Evidence map›Paper›PMID 39453198›Full record

ArticleToxins2024

Real-World Use of Intradetrusor Botulinum Toxin Injections: A Population-Based Study from France.

Alain Ruffion, Pierre Karam, Anne Forestier, Pierre Denys

Abstract read
In one paragraph

Article in Toxins, 2024. 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
–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

6 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. 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

4 authors.

Alain RuffionDepartment of Urology, Hospices Civils de Lyon, Lyon Sud Hospital, 69495 Pierre-Bénite, France.ORCID 0000-0003-0512-3459
Pierre KaramPKCS, 69130 Ecully, France.ORCID 0000-0002-0631-8541
Anne ForestierIpsen, 92100 Boulogne-Billancourt, France.
Pierre DenysNeuro-Uro-Andrology Department, Raymond Poincaré Hospital, 92380 Garches, France.ORCID 0000-0002-4831-6499

Funding

Ipsen (France) Not applicable
6 · The paper itself

Abstract

In recent decades, intradetrusor injections of botulinum toxin A (BoNT-A) have been widely applied to treat incontinence in both idiopathic overactive bladder (iOAB) and neurogenic detrusor overactivity incontinence (NDOI). This analysis, based on the French National Hospital Discharge Database (PMSI), aims to describe real-world trends in intradetrusor BoNT-A use between 2014 and 2022. Among 32,864 patients who received at least one intradetrusor BoNT-A injection, 18,320 (55.7%) had conditions coded under iOAB, 13,376 (40.7%) under NDOI, and 1168 (3.6%) under other indications. The overall mean interval between two intradetrusor BoNT-A injections was 9.7 months, ranging from 8.7 months in patients with multiple sclerosis (MS) to 11.5 months in patients with cerebral pathologies. The median number of injections was two (quartile 1-quartile 3, 1-4) in patients with spina bifida, whereas it was five (2-10) in those with MS. Only 31% of patients with iOAB received more than two intradetrusor BoNT-A injections. Regardless of its indication, BoNT-A was well tolerated. Adverse events occurring during or requiring hospitalization included infections (3.8%), hematuria (0.53%), and bleeding episodes necessitating transfusions (0.11%), all recorded within the initial month following BoNT-A injection. Our analysis of the PMSI database highlights a broad spectrum of intradetrusor BoNT-A injection practices.

Indexed as

Botulinum Toxins, Type AUrinary Bladder, OveractiveAdultAgedDatabases, FactualFemaleFranceHumansMaleMiddle AgedNeuromuscular AgentsUrinary Bladder, NeurogenicUrinary IncontinenceYoung AdultBotulinum Toxins, Type ANeuromuscular Agentsbotulinum toxincare pathwayintradetrusorneurological disordersoveractive bladder

Identifiers

PMID39453198
PMCPMC11511096

What OpenQuestion holds

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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.