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6. Symptoms of Lower Urinary Tract Dysfunction Research Network (LURN): An introduction to the Urinary Urgency Phenotyping Protocol LURN II.

Author

Cameron, Anne P., Yang, Claire C., Bradley, Catherine S., Griffith, James W., Kirkali, Ziya, Clemens, J. Quentin, Kreder, Karl J., Kenton, Kimberly S., Andreev, Victor P., Amundsen, Cindy L., Jelovsek, J. Eric, Helfand, Brian T., and Lai, H. Henry

Subjects
URINARY urge incontinence, URINARY organs, PLANNING techniques, RESEARCH methodology, SYMPTOMS
Abstract

Aims: The Symptoms of Lower Urinary Tract Dysfunction Research Network (LURN) is undertaking a new cohort study in LURN II including cases and controls. Methods: This new cohort was enrolled to specifically study urinary urgency and urgency urinary incontinence, lower urinary tract symptoms (LUTSs) that are often difficult to treat due to a lack of understanding of their phenotypes and pathophysiologies. Results: This paper will focus on the motivation for the second iteration of LURN and highlight the new research techniques and plans for more thorough phenotyping of this population. Conclusions: This paper will outline the gaps in understanding in treating LUTSs, specifically urinary urgency. [ABSTRACT FROM AUTHOR]

Published
2024
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7. Trustworthiness criteria for meta‐analyses of randomized controlled studies: OBGYN Journal guidelines.

Author

Abbott, Jason, Acharya, Ganesh, Aviram, Amir, Barnhart, Kurt, Berghella, Vincenzo, Bradley, Catherine S., Chescheir, Nancy, D'Hooghe, Thomas, Geary, Michael, Gupta, Janesh, Kagan, Karl Oliver, Odibo, Anthony, Papageorghiou, Aris, Sanchez‐Ramos, Luis, Santillan, Donna, Stringer, Elizabeth, Tulandi, Togas, and Modesitt, Susan C.

Subjects
LITERATURE reviews, TRUST, FALSE positive error, ODD numbers, QUALITY control
Abstract

The article discusses the establishment of trustworthiness criteria for meta-analyses of randomized controlled trials (RCTs) in the field of obstetrics and gynecology. Editors of OBGYN journals collaborated to develop quality criteria for RCTs, aiming to exclude low-quality or fabricated studies from meta-analyses. The criteria include aspects such as registration, ethical approval, adherence to CONSORT guidelines, and data sharing. Authors conducting meta-analyses are encouraged to confirm these criteria for each RCT and report only high-quality studies in their analyses to ensure the integrity and reliability of the results. [Extracted from the article]

Published
2024
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11. Ecological momentary assessment of pelvic pain and urinary urgency variability in urologic chronic pelvic pain syndrome and their association with illness impact and quality of life: Findings from the multidisciplinary approach to the study of chronic pelvic pain symptom patterns study

Author

Erickson, Bradley A., Griffith, James W., Wensheng, Guo, Mengying, You, Herman, Ted, Bradley, Catherine S., Quentin Clemens, J., Farrar, John T., Gupta, Priyanka, Kreder, Karl J., Henry Lai, H., Naliboff, Bruce D., Newman, Diane K., Rodriguez, Larissa V., Spitznagle, Theresa, Sutcliffe, Siobhan, Sutherland, Suzette E., Taple, Bayley J., and Richard Landis, J.

Subjects
ECOLOGICAL momentary assessments (Clinical psychology), PELVIC pain, INTERSTITIAL cystitis, PAIN measurement, CHRONIC pain, QUALITY of life, SYMPTOMS
Abstract

