Evidence map›Paper›PMID 38624030›Full record

ArticleNeurourology and urodynamics2024

Sacral neuromodulation in nursing home residents: Predictors of success and complications in a national cohort of older adults.

Leo D Dreyfuss, Farnoosh Nik-Ahd, Lufan Wang, Abigail Shatkin-Margolis, Kenneth Covinsky, W John Boscardin, Anne M Suskind

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

Article in Neurourology and urodynamics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 15% 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

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

  1. Pooled it
  2. Review
  3. 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

7 authors at 2 institutions in 1 country.

Leo D DreyfussDepartment of Urology, Weill Cornell Medical Center, New York, New York, USA.ORCID http://orcid.org/0000-0002-8598-3653
Farnoosh Nik-AhdDepartment of Urology, University of California-San Francisco, San Francisco, California, USA.ORCID http://orcid.org/0000-0003-4726-9894
Lufan WangDepartment of Urology, University of California-San Francisco, San Francisco, California, USA.
Abigail Shatkin-MargolisDepartment of Obstetrics and Gynecology, University of California, San Francisco, California, USA.
Kenneth CovinskyDivision of Geriatrics, University of California-San Francisco, San Francisco, California, USA.
W John BoscardinDepartment of Epidemiology and Biostatistics, University of California-San Francisco, San Francisco, California, USA.
Anne M SuskindDepartment of Urology, University of California-San Francisco, San Francisco, California, USA.ORCID http://orcid.org/0000-0002-8437-3861
University of California, San Francisco · USCornell University · US

Funding

UCSF-Kaiser Urological Epidemiology Research Career Development ProgramK12DK111028 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HUANG, ALISON · 2016 to 2025
$5.3M
Promoting Multidisciplinary Clinical and Translational Science in Aging by Resident InvestigatorsR38AG070171 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Alison Huang, Ashwin Ajit Kotwal · 2021 to 2026
$1.8M
Optimizing surgical decision-making for nursing home residents undergoing surgery for bladder and bowel dysfunctionR01AG058616 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SUSKIND, ANNE M. · 2018 to 2021
$1.7M
NIA NIH HHS R01 AG058616NIA NIH HHS R38 AG070171NIDDK NIH HHS K12 DK111028NIH-NIA R01AG058616
6 · The paper itself

Abstract

aimsThere is limited evidence to support the efficacy of sacral neuromodulation (SNM) for older adults with overactive bladder (OAB). This study aims to report outcomes following SNM among nursing home (NH) residents, a vulnerable population with high rates of frailty and comorbidity.

methodsThis is a retrospective cohort study of long-stay NH residents who underwent a trial of percutaneous nerve evaluation (PNE) or Stage 1 permanent lead placement (Stage 1) between 2014 and 2016. Residents were identified using the Minimum Data Set linked to Medicare claims. The primary outcome of this study was successful progression from trial to implant. Rates of 1-year device explant/revisions were also investigated.

resultsTrial of SNM was observed in 1089 residents (mean age: 77.9 years). PNE was performed in 66.9% of residents and 33.2% underwent Stage 1. Of Stage 1 procedures, 23.8% were performed with simultaneous device implant (single-stage). Overall, 53.1% of PNEs and 72.4% of Stage 1 progressed to device implant, which was associated with Stage 1 procedure versus PNE (adjusted relative risk [aRR]: 1.34; 95% confidence interval [95% CI]: 1.21-1.49) and female versus male sex (aRR: 1.26; 95% CI: 1.09-1.46). One-year explant/revision was observed in 9.3% of residents (6.3% for PNE, 10.5% for Stage 1, 20.3% single-stage). Single stage procedure versus PNE was significantly associated with device explant/revision (aRR: 3.4; 95% CI: 1.9-6.2).

conclusionsIn this large cohort of NH residents, outcomes following SNM were similar to previous reports of younger healthier cohorts. Surgeons managing older patients with OAB should use caution when selecting patients for single stage SNM procedures.

Indexed as

Nursing HomesUrinary Bladder, OveractiveAgedAged, 80 and overElectric Stimulation TherapyFemaleHumansLumbosacral PlexusMaleRetrospective StudiesSacrumTreatment OutcomeUnited Statesfrailtyneuromodulationnursing homeolder adultsoveractive bladderpercutaneous nerve evaluationthird line therapy

Identifiers

PMID38624030
PMCPMC11338736
OpenAlexW4394835001

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.