Evidence map›Paper›PMID 40540031›Full record

ArticleInternational urogynecology journal2025

Fecal Incontinence Drives the Psychosocial Burden in Patients with Dual Incontinence.

Karla Rebullar, Delaney J Orcutt, Melissa R Kaufman, Roger R Dmochowski, Elisabeth M Sebesta

Abstract read
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. 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. Prevalence of Incontinence in the Black Women's Health Study.International urogynecology journal · 2026
    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

5 authors.

Karla RebullarVanderbilt University Medical Center, 1211 Medical Center North, Nashville, TN, 37232, USA. karla.rebullar@vumc.org.
Delaney J OrcuttVanderbilt University Medical Center, 1211 Medical Center North, Nashville, TN, 37232, USA.
Melissa R KaufmanVanderbilt University Medical Center, 1211 Medical Center North, Nashville, TN, 37232, USA.
Roger R DmochowskiVanderbilt University Medical Center, 1211 Medical Center North, Nashville, TN, 37232, USA.
Elisabeth M SebestaVanderbilt University Medical Center, 1211 Medical Center North, Nashville, TN, 37232, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisUrinary incontinence (UI) and fecal incontinence (FI) are debilitating conditions affecting patients' quality of life (QOL). Dual incontinence (DI) of both urine and stool represents an additional burden. We compare the physical and mental health of patients with UI, FI, and DI. We hypothesize that DI might be associated with increased psychosocial burden.

methodsPatients completed online questionnaires on sociodemographics, urinary and bowel symptoms, and psychosocial comorbidity. The Patient-Reported Outcomes Measurement Information System (PROMIS) measures physical and mental health, anxiety, depression, stress, and instrumental support was used to assess psychosocial burden. Responses including PROMIS measures were compared between those with no incontinence (NI), those with UI, those with FI, and those with DI.

resultsA total of 3620 respondents completed the study, the majority of whom were female (78%), and white (84%). Age and BMI were different among groups, with the DI group having the oldest mean age (54 years) and highest mean BMI (29 kg/m

conclusionsDual incontinence results in worse patient-reported physical and mental health, and higher psychosocial burden. In our cohort, it appears that the psychosocial burden may be largely driven by the FI component of DI. Thus, addressing FI in our patients with DI may help improve QOL.

Indexed as

Cost of IllnessFecal IncontinenceQuality of LifeUrinary IncontinenceAdultAgedAnxietyDepressionFemaleHumansMaleMiddle AgedPatient Reported Outcome MeasuresSurveys and QuestionnairesDual incontinenceFecal incontinencePsychosocial burdenUrinary incontinence

Identifiers

PMID40540031
PMCPMC12681451

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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.