Evidence map›Paper›PMID 41913593›Full record

Observational studyNeurourology and urodynamics2026

Trends and Racial/Ethnic Disparities in Pharmacologic and Surgical Management of Treated Female Patients With Urinary Incontinence.

Rawan O Almadfaa, Patricia R Wigle, Alex C Lin, Angelica Hardee, Jeff J Guo, Ana L Hincapie

Abstract readObservational Study
In one paragraph

Observational study in Neurourology and urodynamics, 2026. 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

6 authors.

Rawan O AlmadfaaDepartment of Pharmacy Practice, Faculty of Pharmacy, King Abdulaziz University, Jeddah, Saudi Arabia.ORCID https://orcid.org/0000-0002-8751-7648
Patricia R WigleDivision of Pharmacy Practice & Administrative Sciences, James L. Winkle College of Pharmacy, University of Cincinnati, Cincinnati, Ohio, USA.
Alex C LinDivision of Pharmacy Practice & Administrative Sciences, James L. Winkle College of Pharmacy, University of Cincinnati, Cincinnati, Ohio, USA.
Angelica HardeeSchool of Human Services, University of Cincinnati, Cincinnati, Ohio, USA.
Jeff J GuoDivision of Pharmacy Practice & Administrative Sciences, James L. Winkle College of Pharmacy, University of Cincinnati, Cincinnati, Ohio, USA.
Ana L HincapieDivision of Pharmacy Practice & Administrative Sciences, James L. Winkle College of Pharmacy, University of Cincinnati, Cincinnati, Ohio, USA.

Funding

King Abdulaziz University
6 · The paper itself

Abstract

backgroundThe current literature summarizes the trends in the surgical management of stress urinary incontinence (SUI) and not the general trends of management for all UI types in the US. Additionally, recent evidence on racial and ethnic disparities in UI related surgical utilization is limited.

objectiveTo describe the currently prescribed and performed therapeutic and surgical treatments, and to assess racial and ethnic disparities in receiving treatment for female patients with urinary incontinence (UI).

designA retrospective observational study. PARTICIPANTS AND MEASURES: We used a University Medical Center electronic health care data from 2012 to 2022. We included females ≥ 18 years old diagnosed with stress, urge, or mixed UI, who received at least one pharmacologic or surgical treatment of interest. Our primary outcome was the frequency of the medications (Antimuscarinics and b3-adrenergic agonists) and surgical (sling, Burch, bulking agent surgeries) treatment for female patients with UI. Racial and ethnic disparities in receiving treatment were also assessed using logistic regressions.

resultsA total of 138,752 female patients were diagnosed with UI from 2012 to 2022. Oxybutynin was the most frequently prescribed medication in this study, with 77,920 prescriptions, followed by mirabegron with 48,052 prescriptions. A total of 23,898 UI surgeries were performed. Of these, sling accounted for 78.10%, then bulking agent surgery (15.7%) and Burch (6.83%). Blacks or African Americans (OR: 0.814, p: < 0.0001) and Asians (OR: 0.865, p: 0.0228) had lower odds of receiving UI procedures compared to Whites. Blacks or African Americans were also more likely to get oxybutynin and less likely to get mirabegron to treat UI compared to Whites. Also, Ethnic disparities exist in receiving treatment.

conclusionSling was consistently the most performed surgery every year for female patients with UI. Oxybutynin and mirabegron were the most prescribed medications. Racial and ethnic health disparities were shown in receiving treatment.

Indexed as

Healthcare DisparitiesUrinary IncontinenceUrinary Incontinence, StressUrologic Surgical ProceduresAcetanilidesAdrenergic beta-3 Receptor AgonistsAdultAgedBlack or African AmericanEthnicityFemaleHumansMandelic AcidsMiddle AgedMuscarinic AntagonistsRetrospective StudiesAcetanilidesAdrenergic beta-3 Receptor AgonistsMandelic AcidsmirabegronMuscarinic AntagonistsoxybutyninThiazolesUrological Agentsethnic disparitiesfemale urinary incontinencemirabegronoxybutyninracial disparitiessling

Identifiers

PMID41913593
PMCPMC13387951

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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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 Socratic graph.