Evidence map›Paper›PMID 23340879›Full record

ReviewInternational urogynecology journal2013

Activity restrictions after gynecologic surgery: is there evidence?

Ingrid E Nygaard, Nadia M Hamad, Janet M Shaw

Registry-linked trialAbstract readReview
In one paragraph

Review in International urogynecology journal, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04552457 (Do Liberal Versus Strict Postoperative Restrictions After Mid-urethral Slings Affect Outcomes?), which is not on this map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing 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.

NCT04552457 nacompletednot on this mapstarted 2020, after this paper: background citation

Do Liberal Versus Strict Postoperative Restrictions After Mid-urethral Slings Affect Outcomes?

TypeinterventionalSponsorNorthwell HealthRan2020 to 2023Enrolled156ConditionsStress Urinary Incontinence, Patient Satisfaction, SurgeryArmsNo activity restrictions, Activity restrictions
3 · Its place in the literature

Who cites it

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

  1. Pooled it
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  6. Multidisciplinary management of advanced ovarian cancer in Spain: expert recommendations for achieving maximum survival and improving patient care.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
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  8. Review
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  16. Review
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  19. Should women with incontinence and prolapse do abdominal curls?International urogynecology journal · 2016
    Observational
  20. 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.

Ingrid E NygaardDivision of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, University of Utah School of Medicine, 50 North Medical Drive, Salt Lake City, UT 84132-0001, USA. Ingrid.nygaard@hsc.utah.edu
Nadia M Hamad
Janet M Shaw

Funding

WIRELESS REMOTE ABDOMINAL PRESSURE SYSTEM: DEVELOPING A MORE COMPREHENSIVE UNDERSR01HD061787 · NICHD · UNIVERSITY OF UTAH · PI NYGAARD, INGRID E · 2009 to 2013
$1.8M
Physical Activity and Pelvic Floor DisordersR01HD057895 · NICHD · UNIVERSITY OF UTAH · PI NYGAARD, INGRID E · 2008 to 2012
$1.6M
NICHD NIH HHS R01 HD057895NICHD NIH HHS R01HD057895-01NICHD NIH HHS R01 HD061787NICHD NIH HHS R01HD061787-01
6 · The paper itself

Abstract

Many surgeons recommend rest and restricting activities to their patients after surgery. The aim of this review is to summarize the literature regarding types of activities gynecologic surgeons restrict and intra-abdominal pressure during specific activities and to provide an overview of negative effects of sedentary behavior (rest). We searched PubMed and Scopus for years 1970 until present and excluded studies that described recovery of activities of daily living after surgery as well as those that assessed intra-abdominal pressure for other reasons such as abdominal compartment syndrome and hypertension. For our review of intra-abdominal pressure, we excluded studies that did not include a generally healthy population, or did not report maximal intra-abdominal pressures. We identified no randomized trial or prospective cohort study that studied the association between postoperative activity and surgical success after pelvic floor repair. The ranges of intra-abdominal pressures during specific activities are large and such pressures during activities commonly restricted and not restricted after surgery overlap considerably. There is little concordance in mean peak intra-abdominal pressures across studies. Intra-abdominal pressure depends on many factors, but not least the manner in which it is measured and reported. Given trends towards shorter hospital stays and off work intervals, which both predispose women to higher levels of physical activity, we urge research efforts towards understanding the role of physical activity on recurrence of pelvic organ prolapse and urinary incontinence after surgery.

Indexed as

ExerciseAbdominal CavityEvidence-Based MedicineFemaleGynecologic Surgical ProceduresHumansPressureSedentary Behavior

Identifiers

PMID23340879
PMCPMC3774134

What OpenQuestion holds

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Read underepoch 390

Registered trials

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.