Evidence map›Paper›PMID 26744338›Full record

ArticleInternational urogynecology journal2016

Trends in the aetiology of urogenital fistula: a case of 'retrogressive evolution'?

Paul Hilton

Open access · hybridAbstract read
In one paragraph

Article in International urogynecology journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
4.7field-weighted citation impact, top 6% 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

21 citing papers in PubMed, 46 citations in OpenAlex.

  1. Surgical interventions for treating vesicovaginal fistula in women.The Cochrane database of systematic reviews · 2026
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  12. Rising trends in iatrogenic urogenital fistula: A new challenge.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2020
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  14. Review
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  17. Video of the laparoscopic repair of a vesico-uterine fistula.International urogynecology journal · 2018
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  18. Article
  19. Urinary fistula-A continuing problem with changing trends.Journal of the Turkish German Gynecological Association · 2017
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  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

1 author at 1 institution in 1 country.

Paul HiltonNewcastle University, Newcastle upon Tyne, UK. paul.hilton@ncl.ac.uk.ORCID http://orcid.org/0000-0002-2541-5195
Newcastle College · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

It has long been held as conventional wisdom that urogenital fistulae in low-income and middle-income countries are almost exclusively of obstetric aetiology, related to prolonged neglected obstructed labour, whereas those seen in high-income countries are largely iatrogenic in nature. There is, however, a growing perception amongst those working in the field that an increasing proportion of urogenital fistulae in low-income and middle-income countries may be iatrogenic, resulting from caesarean section. Recent studies suggest that adverse patterns of care may also be emerging in high-income countries; an increase in the risk of both vesicovaginal and ureterovaginal fistulae following hysterectomy has been reported, concurrently with the reduction in overall use of the procedure. These apparent secular trends are discussed in the context of evolution of practice, teaching and training in obstetrics and gynaecology.

Indexed as

Developed CountriesDeveloping CountriesDelivery, ObstetricFemaleHumansHysterectomy, VaginalIatrogenic DiseasePostoperative ComplicationsPregnancyVaginal FistulaCaesarean sectionIatrogenic diseaseIschaemiaTrainingUrinary fistulaVaginal fistula

Identifiers

PMID26744338
PMCPMC4879169
OpenAlexW2230256953

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.