Evidence map›Paper›PMID 23706251›Full record

ArticleUrology2013

Trends in the surgical management of stress urinary incontinence among female Medicare beneficiaries, 2002-2007.

Lisa Rogo-Gupta, Mark S Litwin, Christopher S Saigal, Jennifer T Anger, Urologic Diseases in America Project

Open access · greenAbstract read
In one paragraph

Article in Urology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
8.6field-weighted citation impact, top 2% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 103 citations in OpenAlex.

  1. Pooled it
  2. Observational
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  16. Midurethral slings in the mesh litigation era.Translational andrology and urology · 2017
    Review
  17. Article
  18. Surgery for stress urinary incontinence in Finland 1987-2009.International urogynecology journal · 2016
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Lisa Rogo-GuptaDavid Geffen School of Medicine, University of California, Los Angeles, CA, USA. lrogogupta@mednet.ucla.edu
Mark S Litwin
Christopher S Saigal
Jennifer T Anger
Urologic Diseases in America Project
University of California, Los Angeles · USCedars-Sinai Medical Center · US

Funding

NIDDK NIH HHS N01 DK012460
6 · The paper itself

Abstract

objectiveTo describe trends in the surgical management of female stress urinary incontinence (SUI) in the United States from 2002 to 2007.

methodsAs part of the Urologic Diseases of America Project, we analyzed data from a 5% national random sample of female Medicare beneficiaries aged 65 and older. Data were obtained from the Centers for Medicare and Medicaid Services carrier and outpatient files from 2002 to 2007. Women who were diagnosed with urinary incontinence identified by the International Classification of Diseases, Ninth Edition (ICD-9) diagnosis codes and who underwent surgical management identified by Current Procedural Terminology, Fourth Edition (CPT-4) procedure codes were included in the analysis. Trends were analyzed over the 6-year period. Unweighted procedure counts were multiplied by 20 to estimate the rate among all female Medicare beneficiaries.

resultsThe total number of surgical procedures remained stable during the study period, from 49,340 in 2002 to 49,900 in 2007. Slings were the most common procedure across all years, which increased from 25,840 procedures in 2002 to 33,880 procedures in 2007. Injectable bulking agents were the second most common procedure, which accounted for 14,100 procedures in 2002 but decreased to 11,320 in 2007. Procedures performed in ambulatory surgery centers and physician offices increased, although those performed in inpatient settings declined. Hospital outpatient procedures remained stable.

conclusionThe surgical management of women with SUI shifted toward a dominance of procedures performed in ambulatory surgery centers from 2002 to 2007, although the overall number of procedures remained stable. Slings remained the dominant surgical procedure, followed by injectable bulking agents, both of which are easily performed in outpatient settings.

Indexed as

AgedAmbulatory CareFemaleHumansInjectionsMedicareOutpatient Clinics, HospitalPhysicians' OfficesSuburethral SlingsSurgicentersUnited StatesUrinary Incontinence, Stress

Identifiers

PMID23706251
PMCPMC3757126
OpenAlexW2114784656

What OpenQuestion holds

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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.