Purpose: This study tested the hypothesis that ecological momentary assessment (EMA) of pelvic pain (PP) and urinary urgency (UU) would reveal unique Urologic Chronic Pelvic Pain Syndrome (UCPPS) phenotypes that would be associated with disease specific quality of life (QOL) and illness impact metrics (IIM). Materials and Methods: A previously validated smart phone app (M‐app) was provided to willing Multidisciplinary Approach to the Study of Chronic Pelvic Pain (MAPP) participants. M‐app notifications were sent 4‐times daily for 14 days inquiring about PP and UU severity. A clustering algorithm that accounted for variance placed participants into PP and UU variability? clusters. Associations between clusters and QOL and IIM were then determined. Results: A total of 204 participants enrolled in the M‐app study (64% female). M‐app compliance was high (median 63% of surveys). Cluster analysis revealed k = 3 (high, low, none) PP clusters and k = 2 (high, low) UU clusters. When adjusting for baseline pain severity, high PP variability, but not UU variability, was strongly associated with QOL and IIM; specifically worse mood, worse sleep and higher anxiety. UU and PP clusters were associated with each other (p < 0.0001), but a large percentage (33%) of patients with high PP variability had low UU variability. Conclusions: PP variability is an independent predictor of worse QOL and more severe IIM in UCPPS participants after controlling for baseline pain severity and UU. These findings suggest alternative pain indices, such as pain variability and unpredictability, may be useful adjuncts to traditional measures of worst and average pain when assessing UCPPS treatment responses. [ABSTRACT FROM AUTHOR]

Published
2024
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17. A Case-Crossover Study of Urological Chronic Pelvic Pain Syndrome Flare Triggers in the MAPP Research Network

Author

Sutcliffe, Siobhan, Jemielita, Thomas, Lai, H. Henry, Andriole, Gerald L., Bradley, Catherine S., Clemens, J. Quentin, Gallop, Robert, Hooton, Thomas M., Kreder, Karl J., Krieger, John N., Kusek, John W., Labus, Jennifer, Lucia, M. Scott, Mackey, Sean, Naliboff, Bruce D., Robinson, Nancy A., Rodriguez, Larissa V., Stephens-Shields, Alisa, van Bokhoven, Adrie, Wolin, Kathleen Y., Yan, Yan, Yang, Claire C., Landis, J. Richard, and Colditz, Graham A.

Published
2018
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20. Naturalistic Bladder Filling Reveals Subtypes in Overactive Bladder Syndrome That Differentially Engages Urinary Urgency-Related Brain Circuits: Results From the Symptoms of Lower Urinary Tract Dysfunction Research Network (LURN).

Author

Mawla, Ishtiaq, Schrepf, Andrew, Kutch, Jason J., Helmuth, Margaret E., Smith, Abigail R., Ichesco, Eric, Yang, Claire C., Andreev, Victor P., Kreder, Karl J., Bradley, Catherine S., Magnotta, Vincent A., Kirkali, Ziya, Harris, Richard E., Lai, H. Henry, and High, Rachel A.

Abstract

Purpose: Overactive bladder (OAB) may be attributed to dysfunction in supraspinal brain circuits. Overactive bladder participants enrolled in the LURN (Symptoms of Lower Urinary Tract Dysfunction Research Network) study reported sensations of urinary urgency during a bladder-filling paradigm while undergoing brain functional MRI to map supraspinal dysfunction. Materials and Methods: OAB participants and controls (CONs) completed 2 resting-state functional MRI scans following consumption of 350 mL water. Scans were conducted at fuller and emptier bladder states, interleaved with voiding. Urgency ratings (0-10) were assessed. Patterns of urgency during bladder filling were investigated using latent class trajectory models. Clusters of participants encompassing each pattern (ie, subtype) were derived from aggregated groups of OAB and CON independent of diagnosis. Results: Two distinct patterns of urgency trajectories were revealed: first subtype with OAB and CON who were unresponsive to bladder filling (OAB-1 and CON-1) and second highly responsive subtype predominantly containing OAB (OAB-2). OAB-2 participants scored significantly higher on urinary symptoms but not pain or psychosocial measures. Neuroimaging analyses showed change in urgency due to both bladder filling and voided volume related to multiple loci of brain network connectivity in OAB-2, and in some cases, different than OAB-1 and/or CON-1. Sensorimotor to dorsomedial/dorsolateral prefrontal connectivity mediated the relationship between stimulus (voided volume) and percept (urgency) in OAB-2. Conclusions: Our results reveal different OAB subtypes with latent class trajectory models of urgency ratings during natural bladder filling. Functional MRI revealed differences in pathophysiology between subtypes, namely sensorimotor-prefrontal connectivity is a key locus in OAB patients with higher urinary symptoms. [ABSTRACT FROM AUTHOR]

Published
2024
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21. Believing women: a qualitative exploration of provider disbelief and pain dismissal among women with interstitial cystitis/bladder pain syndrome from the MAPP research network.

