Evidence map›Paper›PMID 40298956›Full record

ArticleInternational urogynecology journal2025

Specialist Practices for Managing Persons Living with Dementia and Urinary Incontinence.

Shweta A Chawla, Krista L Harrison, Louise C Walter, Veronica Yank, Lufan Wang, Anne M Suskind

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in International urogynecology journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Shweta A ChawlaSchool of Medicine, University of California, San Francisco, 533 Parnassus Ave, San Francisco, CA, USA. shweta.chawla@ucsf.edu.ORCID 0000-0003-3333-5475
Krista L HarrisonDivision of Geriatrics, Department of Medicine, University of California, San Francisco, San Francisco, CA, USA.
Louise C WalterDivision of Geriatrics, Department of Medicine, University of California, San Francisco, San Francisco, CA, USA.
Veronica YankDivision of General Internal Medicine, Department of Medicine, University of California, San Francisco, San Francisco, CA, USA.
Lufan WangDepartment of Urology, University of California, San Francisco, San Francisco, CA, USA.
Anne M SuskindDepartment of Urology, University of California, San Francisco, San Francisco, CA, USA.

Funding

VARC CoreP30AG044281 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Louise C. Walter · 2013 to 2026
$19.9M
Risk determination and prognostication for older and frail older adults undergoing advanced treatments for overactive bladderR01AG082642 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Anne M. Suskind · 2024 to 2026
$1.3M
Palliative Care for People Living at Home with Advancing Dementia and Their CaregiversK01AG059831 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HARRISON, KRISTA LYN · 2019 to 2023
$720k
Determinants of outcomes for older and frail older adults with refractory overactive bladderR56AG076501 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SUSKIND, ANNE M. · 2023 to 2023
$474k
NIA NIH HHS K01 AG059831NIA NIH HHS P30 AG044281NIA NIH HHS R01 AG082642NIA NIH HHS R56 AG076501
6 · The paper itself

Abstract

introduction and hypothesisAlthough persons living with dementia (PLWD) often experience urinary incontinence (UI), little is known about physician practice patterns across specialties treating these individuals. This study is aimed at assessing practice patterns across urologists, gynecologists, and geriatricians to highlight opportunities to support PLWD with UI and their caregivers.

methodsA vignette-based questionnaire was developed and sent to the members of the Society of Urodynamics, Female Pelvic Medicine & Urogenital Reconstruction (SUFU), the American Urogynecologic Society (AUGS), and the American Geriatrics Society (AGS) in this cross-sectional study. ANOVA and Chi-squared tests were used to compare responses between urologists, gynecologists, and geriatricians. Thematic analysis generated inductive themes from free-text responses.

resultsThe 273 respondents included 55 urologists, 173 gynecologists, and 45 geriatricians in the SUFU, AUGS, and AGS. Gynecologists and urologists were more likely to endorse treating PLWD with UI with beta-3 adrenergic receptor agonists and percutaneous tibial nerve stimulation and less likely to endorse discontinuing cholinesterase inhibitors than geriatricians (all p < 0.05). Geriatricians were more likely to agree with alleviating caregiver burden than urologists or gynecologists (all p < 0.05). Overall, 37% of urologists, 29% of gynecologists, and 61% of geriatricians felt prepared to care for these patients (p < 0.05). Thematic analysis of responses revealed four themes: medication changes, further work-up of symptoms, nonmedical care, and procedural interventions.

conclusionsThis study identified differences in practice patterns between urologists, gynecologists, and geriatricians treating PLWD and UI, highlighting opportunities for cross-disciplinary learning to better care for these patients and their caregivers.

Indexed as

DementiaGynecologyPractice Patterns, Physicians'Urinary IncontinenceUrologyAdultAgedCaregiversCross-Sectional StudiesFemaleGeriatriciansGeriatricsHumansMaleMiddle AgedSurveys and QuestionnairesDementiaPatient managementPhysician practicesUrinary incontinence

Identifiers

PMID40298956
PMCPMC12356740

What OpenQuestion holds

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LicenceCC BY
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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.