Evidence map›Paper›PMID 41385082›Full record

ArticleInternational urogynecology journal2026

Intradetrusor OnabotulinumtoxinA Safety and Efficacy in Patients 80 Years and Older: A Retrospective Cohort Study.

Faith E Dunn, Bayley Clarke, Annemarie Newark, Arthur C Arcaz, Nancy Ringel, Alexis A Dieter, Katherine L Woodburn

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In one paragraph

Article in International urogynecology journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

7 authors.

Faith E DunnDepartment of Obstetrics and Gynecology, Medical University of South Carolina, 96 Jonathan Lucas St Suite 639, Charleston, SC, USA. Faithedunn24@gmail.com.
Bayley ClarkeSection of Female Pelvic Medicine and Reconstructive Surgery, MedStar Washington Hospital Center/Georgetown University, Washington, DC, USA.
Annemarie NewarkDepartment of Obstetrics and Gynecology, Cleveland Clinic Akron General, Akron, OH, USA.
Arthur C ArcazObstetrics, Gynecology and Reproductive Science, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Nancy RingelDivision of Urogynecology & Reconstructive Pelvic Surgery, Yale School of Medicine, New Haven, CT, USA.
Alexis A DieterSection of Female Pelvic Medicine and Reconstructive Surgery, MedStar Washington Hospital Center/Georgetown University, Washington, DC, USA.
Katherine L WoodburnSection of Female Pelvic Health, Atrium Health Wake Forest Baptist/Wake Forest University School of Medicine, Winston-Salem, NC, USA.

Funding

Institutional Career Development CoreKL2TR001862 · NCATS · YALE UNIVERSITY · PI CANTLEY, LLOYD G, EDELMAN, E. JENNIFER · 2016 to 2025
$12.2M
NCATS NIH HHS KL2 TR001862
6 · The paper itself

Abstract

introduction and hypothesisOveractive bladder (OAB) has higher prevalence and increased morbidity in older people. Owing to side effects and inefficacy of OAB medications, patients frequently choose onabotulinumtoxin A intradetrusor injections (BTX-A). There is limited research investigating efficacy and adverse event (AE) rates of BTX-A in older female populations. Our objective was to evaluate rates of BTX-A discontinuation, treatment failure, UTI, and retention in women ≥ 80 compared to younger cohorts.

methodsThis retrospective cohort study included a convenience sample of women who underwent in-office BTX-A for OAB between 1/2014 and 12/2020. Data was analyzed with Kruskal-Wallis, ANOVA, chi-square, and Fisher's exact tests.

resultsOverall, 547 women were included with 215 (39%) < 65 years old, 249 (46%) 65-79, and 83 (15%) ≥ 80. When comparing age cohorts, rate of BTX-A discontinuation increased with age (54% at < 65, 58% 65-79, 72% ≥ 80, p = 0.01) with no significant difference in discontinuation due to ineffectiveness (19% < 65, 28% 65-79, 23% ≥ 80, p = 0.22). Those < 65 had the lowest rate of UTI (19%), but UTI rate was the same for women 65-79 (29%) and ≥ 80 (29%, p < 0.01). Rates of retention were highest in women 65-79 (8% < 65, 17% 65-79, 8% ≥ 80, p = 0.01).

conclusionsWomen ≥ 80 years old were most likely to discontinue BTX-A but discontinuing for ineffectiveness was the same regardless of age. Women > 65 are more likely to experience UTI after BTX-A; however, AEs do not significantly increase in women ≥ 80 years old, making BTX-A a good option in elderly patients.

Indexed as

Acetylcholine Release InhibitorsBotulinum Toxins, Type AUrinary Bladder, OveractiveAdministration, IntravesicalAgedAged, 80 and overAge FactorsFemaleHumansMiddle AgedRetrospective StudiesTreatment FailureTreatment OutcomeUrinary RetentionUrinary Tract InfectionsAcetylcholine Release InhibitorsBotulinum Toxins, Type Aonabotulinum toxin AAdverse eventsElderlyOnabotulinumtoxinAOveractive bladderUrge incontinence

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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.