Author

Brown, Victoria L., James, Aimee, Hunleth, Jean, Bradley, Catherine S., Farrar, John T., Gupta, Priyanka, Lai, H. Henry, Lowder, Jerry L., Moldwin, Robert, Rodriguez, Larissa V., Yang, Claire C., and Sutcliffe, Siobhan

Subjects
INTERSTITIAL cystitis, PATIENTS' attitudes, PHYSICIAN-patient relations, WOMEN physicians, PATIENT experience, ALTERNATIVE medicine, HEALTH behavior
Abstract

Introduction and hypothesis: Although allusions to the importance of a good physician–patient relationship are present throughout the interstitial cystitis/bladder pain syndrome (IC/BPS) literature, qualitative analysis of patients' perspectives on the clinical encounter is lacking, particularly among women who are most commonly affected by IC/BPS. Therefore, we adopted a patient-centered experiential approach to understanding female patients' perception of clinical encounters. Methods: We re-analyzed previously collected data from a qualitative study on patient flare experiences including eight focus groups of female IC/BPS patients (n = 57, mean = 7/group). Qualitative analysis applied grounded theory to index all physician–patient interactions, then thematically coded these interactions to elucidate common experiences of clinical encounters. Results: Women with IC/BPS shared common experiences of provider disbelief and pain dismissal. Discussions with participants demonstrated the extent to which these negative encounters shape patients' health care-seeking behavior, outlook, and psychosocial well-being. Appearing in more than one guise, provider disbelief and dismissal occurred as tacit insinuations, explicit statements, silence, oversimplification, and an unwillingness to listen and discuss alternative treatment. As a result, women adopted several strategies including: rotating specialists; "testing" physicians; self-advocacy; self-management; avoiding the stigma of chronic pain; crying; and opting for alternative medicine over biomedicine. Conclusions: The prevalence of provider disbelief and pain dismissal among women with IC/BPS indicates a need to improve physician–patient communication, informed by the struggles, anxieties, and gendered inequities that female patients with chronic pain experience in their diagnostic journey. Results suggest that further investigation into the power dynamics of clinical encounters might be required. [ABSTRACT FROM AUTHOR]

Published
2024
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25. Twelve Month Outcomes of Pelvic Organ Prolapse Surgery in Patients With Uterovaginal or Posthysterectomy Vaginal Prolapse Enrolled in the Multicenter Pelvic Floor Disorders Registry.

Author

Ferrando, Cecile A., Bradley, Catherine S., Meyn, Leslie A., Brown, Heidi W., Moalli, Pamela A., Heisler, Christine A., Murarka, Shivani M., Foster, Raymond T., Chung, Doreen E., Whitcomb, Emily L., Gutman, Robert E., Andy, Uduak U., Shippey, Stuart H., Anger, Jennifer, and Yurteri-Kaplan, Ladin A.

Published
2023
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27. Relationship between Chronic Nonurological Associated Somatic Syndromes and Symptom Severity in Urological Chronic Pelvic Pain Syndromes: Baseline Evaluation of the MAPP Study

