Evidence map›Paper›PMID 28689239›Full record

ArticleInternational urogynecology journal2018

Structure-function relationship of the human external anal sphincter.

Amanda M Stewart, Mark S Cook, Keisha Y Dyer, Marianna Alperin

Open access · greenAbstract read
In one paragraph

Article 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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 29% 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

4 citing papers in PubMed, 8 citations in OpenAlex.

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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

4 authors at 3 institutions in 1 country.

Amanda M StewartDepartment of Reproductive Medicine, University of California San Diego, San Diego, CA, USA.
Mark S CookIntegrative Biology and Physiology, University of Minnesota, Minneapolis, MN, USA.
Keisha Y DyerFemale Pelvic Medicine and Reconstructive Surgery, Kaiser Permanente, San Diego, CA, USA.
Marianna AlperinDepartment of Reproductive Medicine, Division of Urogynecology and Pelvic Reconstructive Surgery, University of California San Diego, San Diego, CA, USA. malperin@ucsd.edu.ORCID http://orcid.org/0000-0002-6004-1803
University of California San Diego · USKaiser Permanente · USUniversity of Minnesota · US

Funding

UC San Diego Womens Reproductive Health Research ProgramK12HD001259 · NICHD · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI CYNTHIA GYAMFI-BANNERMAN · 1999 to 2026
$9.1M
Impact of Aging on Structure and Function of Pelvic Floor MusclesR03AG050951 · NIA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI ALPERIN, MARIANNA · 2016 to 2017
$233k
Architectural Design of the Pelvic Floor Skeletal MusclesR03HD075994 · NICHD · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI ALPERIN, MARIANNA · 2013 to 2014
$153k
NIA NIH HHS R03 AG050951NICHD NIH HHS K12 HD001259
6 · The paper itself

Abstract

introduction and hypothesisObstetrical external anal sphincter (EAS) injury and subsequent dysfunction are leading risk factors for female fecal incontinence (FI). Limited knowledge of the EAS structure-function relationship hinders treatment optimization. We directly measured functionally relevant intrinsic parameters of human EAS and tested whether vaginal delivery alters the EAS structure-function relationship.

methodsMajor predictors of in vivo EAS function were compared between specimens procured from vaginally nulliparous (VN, n = 5) and vaginally parous (VP, n = 7) cadaveric donors: operational sarcomere length (L

resultsThe VN and VP (median parity 3) groups were similar in age and BMI. No gross anatomical defects were identified. EAS L

conclusionsThis first direct examination of human EAS underscores how EAS intrinsic design matches its intended function. Knowledge of the EAS structure-function relationship is important for understanding the pathogenesis of FI and the optimization of treatments for EAS dysfunction.

Indexed as

Anal CanalFecal IncontinenceFemaleHumansMuscle ContractionPregnancySarcomeresExternal anal sphincterFecal incontinenceMuscle architecture

Identifiers

PMID28689239
PMCPMC5889349
OpenAlexW2728092029

What OpenQuestion holds

Textmetadata
LicenceTDM
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.