Evidence map›Paper›PMID 22914466›Full record

Trial reportObstetrics and gynecology2012

Improvements in physical activity and functioning after undergoing midurethral sling procedure for urinary incontinence.

Vivian W Sung, Nadine Kassis, Christina A Raker

Abstract readClinical Trial
In one paragraph

Trial report 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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.7field-weighted citation impact, top 28% 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

5 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Article
  3. Physical activity and the pelvic floor.American journal of obstetrics and gynecology · 2016
    Review
  4. Review
  5. Article
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 at 1 institution in 1 country.

Vivian W SungDepartment of Obstetrics and Gynecology, Alpert Medical School of Brown University, Women and Infants Hospital, Providence, Rhode Island 02903, USA. vsung@wihri.org
Nadine Kassis
Christina A Raker
Island Institute · US

Funding

Patient-Reported Outcomes in Functioning for Female Pelvic Floor DisordersK23HD060665 · NICHD · WOMEN AND INFANTS HOSPITAL-RHODE ISLAND · PI SUNG, VIVIAN W · 2009 to 2013
$671k
NICHD NIH HHS K23 HD060665NICHD NIH HHS K23HD060665
6 · The paper itself

Abstract

objectiveThe primary objective was to estimate the effect of the midurethral sling on improving leisure physical activity levels and physical functioning in women with stress urinary incontinence (SUI). Our secondary objective was to identify possible risk factors for postoperative insufficient physical activity.

methodsWe conducted a prospective, observational study of women undergoing outpatient midurethral sling for SUI. Women completed validated questionnaires for incontinence, leisure physical activity, and physical functioning at baseline and 6 months postoperatively. The primary outcome was leisure physical activity level. We used multiple logistic and linear regression to estimate the effect of improvements in urinary symptoms and life effect on physical activity levels and physical functioning scores.

resultsNinety women underwent surgery and 85 returned for follow-up. At baseline, 38% had sedentary, 18% had moderate, and 44% had sufficient leisure physical activity levels. Postoperatively, this modestly improved to 26% sedentary, 20% moderate, and 54% sufficient levels. The median leisure physical activity energy expenditure increased from 396 to 693 metabolic equivalent-minutes per week (P=.04). Physical functioning scores also significantly improved (mean score 44 compared with 55 points, P<.001). On multiple logistic regression, improvements in incontinence life effect were associated with increased odds of leisure physical activity improvement (adjusted odds ratio 1.66; 95% confidence interval 1.08-2.54). On multiple linear regression, improvements in both urinary incontinence severity and effect were associated with improvements in physical functioning scores (P<.01 for both). Factors associated with insufficient postoperative physical activity included low baseline physical activity levels and smaller improvements in urinary effect scores.

conclusionMidurethral sling and subsequent improvements in urinary incontinence are associated with improved leisure physical activity levels and physical functioning.

Indexed as

ExerciseLeisure ActivitiesProsthesis ImplantationRecovery of FunctionSuburethral SlingsAdultAgedCohort StudiesFemaleFollow-Up StudiesHumansLinear ModelsLogistic ModelsMiddle AgedProspective StudiesRisk Factors

Identifiers

PMID22914466
PMCPMC3427540
OpenAlexW1998881180

What OpenQuestion holds

Textmetadata
LicenceTDM
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.