Author

Clemens, J. Quentin, Hanno, Philip, Kirkali, Ziya, Kusek, John W., Landis, J. Richard, Lucia, M. Scott, Mullins, Chris, Pontari, Michel A., Klumpp, David J., Schaeffer, Anthony J., Apkarian, Apkar (Vania), Cella, David, Farmer, Melissa A., Fitzgerals, Colleen, Gershon, Richard, Griffith, James W., Heckman, Charles J., II, Jiang, Mingchen, Keeper, Laurie, Parrish, Todd, Tu, Frank, Marko, Darlene S., Mayer, Emeran A., Rodríguez, Larissa V., Alger, Jeffry, Ashe-McNalley, Cody P., Ellingson, Ben, Kilpatrick, Lisa, Kutch, Jason, Labus, Jennifer S., Naliboff, Bruce D., Heendeniya, Nuwanthi, Randal, Fornessa, Smith, Suzanne R., Kreder, Karl J., Bradley, Catherine S., Luo, Yi, Lutgendorf, Susan K., O'Donnell, Michael A., Eno, Mary, Greiner, Kris, Ziegler, Barbara, Clauw, Daniel J., As-Sanie, Suzie, Harris, Richard, Harte, Steve, Oldendorf, Ann, Williams, David A., Berry, Sandra, Halvorson, Megan E., Ichesco, Eric, Scott, Katherine A., Buchwald, Dedra, Afari, Niloofar, Krieger, John, Miller, Jane, Strachan, Eric, Yang, Claire C., Richey, Stephanie, Ross, Susan O., Spiro, Roberta, Sundsvold, T.J., Andriole, Gerald L., Lai, H. Henry, Bristol, Rebecca L., Gardner, Vivien C., Colditz, Graham, Deutsch, Georg, Gereau, Robert W., Henderson, Jeffrey P., Hone, Barry A., Hooton, Thomas M., Ness, Timothy J., North, Carol S., Sutcliffe, Siobhan, Spitznagle, Theresa M., Robinson, Nancy, Stephens, Alisa, Barrell, Ted, Hou, Xiaoling, Howard, Tamara, Wang, Yanli, van Bokhoven, Andrie, Jonscher, Karen R., Osypuk, Andrea A., Dayton, Robert, Jr., Sullivan, Holly T., Wilson, R. Storey, Ehrlich, Garth D., Moses, Marsha A., Briscoe, David, Froehlich, John, Lee, Richard S., Solomon, Keith R., Steen, Hanno, Briscoe, Andrew C., Curatolo, Adam, Sachdev, Monisha, Mackey, Sean, Bagarinao, Epifanio, Johnson, Kevin A., Martucci, Katherine T., Foster, Lauren C., McCue, Rebecca L., Moericke, Rachel R., Nilakantan, Aneesha, Noor, Noorulain, Nickel, J. Curtis, Bavendam, Tamara G., Krieger, John N., Stephens, Alisa J., Kreder, Karl, Rodríguez, Larissa, and Schaeffer, Anthony

Published
2015
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35. Clinically Important Differences for Pain and Urinary Symptoms in Urological Chronic Pelvic Pain Syndrome: A MAPP Network Study.

Author

Stephens-Shields, Alisa J., Lai, H. Henry, Landis, J. Richard, Kreder, Karl, Rodriguez, Larissa V., Naliboff, Bruce D., Afari, Niloofar, Sutcliffe, Siobhan, Moldwin, Robert, Griffith, James W., Clemens, J. Quentin, Bradley, Catherine S., Quallich, Susan, Gupta, Priyanka, Harte, Steven E., and Farrar, John T.

Subjects
PROSTATITIS, INTERSTITIAL cystitis, PELVIC pain, CHRONIC pain, RECEIVER operating characteristic curves, SYMPTOMS
Abstract

Purpose: Symptom heterogeneity in interstitial cystitis/bladder pain syndrome and chronic prostatitis/chronic pelvic pain syndrome, collectively termed urological chronic pelvic pain syndrome, has resulted in difficulty in defining appropriate clinical trial endpoints. We determine clinically important differences for 2 primary symptom measures, pelvic pain severity and urinary symptom severity, and evaluate subgroup differences. Materials and Methods: The Multidisciplinary Approach to the Study of Chronic Pelvic Pain Symptom Patterns Study enrolled individuals with urological chronic pelvic pain syndrome. We defined clinically important differences by associating changes in pelvic pain severity and urinary symptom severity over 3 to 6 months with marked improvement on a global response assessment using regression and receiver operating characteristic curves. We evaluated clinically important differences for absolute and percent change and examined differences in clinically important differences by sex-diagnosis, presence of Hunner lesions, pain type, pain widespreadness, and baseline symptom severity. Results: An absolute change of -4 was clinically important in pelvic pain severity among all patients, but clinically important difference estimates differed by pain type, presence of Hunner lesions, and baseline severity. Pelvic pain severity clinically important difference estimates for percent change were more consistent across subgroups and ranged from 30% to 57%. The absolute change urinary symptom severity clinically important difference was -3 for female participants and -2 for male participants with chronic prostatitis/ chronic pelvic pain syndrome only. Patients with greater baseline severity required larger decreases in symptoms to feel improved. Estimated clinically important differences had lower accuracy among participants with low baseline symptoms. Conclusions: A reduction of 30%-50% in pelvic pain severity is a clinically meaningful endpoint for future therapeutic trials in urological chronic pelvic pain syndrome. Urinary symptom severity clinically important differences are more appropriately defined separately for male and female participants. [ABSTRACT FROM AUTHOR]

Published
2023
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39. Associations Between Urological Chronic Pelvic Pain Syndrome Symptom Flares, Illness Impact, and Health Care Seeking Activity: Findings From the Multidisciplinary Approach to the Study of Chronic Pelvic Pain Symptom Patterns Study.

