Evidence map›Paper›PMID 40857750›Full record

ArticleThe Journal of urology2026

Understanding Barriers to Care for Urinary Incontinence Among a Contemporary Cohort of Women.

Karla Rebullar, Bryn Launer, Melissa R Kaufman, Roger R Dmochowski, Elisabeth M Sebesta

Abstract read
In one paragraph

Article in The Journal of urology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
  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, Nashville, Tennessee.ORCID 0009-0001-7361-6602
Bryn LaunerVanderbilt University Medical Center, Nashville, Tennessee.
Melissa R KaufmanVanderbilt University Medical Center, Nashville, Tennessee.
Roger R DmochowskiVanderbilt University Medical Center, Nashville, Tennessee.
Elisabeth M SebestaVanderbilt University Medical Center, Nashville, Tennessee.

Funding

Central Sensitization and Psychosocial Impacts on Overactive BladderR01DK128293 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI MCKERNAN, LINDSEY COLMAN, SEBESTA, ELISABETH M · 2021 to 2024
$2.0M
Stress and Anxiety Effects on Overactive Bladder: A Controlled StudyR01DK129624 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI MCKERNAN, LINDSEY COLMAN, SEBESTA, ELISABETH M · 2021 to 2025
$2.0M
NIDDK NIH HHS R01 DK128293NIDDK NIH HHS R01 DK129624
6 · The paper itself

Abstract

purposeUrinary incontinence (UI) affects half of adult women in the United States. The aim of this study was to investigate barriers for women to seek medical care for UI and to evaluate patient factors associated with delaying care. MATERIALS AND

methodsAdult women with any type and severity of UI were recruited from our clinic and from the local area via ResearchMatch to complete questionnaires on demographics, urinary symptoms, and barriers to care for UI. Multivariable logistic regression was used to assess for association between patient characteristics, symptom severity, and delaying care.

resultsA total of 1004 respondents completed the study. Median age was 47 years, and most were White, non-Hispanic (68%). A total of 514 (51%) women reported delaying seeking care for UI for any reason, citing cost of treatment (51%) as the most common reason, followed by thinking the condition was not treatable (48%) and fear (27%). Women who delayed care were more likely to report several comorbidities, had significantly worse UI severity, and had worse bladder-specific quality of life compared with those who did not delay seeking care. White race, multiparity, working full-time, and living in a rural area were associated with delaying care, medical treatment, or surgical treatment for UI.

conclusionsMost women in our study reported delaying seeking care, treatment, or surgery for UI. Findings from this study highlight an emphasis on patient education, telehealth, and community outreach to foster health care-seeking behavior.

Indexed as

Health Services AccessibilityPatient Acceptance of Health CareUrinary IncontinenceAdultAgedCohort StudiesFemaleHumansMiddle AgedSeverity of Illness IndexSurveys and Questionnairesbarriers to carefemale incontinencestress incontinenceurge incontinenceurinary incontinence

Identifiers

PMID40857750
PMCPMC13482499

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.