Evidence map›Paper›PMID 28593365›Full record

Trial reportInternational urogynecology journal2018

Urinary symptoms after bladder flap at the time of primary cesarean delivery: a randomized controlled trial (RTC).

Amy L O'Boyle, Bethany M Mulla, Shannon V Lamb, Joy A Greer, Stuart H Shippey, Nanette L Rollene

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in International urogynecology journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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.

Amy L O'BoyleWalter Reed National Military Medical Center, Bethesda, MD, 20889-5600, USA. amyoboyle@aol.com.ORCID http://orcid.org/0000-0003-1389-3170
Bethany M MullaBeth Israel Deaconess Medical Center, Boston, MA, USA.
Shannon V LambFort Belvoir Community Hospital, Fort Belvoir, VA, USA.
Joy A GreerNaval Medical Center, Portsmouth, VA, USA.
Stuart H ShippeyNaval Medical Center, Portsmouth, VA, USA.
Nanette L RolleneNaval Medical Center, Portsmouth, VA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisThe aim of this study was to evaluate urinary symptoms in the postpartum period after omission of the bladder flap at the time of primary cesarean delivery.

methodsThis was a single-blind parallel-group randomized comparison (bladder flap, no bladder flap) in women scheduled for a primary cesarean delivery at 37 weeks gestation or later. The primary outcome was urinary symptom scores at 6-8 weeks postpartum. Secondary outcomes included comparisons of preoperative and postoperative pelvic floor symptom scores and the proportions of symptom bother responses between the study groups.

resultsA total 43 women were available for analysis. Randomization was as follows: omission of the bladder flap (n = 22) and bladder flap (n = 21). Demographic characteristics and baseline pelvic floor symptom scores were similar between the groups. The primary outcome, urinary symptom scores at 6-8 weeks postpartum, did not differ significantly between the groups, but urinary symptom bother was significantly higher in women who received a bladder flap. Pelvic floor symptom scores improved significantly following delivery.

conclusionsUrinary symptom scores as measured by the UDI-6 did not differ between women randomized to bladder flap or omission of the bladder flap, but the proportion of women with urinary symptom bother was significantly higher among those who received a bladder flap.

Indexed as

AdultCesarean SectionFemaleHumansLower Urinary Tract SymptomsPelvic FloorPostoperative ComplicationsPostpartum PeriodPregnancySingle-Blind MethodSurgical FlapsUrinary BladderBladder flapCesarean deliveryPelvic floor symptomsUrinary symptom bother

Identifiers

PMID28593365

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.