Author

Sutcliffe, Siobhan, Newcomb, Craig, Bradley, Catherine S., Quentin Clemens, J., Erickson, Bradley, Gupta, Priyanka, Henry Lai, H., Naliboff, Bruce, Strachan, Eric, and Stephens-Shields, Alisa

Subjects
INTERSTITIAL cystitis, PROSTATITIS, PELVIC pain, MEDICAL care, CHRONIC pain, SYMPTOMS, SYNDROMES
Abstract

Purpose: Most studies on interstitial cystitis/bladder pain syndrome and chronic prostatitis/chronic pelvic pain syndrome use typical or average levels of pelvic pain or urological symptom intensity as their outcome, as both are associated with reduced quality of life. Symptom exacerbations or “flares” have also been found to be associated with reduced quality of life, but no studies, to our knowledge, have investigated whether these associations are independent of typical pelvic pain levels and thus might be useful additional outcome measures (or stated differently, whether reducing flare frequency even without reducing mean pain intensity may be important to patients). Materials and Methods: We used screening visit and weekly run-in period data from the Multidisciplinary Approach to the Study of Chronic Pelvic Pain Symptom Patterns Study to investigate associations between flare frequency and multiple measures of illness impact and health care seeking activity, independent of typical nonflare and overall pelvic pain levels. Results: Among the 613 eligible participants, greater flare frequency was associated with worse condition-specific illness impact (standardized b coefficients [0.11-0.68, P trends < .0001) and health care seeking activity (odds ratios [1.52-3.94, P trends .0039 to < .0001) in analyses adjusted for typical nonflare and overall pelvic pain levels. Experiencing 1/d was also independently associated with worse general illness impact (standardized b coefficients[0.11-0.25). Conclusions: Our findings suggest that flare frequency and possibly other flare characteristics may be worth considering as additional outcome measures in urological chronic pelvic pain syndrome research to support the development of new preventive and therapeutic flare strategies. [ABSTRACT FROM AUTHOR]

Published
2023
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43. Pain and Urinary Symptoms Should Not be Combined into a Single Score: Psychometric Findings from the MAPP Research Network

Author

Griffith, James W., Stephens-Shields, Alisa J., Hou, Xiaoling, Naliboff, Bruce D., Pontari, Michel, Edwards, Todd C., Williams, David A., Clemens, Quentin J., Afari, Niloofar, Tu, Frank, Lloyd, Brett R., Patrick, Donald L., Mullins, Chris, Kusek, John W., Sutcliffe, Siobhan, Hong, Barry A., Lai, Henry H., Krieger, John N., Bradley, Catherine S., Kim, Jayoung, and Landis, Richard J.

Published
2016
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47. Relationship between Chronic Nonurological Associated Somatic Syndromes and Symptom Severity in Urological Chronic Pelvic Pain Syndromes: Baseline Evaluation of the MAPP Study

