Evidence map›Paper›PMID 26992726›Full record

ArticleInternational urogynecology journal2016

Does age affect the outcome of suburethral tape surgery? The importance of national registries in answering bigger questions.

Philip Toozs-Hobson, Pooja Devani, Joseph Pick, Paul A Moran, Philip Assassa, Claire Burton

Abstract read
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 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–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.

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

15 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Intraoperative and early postoperative complications in women with stress urinary incontinence treated with suburethral slings: a randomised trial.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2020
    Article
  11. Article
  12. Article
  13. Big data: why ignorance is no longer acceptable.International urogynecology journal · 2018
    Article
  14. Observational
  15. 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

6 authors.

Philip Toozs-HobsonDepartment of Pelvic Floor Medicine, Birmingham Womens NHS Foundation Trust, Birmingham, B15 2TG, UK. philip.toozs-hobson@bwnft.nhs.uk.
Pooja DevaniMedical Student College of Medical and Dental Sciences, Medical School, University of Birmingham, Birmingham, B15 2TT, UK.
Joseph PickFY2 London South Deanery, London, UK.
Paul A MoranDepartment of Obstetrics and Gynaecology, Worcestershire Royal Hospital, Worcester, UK.
Philip AssassaDepartment of Obstetrics and Gynaecology, Mid Yorkshire NHS Hospitals R. Assassa, Yorkshire, UK.
Claire BurtonDepartment of Obstetrics and Gynaecology, St Mary's Hospital Portsmouth Claire, Portsmouth, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisThe objective of this article was to use the British Society of Urogynaecology (BSUG) database to assess the impact of age on success rates and insertion complications of suburethral tapes for primary procedures using the Patient Global Impression of Improvement (PGII) as the primary endpoint.

methodsWe carried out a retrospective analysis of data at a national level (BSUG database) using PGII as the primary outcome measure. Secondary outcomes included improvement in stress incontinence and complications from surgery. All episodes of suburethral tapes on the database were extracted and analysis was by decade of life.

resultsA total of 7,600 cases were identified on the database, of which 757 were in women over 70 years of age, with 119 in women over 80. Just over 80 % of the cases on the database involved retropubic and just under 20 % transobturator tapes. Short-term follow-up was available for 54 % of the cases. The PGII remained high in all age groups, but did decrease slightly with age, with more than 90 % of women under 50 scoring highly, which reduced to 70 % in those over 80. Improvement in stress incontinence was globally high, with 98 % scoring highly in the women aged under 50 and 85 % in the 80+ group. This suggests that the suburethral tapes worked well in treating stress incontinence. Reassuringly, complications did not increase with age, although short-term voiding difficulties were higher with increasing age.

conclusionContributing to national databases gives useful information that may be difficult to ascertain from RCTs. Suburethral tapes appear to have good efficacy and low complications with increasing age.

Indexed as

Age FactorsRegistriesSuburethral SlingsAgedAged, 80 and overDatabases, FactualFemaleHumansMiddle AgedPelvic Organ ProlapsePostoperative ComplicationsQuality of LifeRetrospective StudiesTreatment OutcomeUrinary Incontinence, StressUrologic Surgical ProceduresBSUG databaseOutcome of continence surgerySuburethral tapes

Identifiers

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.