Lovely weather for an outdoor lunch with the UC San Francisco and Stanford University CRCs of our The National Institute on Aging (NIA) Treatment of Incontinence for Underlying Mental and Physical Health (TRIUMPH) trial, to celebrate meeting our 50% participant recruitment milestone!

The need for better integration of clinical trials and health care delivery enterprises discussed in this first Special Communication article from #JAMASummit. Kirsten Bibbins-Domingo Alison Huang, MD, MAS Amy Abernethy Dr. Robert M. Califf Martin Landray ja.ma/4aOP4wB

As we note in JAMA Internal Medicine, these RCT findings raise an intriguing question: even if D-mannose were highly efficacious, how much impact could it have on antibiotic overuse for UTI so long as other aspects of diagnosis and treatment are so problematic? tinyurl.com/3y9xznf8

Recurrent UTI is one of the most challenging outpatient urinary problems in older women, with many complexities in everyday diagnosis and management, frequent overlap with other genitourinary syndromes, and many gaps in knowledge--which cries out for more high-quality research.

#UrinaryIncontinence is woefully understudied relative to it's impact on #OlderAdults. We discuss assessing incontinence types + pharmacologic & behavioral treatments + more. Guests George KUCHEL & Alison Huang, MD, MAS. Episode bit.ly/GeriPalEp314 - hosts Alex Smith, MD | Eric Widera, MD

Enjoying an outdoor sunset dinner with multiple trainees and mentors for our NIDDK LAUNCH U2C/TL1 training consortium—and celebrating another year of advancing kidney, urology, and hematology science across UCSF, Stanford, UC Davis, and UC Berkeley!

What impact do hot flashes have on sleep in menopausal women? Among women in our The National Institute on Aging (NIA) FRAN trial, hot flashes were the most frequently reported reason for awakenings. doi.org/10.1016/j.ajog… Based on night-by-night diaries, reduction in hot flashes = improvement in sleep.

Continuing our tradition of outdoor dining with multiple trainees in our NIDDK LAUNCH U2C/TL1 program, who made the trip from Northern California to Cleveland for #KUHR-TN to discuss opportunities in kidney, urology, and hematology science!

Among women in our FRAN RCT of continuous NTG therapy for hot flashes, hot flashes were the most frequently reported cause of nocturnal awakenings. Based on night-by-night diaries, greater improvement in hot flashes led to greater improvement in sleep. sciencedirect.com/science/articl…

Our findings from this NIDDK funded trial suggest that the reported benefits of pelvic yoga for urinary incontinence in midlife and older women are not unique to yoga but are instead shared with non-specific physical conditioning exercise.

As we note in this clinical insights article, few strategies for preventing recurrent UTI have been specifically tested in older women, although older women experience a disproportionate burden of recurrent UTI. Lona Mody, MD, M.Sc

Yoga is often recommended for urinary incontinence, but UCSF Epidemiology & Biostatistics finds it may be no more effective than general exercise for older women. A simple, affordable stretching and strengthening routine might work just as well. Alison Huang, MD, MAS tiny.ucsf.edu/OLAkai

Is general exercise as effective as pelvic yoga in relieving urinary incontinence in women? womenshealthmag.com/fitness/a62159…

Congratulations to Judith Hellman, MD, who was awarded the Mentor of the Year award from the Clinical and Translational Science Training (CTST) Programs’ Resident Research Training Program (RRTP)!