Author

Krieger, John N., Stephens, Alisa J., Landis, Richard J., Clemens, Quentin J., Kreder, Karl, Lai, Henry H., Afari, Niloofar, Rodríguez, Larissa, Schaeffer, Anthony, Mackey, Sean, Andriole, Gerald L., Williams, David A., Clemens, Quentin J., Hanno, Philip, Kirkali, Ziya, Kusek, John W., Lucia, Scott M., Mullins, Chris, Pontari, Michel A., Clump, David J., Schaeffer, Anthony J., Apkarian, Apkar (Vania), Cella, David, Farmer, Melissa A., Fitzgerals, Colleen, Gershon, Richard, Griffith, James W., Heckman, Charles J., II, Jiang, Mingchen, Keeper, Laurie, Parrish, Todd, Tu, Frank, Marko, Darlene S., Mayer, Emeran A., Rodríguez, Larissa V., Alger, Jeffry, Ashe-McNalley, Cody P., Ellingson, Ben, Kilpatrick, Lisa, Kutch, Jason, Labus, Jennifer S., Naliboff, Bruce D., Heendeniya, Nuwanthi, Randal, Fornessa, Smith, Suzanne R., Kreder, Karl J., Bradley, Catherine S., Luo, Yi, Lutgendorf, Susan K., OʼDonnell, Michael A., Eno, Mary, Greiner, Kris, Ziegler, Barbara, Clauw, Daniel J., As-Sanie, Suzie, Harris, Richard, Harte, Steve, Oldendorf, Ann, Berry, Sandra, Halvorson, Megan E., Ichesco, Eric, Scott, Katherine A., Buchwald, Dedra, Afari, Niloofar, Krieger, John, Miller, Jane, Strachan, Eric, Yang, Claire C., Richey, Stephanie, Ross, Susan O., Spiro, Roberta, Sundsvold, T. J., Andriole, Gerald L., Bristol, Rebecca L., Gardner, Vivien C., Colditz, Graham, Deutsch, Georg, Gereau, Robert W., Henderson, Jeffrey P., Hone, Barry A., Hooton, Thomas M., Ness, Timothy J., North, Carol S., Sutcliffe, Siobhan, Spitznagle, Theresa M., Landis, Richard J., Robinson, Nancy, Stephens, Alisa, Barrell, Ted, Hou, Xiaoling, Howard, Tamara, Wang, Yanli, Lucia, Scott M., van Bokhoven, Andrie, Jonscher, Karen R., Osypuk, Andrea A., Dayton, Robert, Jr., Sullivan, Holly T., Wilson, Storey R., Ehrlich, Garth D., Moses, Marsha A., Briscoe, David, Froehlich, John, Lee, Richard S., Solomon, Keith R., Steen, Hanno, Briscoe, Andrew C., Curatolo, Adam, Sachdev, Monisha, Mackey, Sean, Bagarinao, Epifanio, Johnson, Kevin A., Martucci, Katherine T., Foster, Lauren C., McCue, Rebecca L., Moericke, Rachel R., Nilakantan, Aneesha, Noor, Noorulain, Nickel, Curtis J., Mullins, Chris, and Bavendam, Tamara G.

Published
2015
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49. Comparing clinical bladder diaries and recalled patient reports for measuring lower urinary tract symptoms in the symptoms of Lower Urinary Tract Dysfunction Research Network (LURN).

Author

Flynn, Kathryn E., Wiseman, Jonathan B., Helmuth, Margaret E., Smith, Abigail R., Bradley, Catherine S., Cameron, Anne P., Henry Lai, H., Kirkali, Ziya, Kreder, Karl J., Geynisman‐Tan, Julia, Merion, Robert M., and Weinfurt, Kevin P.

Subjects
URINARY organs, OVERACTIVE bladder, BLADDER, MEMORY bias
Abstract

Purpose: Bladder diaries are a key source of information about lower urinary tract symptoms (LUTS); however, many patients do not complete them as instructed. Questionnaire‐based patient‐reported outcome measures (PROMs) are another option for reporting LUTS but may have recall bias. We assessed the strength of the associations between PROMs and a 3‐day bladder diary. Materials and Methods: Symptomatic adults from 6 tertiary care sites completed a 3‐day paper bladder diary and 3‐, 7‐, and 30‐day electronic PROMs. We assessed the linear associations between mapped pairs of diary variables and responses to PROM items using biserial and polyserial correlation coefficients with 95% confidence intervals. Results: Of 290 enrolled participants, 175 (60%) completed the bladder diary as instructed and at least one corresponding PROM. Linear associations were strongest between the diary and 3‐day recall of daytime frequency (r = 0.75) and nighttime frequency (r = 0.69), followed by voids with urgency sensations (r = 0.62), and an item reporting any incontinence (r = 0.56). Linear associations between bladder diary and specific incontinence variables (e.g., stress, urgency) were low to negligible (ranging from r = 0.16–0.39). Linear associations were consistent across the 3‐, 7‐, and 30‐day recall periods. Conclusions: Missing and unusable bladder diary data were common, highlighting the patient burden associated with this method of data collection. A questionnaire‐based PROM is a reasonable alternative to a diary for reporting voiding frequency and may offer an easier option for reporting some symptoms. [ABSTRACT FROM AUTHOR]

Published
2022
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