{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T23:30:36Z","timestamp":1782516636067,"version":"3.54.5"},"reference-count":36,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,10,7]],"date-time":"2021-10-07T00:00:00Z","timestamp":1633564800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Injecting onabotulinumtoxinA (BoTN\u2010A) into the bladder has been established as an effective treatment of overactive bladder (OAB) and well\u2010tolerated by patients. However, there evidence suggests the efficacy and safety of this treatment may decrease with age due to increased comorbidities and frailty. This study's objective was to establish empirical evidence regarding age\u2010related differences in outcomes related to BoTN\u2010A for the treatment of idiopathic OAB.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>MEDLINE, EMBASE, and the Cochrane Central Registry for Controlled Trials were systematically searched. Results were restricted to randomized control trials of BoTN\u2010A bladder injections for the treatment of idiopathic OAB. The resulting articles' abstracts were screened independently by two reviewers. Those passing the screen were reviewed in full. Articles were excluded if participants were &lt;18 years old, diagnosed with neurogenic overactivity, or treated with both oral medications and BoTN\u2010A; if the frequency and severity of OAB symptoms were not specified; or, if symptoms were not stratified by age.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The initial search resulted in 1572 articles; 166 were reviewed in full. None met all inclusion\/exclusion criteria. However, 21 studies met all criteria except age stratification. Authors were contacted to obtain raw data to perform an independent age\u2010based analysis, but sufficient data was not received.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>While the initial systematic review did not generate the expected results, it did reveal that age\u2010related outcomes of BoTN\u2010A for the treatment of OAB are significantly under\u2010studied. Given that the prevalence of OAB increases with age, this is an important knowledge gap. Our article explains the rationale for further study in this area.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/nau.24809","type":"journal-article","created":{"date-parts":[[2021,10,9]],"date-time":"2021-10-09T14:40:35Z","timestamp":1633790435000},"page":"42-47","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["The use of onabotulinumtoxinA to treat idiopathic overactive bladder in elderly patients is in need of study"],"prefix":"10.1002","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1098-5865","authenticated-orcid":false,"given":"Kate","family":"Manns","sequence":"first","affiliation":[{"name":"Cumming School of Medicine University of Calgary Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8451-5834","authenticated-orcid":false,"given":"Asher","family":"Khan","sequence":"additional","affiliation":[{"name":"Cumming School of Medicine University of Calgary Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin V.","family":"Carlson","sequence":"additional","affiliation":[{"name":"Cumming School of Medicine University of Calgary Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5372-530X","authenticated-orcid":false,"given":"Adrian","family":"Wagg","sequence":"additional","affiliation":[{"name":"Department of Medicine University of Alberta Edmonton Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard J.","family":"Baverstock","sequence":"additional","affiliation":[{"name":"Cumming School of Medicine University of Calgary Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6690-1926","authenticated-orcid":false,"given":"R.","family":"Trafford 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