Evidence map›Paper›PMID 27714435›Full record

Trial reportInternational urogynecology journal2017

Transobturator versus single incision slings: 1-year results of a randomized controlled trial.

Aimee L Tieu, Aparna Hegde, Peter A Castillo, G Willy Davila, Vivian C Aguilar

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in International urogynecology journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
–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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Single-incision sling operations for urinary incontinence in women.The Cochrane database of systematic reviews · 2023
    Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. 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

5 authors.

Aimee L TieuDepartment of Gynecology, Urogynecology & Reconstructive Pelvic Surgery, Cleveland Clinic Florida, Weston, FL, USA. Aimee.tieu@health-first.org.
Aparna HegdeDepartment of Gynecology, Urogynecology & Reconstructive Pelvic Surgery, Cleveland Clinic Florida, Weston, FL, USA.
Peter A CastilloDepartment of Gynecology, Urogynecology & Reconstructive Pelvic Surgery, Cleveland Clinic Florida, Weston, FL, USA.
G Willy DavilaDepartment of Gynecology, Urogynecology & Reconstructive Pelvic Surgery, Cleveland Clinic Florida, Weston, FL, USA.
Vivian C AguilarDepartment of Gynecology, Urogynecology & Reconstructive Pelvic Surgery, Cleveland Clinic Florida, Weston, FL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisTo compare 1-year surgical outcomes following transobturator (TO) sling placement and single incision (SI) sling placement for the treatment of stress urinary incontinence (SUI).

methodsWe performed a randomized trial at a single institution. Patients with urodynamically proven SUI were offered participation and randomized to placement of a TO sling (Monarc™) or a SI sling (MiniArc™) between 2008 and 2011. The primary outcome measure was urinary leakage during standardized cough stress test (CST). Forty subjects in each group were required to achieve 80 % power to detect an effect size of 0.25.

resultsA total of 98 patients were randomized with 49 patients in the TO group and 49 patients in the SI group. Preoperative demographics were similar between the groups (Table 1). The TO group had a significantly longer sling operative time (10.7 ± 4.8 min vs. 7.8 ± 4.9 min, p < 0.001) and greater estimated blood loss (31.6 ± 26.6 mL vs. 22.9 ± 22.1 mL, p = 0.02). At the 1-year follow-up, there was no difference in the primary outcome with 9 TO patients (21 %) and 12 SI patients (29 %) having a positive CST (p = 0.5). A composite measurement of 'failure', defined as patient-reported SUI and a positive CST, showed no difference between the TO group (17 %) and the SI group (27 %; p = 0.3).

conclusionsThe SI sling provides comparable objective efficacy to the TO sling at 1 year.

Indexed as

Suburethral SlingsAdultChi-Square DistributionFemaleFollow-Up StudiesHumansMiddle AgedOperative TimePatient Reported Outcome MeasuresProsthesis FailureTime FactorsTreatment OutcomeUrinary Incontinence, StressSingle incision slingsStress incontinenceTransobturator slings

Identifiers

PMID27714435

What OpenQuestion holds

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Registered trials

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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.