of overactive bladder. Stimulation is delivered to the tibial nerve via a thin needle placed percutaneously for 30 min once a week for 12-weeks, and monthly thereafter. Studies have shown that this therapy can effectively relieve symptoms of overactive bladder; however, the frequent office visits present a barrier to patients and can impact therapy effectiveness. To mitigate the burden of frequent clinic visits, small implantable devices are being developed to deliver tibial neuromodulation. These devices are implanted during a single minimally invasive procedure and deliver stimulation intermittently, similar to percutaneous tibial neuromodulation. Here, we describe the implant procedure and design of a pivotal study evaluating the safety and effectiveness for an implantable tibial neuromodulation device. The Evaluation of Implantable Tibial Neuromodulation (TITAN 2) pivotal study is a prospective, multicenter, investigational device exemption study being conducted at up to 30 sites in the United States and enrolling subjects with symptoms of overactive bladder.

Indexed as

IncontinenceLower urinary tract dysfunctionNeuromodulationOveractive bladderTibial neuromodulationUrinary

Identifiers

PMID37691849
PMCPMC10491630

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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.