Evidence map›Paper›PMID 26874525›Full record

ArticleInternational urogynecology journal2016

Pelvic organ prolapse repair using the Uphold™ Vaginal Support System: a 1-year multicenter study.

Daniel Altman, Tomi S Mikkola, Karl Möller Bek, Päivi Rahkola-Soisalo, Jonas Gunnarsson, Marie Ellström Engh, Christian Falconer, Nordic TVM group

Open access · greenAbstract readEvaluation StudyMulticenter Study
PubMed Publisher
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 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
8.4field-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

23 citing papers in PubMed, 59 citations in OpenAlex.

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  13. Pelvic organ prolapse and sexual function.Nature reviews. Urology · 2020
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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

8 authors at 4 institutions in 5 countries.

Daniel AltmanStockholm Urogynecological Clinic, Kommendörsgatan 5, 114 48, Stockholm, Sweden. daniel.altman@ki.se.
Tomi S MikkolaDepartment of Obstetrics and Gynecology, University of Helsinki and Helsinki University Central Hospital, Helsinki, Finland.
Karl Möller BekAarhus University Hospital, Aarhus, Denmark.
Päivi Rahkola-SoisaloDepartment of Obstetrics and Gynecology, University of Helsinki and Helsinki University Central Hospital, Helsinki, Finland.
Jonas GunnarssonDepartment of Obstetrics and Gynecology, Sahlgrenska University Hospital, Göteborg, Sweden.
Marie Ellström EnghDepartment of Obstetrics and Gynaecology, Akershus University Hospital, Lørenskog, Norway.
Christian FalconerDepartment of Obstetrics and Gynecology, Danderyd Hospital, Danderyd, Sweden.
Nordic TVM group
University of Helsinki · FIAkershus University Hospital · NODanderyds sjukhus · SEStockholm University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisThe objective was to assess safety and clinical outcomes in women operated on using the Uphold™ Lite Vaginal Support System.

methodsWe carried out a 1-year, multicenter, prospective, single cohort study of 207 women with symptomatic Pelvic Organ Prolapse Quantification (POP-Q) stage ≥2 apical pelvic organ prolapse, with or without concomitant anterior vaginal wall prolapse. Safety data were collected using a standardized questionnaire. Anatomical outcome was assessed by the POP-Q and subjective outcomes by the Pelvic Floor Distress Inventory after 2 months and 1 year using a one-way repeated measures analysis of variance. Pain was evaluated using a visual analog scale.

resultsThe overall rate of serious complications was 4.3 % (9 out of 207 patients), including 3 patients with bladder perforations, 1 with bleeding >1,000 ml, 2 who had undergone re-operations with complete mesh removal because of pain, and 3 surgical interventions during follow-up because of mesh exposure. POP-Q stage ≤1 after 1 year was 94 % and subjective symptom relief was reported by 91 % of patients (p < 0.001). Pain after 2 months and 1 year was 60 % lower compared with the preoperative mean (p < 0.001). Minor complications occurred in 20 women (9.7 %) and were dominated by lower urinary tract dysfunction. No predisposing risk factors for complications were found.

conclusionsThe Uphold™ Lite procedure in women with apical pelvic organ prolapse provided satisfactory restoration of vaginal topography and symptom relief. However, serious complication rates were largely comparable with those of other transvaginal mesh kits.

Indexed as

AgedFemaleFollow-Up StudiesHumansMiddle AgedPelvic FloorPelvic Organ ProlapsePostoperative ComplicationsProspective StudiesProsthesis ImplantationSuburethral SlingsSurgical MeshSurveys and QuestionnairesTime FactorsTreatment OutcomeVaginaComplicationsMeshPelvic organ prolapse

Identifiers

PMID26874525
OpenAlexW2268138001

What OpenQuestion holds

Textmetadata
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.