Evidence map›Paper›PMID 22433349›Full record

ArticleObstetrics and gynecology2012

Trends in the surgical management of stress urinary incontinence.

Michele Jonsson Funk, Pamela J Levin, Jennifer M Wu

Abstract read
In one paragraph

Article in Obstetrics and gynecology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 1 pooled it
–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

47 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  10. Risk factors for stress urinary incontinence recurrence after midurethral sling revision.International journal of urology : official journal of the Japanese Urological Association · 2023
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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

3 authors.

Michele Jonsson FunkDepartment of Epidemiology, University of North Carolina, Chapel Hill, NC, USA.
Pamela J Levin
Jennifer M Wu

Funding

Doubly robust elimination: best practices for comparative effectiveness researchK02HS017950 · AHRQ · UNIV OF NORTH CAROLINA CHAPEL HILL · PI JONSSON FUNK, MICHELE LAURA · 2009 to 2013
$653k
Translational Research in Pelvic Floor DisordersK23HD068404 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI WU, JENNIFER M. · 2011 to 2014
$509k
AHRQ HHS K02 HS017950AHRQ HHS K02HS017950NICHD NIH HHS K23 HD068404NICHD NIH HHS K23HD068404
6 · The paper itself

Abstract

objectivesTo estimate the rates of stress urinary incontinence (SUI) surgery from 2000 to 2009 by type of procedure, year, age, and region of the country.

methodsWe used data between 2000 and 2009 from a database containing health care claims data from employer-based plans in the United States. We analyzed data for all women age 18-64 years, identifying all SUI procedures in this population. Rates per 100,000 person-years and 95% confidence intervals (CI) were calculated each year by procedure type, age, and region.

resultsThe study population included 32.9 million women age 18-64 years observed for 74,007,937 person-years between 2000 and 2009. During that time, there were 182,110 SUI procedures for a rate of 246.1 per 100,000 person-years (95% CI 239.7-252.6). The most common SUI surgery was sling (198.3 per 100,000 person-years, 95% CI 192.8-203.9) followed by Burch (25.9 per 100,000 person-years, 95% CI 24.8-27.2). There was a dramatic increase in slings, with a corresponding decrease in Burch procedures from 2000 to 2009. Other SUI surgeries had lower rates. Although this trend was evident across all regions, the Northeast had the lowest rate of SUI surgery, whereas rates in the West, Midwest, and South were 1.44-times, 1.76-times, and 2.09-times higher, respectively.

conclusionIn a dramatic shift over the past decade, slings have become the dominant procedure for SUI among women age 18-64 years. Although this trend was seen across the United States, considerable variability exists in the SUI surgery rates by region. LEVEL OF EVIDENCE: III.

Indexed as

AdolescentAdultFemaleGynecologic Surgical ProceduresHumansMiddle AgedSuburethral SlingsUnited StatesUrinary Incontinence, StressYoung Adult

Identifiers

PMID22433349
PMCPMC3310349

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Registered trials

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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.