Evidence map›Paper›PMID 40406859›Full record

ArticleInternational journal of urology : official journal of the Japanese Urological Association2025

Prevalence, Impact on Quality of Life, and Predictive Factors of Co-Existent Overactive-Underactive Bladder in Women.

Noritoshi Sekido, Kenji Omae, Nobuhiro Haga, Yasue Kubota, Motoaki Saito, Ryuji Sakakibara, Mikako Yoshida, Takahiko Mitsui, Naoya Masumori, Satoru Takahashi

Abstract read
In one paragraph

Article in International journal of urology : official journal of the Japanese Urological Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

10 authors.

Noritoshi SekidoEpidemiological Survey Executive Committee, The Japanese Continence Society, Chiyoda, Japan.ORCID https://orcid.org/0000-0002-0169-4783
Kenji OmaeEpidemiological Survey Executive Committee, The Japanese Continence Society, Chiyoda, Japan.
Nobuhiro HagaEpidemiological Survey Executive Committee, The Japanese Continence Society, Chiyoda, Japan.ORCID https://orcid.org/0000-0003-3618-5214
Yasue KubotaEpidemiological Survey Executive Committee, The Japanese Continence Society, Chiyoda, Japan.
Motoaki SaitoEpidemiological Survey Executive Committee, The Japanese Continence Society, Chiyoda, Japan.ORCID https://orcid.org/0000-0002-2962-1607
Ryuji SakakibaraEpidemiological Survey Executive Committee, The Japanese Continence Society, Chiyoda, Japan.
Mikako YoshidaEpidemiological Survey Executive Committee, The Japanese Continence Society, Chiyoda, Japan.
Takahiko MitsuiEpidemiological Survey Executive Committee, The Japanese Continence Society, Chiyoda, Japan.ORCID https://orcid.org/0000-0003-0408-3678
Naoya MasumoriEpidemiological Survey Executive Committee, The Japanese Continence Society, Chiyoda, Japan.ORCID https://orcid.org/0000-0001-6324-0739
Satoru TakahashiEpidemiological Survey Executive Committee, The Japanese Continence Society, Chiyoda, Japan.ORCID https://orcid.org/0000-0002-0819-9478

Funding

The Japanese Continence Society
6 · The paper itself

Abstract

objectivesTo investigate the prevalence, impact on health-related quality of life (HRQOL), and predictive factors of co-existent overactive-underactive bladder (COUB) in women.

methods3088 Japanese women aged ≥ 20 years responding to a nationwide internet survey on lower urinary tract symptoms (LUTS) were included. Participants were divided into COUB, overactive bladder (OAB) alone, underactive bladder (UAB) alone, and non-OAB/UAB groups based on the OAB symptom score and the International Continence Society-Working Group definition of UAB. In addition to the prevalence, we assessed each group's HRQOL and physician visit rates. We further explored predictors of COUB as well as OAB and UAB using multinomial logistic regression analysis.

resultsThe prevalences of COUB, OAB alone, and UAB alone were 1.6%, 8.2%, and 2.4%, respectively, and all increased significantly with age. The proportions of COUB in OAB and UAB overall were 16.4% and 40.7%, respectively. The proportions of participants who responded that their HRQOL was affected and those visiting physicians were both highest in the COUB group. Multinomial logistic regression analysis showed that age, frailty, neurological disorders, anorectal dysfunction, pelvic organ prolapse, and parity (≥ 3) were independent predictors for COUB, of which age, neurological disorders, and parity were exclusively associated with COUB.

conclusionsAlthough not highly prevalent, COUB may have a significant impact on adult women, especially frail and multimorbid elderly women. More attention should be paid to this unique condition for optimal LUTS management.

Indexed as

Lower Urinary Tract SymptomsQuality of LifeUrinary Bladder, OveractiveAdultAgedAged, 80 and overAge FactorsCross-Sectional StudiesFemaleHumansJapanMiddle AgedPrevalenceRisk FactorsSurveys and QuestionnairesYoung Adultco‐existent overactive‐underactive bladderepidemiologyoveractive bladderquality of lifeunderactive bladder

Identifiers

PMID40406859
PMCPMC12410130

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.