Evidence map›Paper›PMID 17102924›Full record

ArticleInternational urogynecology journal and pelvic floor dysfunction2007

The tension-free vaginal tape in women with a non-hypermobile urethra and low maximum urethral closure pressure.

Jeffrey L Clemons, Christine A LaSala

Abstract read
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In one paragraph

Article in International urogynecology journal and pelvic floor dysfunction, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 16% of its field
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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. Trial
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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

2 authors at 2 institutions in 1 country.

Jeffrey L ClemonsDivision of Urogynecology and Pelvic Reconstructive Surgery, Department of Obstetrics and Gynecology, Madigan Army Medical Center, Tacoma, WA 98431, USA. Jeffrey.Clemons@amedd.army.mil
Christine A LaSala
Hartford Hospital · USMadigan Army Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The objective of this study was to estimate the cure rate and to identify risk factors that predict failure of the tension-free vaginal tape (TVT) in women with stress urinary incontinence (SUI), a non-hypermobile urethra, and low maximum urethral closure pressure. Thirty-six women with SUI, a non-hypermobile urethra (straining urethral angle<or=35 degrees), and low maximum urethral closure pressure (MUCP<or=25 cm H2O) underwent a TVT. Cure was defined as resolution of subjective SUI symptoms and a negative cough stress test, which were measured after 4, 12, 18, and 24 months. Patient characteristics were compared and receiver-operator curves were used to identify risk factors for failure. The mean age was 71 years, and mean follow-up was 20.9 months. The overall cure rate was 78%. Risk factors for failure of the TVT were a straining urethral angle<or=20 degrees (cure rate 50%, odds ratio 7.7, p=0.02) and a MUCP<or=15 cm H2O (cure rate 60%, odds ratio 6.3, p=0.03). For women with both risk factors, the cure rate was only 17% (p<0.001). No other risk factors were identified. The TVT has moderate success (50-60%) for women with SUI and one risk factor (a straining urethral angle<or=20 degrees or a MVCP<or=15 cm H2O), but has poor success (17%) when both risk factors are present.

Indexed as

Suburethral SlingsAgedAged, 80 and overFemaleHumansMiddle AgedPressureRetrospective StudiesRisk FactorsTreatment FailureUrethraUrinary Incontinence, StressUrination

Identifiers

PMID17102924
OpenAlexW2079100186

What OpenQuestion holds

Textmetadata
Read underepoch 390

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 OpenQuestion graph.