Evidence map›Paper›PMID 25730215›Full record

ArticleObstetrics and gynecology2015

Short-term postoperative functional outcomes in older women undergoing prolapse surgery.

Joy A Greer, Heidi S Harvie, Uduak U Andy, Ariana L Smith, Gina M Northington, Lily A Arya

Open access · greenAbstract read
In one paragraph

Article in Obstetrics and gynecology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.1field-weighted citation impact, top 14% 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

8 citing papers in PubMed, 24 citations in OpenAlex.

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  6. Turkish journal of anaesthesiology and reanimation · 2019
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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

6 authors at 1 institution in 1 country.

Joy A GreerDepartment of Obstetrics and Gynecology, Division of Urogynecology and Reconstructive Pelvic Surgery, and the Department of Surgery, Division of Urology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania; the Women's Health Department, Division of Urogynecology, Naval Medical Center, Portsmouth, Virginia; and the Department of Obstetrics, Division of Female Pelvic Medicine & Reconstructive Surgery, Emory University School of Medicine, Atlanta, Georgia.
Heidi S Harvie
Uduak U Andy
Ariana L Smith
Gina M Northington
Lily A Arya
Institute for Female Pelvic Medicine and Reconstructive Surgery · US

Funding

Pelvic Floor Disorders Network Clinical Sites (U10)U10HD069010 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI ARYA, LILY A · 2011 to 2015
$1.7M
NICHD NIH HHS U10 HD069010
6 · The paper itself

Abstract

objectiveTo evaluate whether preoperative markers of functional status predict postoperative functional outcomes in older women undergoing surgery for pelvic organ prolapse (POP).

methodsProspective cohort study of women aged 60 years or older who underwent surgery for prolapse. Preoperative functional status was measured using number of functional limitations (such as difficulty walking or climbing), American Society of Anesthesiologists class, anemia, and history of recent weight loss. Our primary outcome was the number of postoperative functional limitations and secondary outcomes were failure to return to baseline functional status and length of stay after surgery. We determined the association of preoperative functional status markers with postoperative outcomes using univariable and multivariable regression.

resultsIn 127 women, presence of a preoperative functional limitation was a significant predictor of a 0.55 (95% confidence interval [CI] 0.36-0.74) increase in the number of postoperative functional limitations after controlling for age, number of preoperative functional limitations, comorbidities, depression, surgeon, type of procedure, and complications (P<.001). History of recent weight loss and anemia increased risk for failure to return to baseline functional status after controlling for surgeon, type of surgery, and complications (relative risk 2.44, 95% CI 1.26-4.71 and relative risk 2.72, 95% CI 1.29-5.75), respectively). Preoperative markers associated with longer length of stay after surgery were American Society of Anesthesiologists class III (0.83 days, 95% CI 0.20-1.46) and history of weight loss (0.84 days, 95% CI 0.13-1.54).

conclusionPreoperative markers of functional status are useful in predicting short-term postoperative functional outcomes in older women undergoing surgery for POP. LEVEL OF EVIDENCE: : II.

Indexed as

AgedFemaleGynecologic Surgical ProceduresHumansLength of StayLongitudinal StudiesMiddle AgedPelvic Organ ProlapsePostoperative PeriodProspective StudiesRecovery of FunctionTreatment Outcome

Identifiers

PMID25730215
PMCPMC4418639
OpenAlexW2005767482

What OpenQuestion holds

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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.