Evidence map›Paper›PMID 29214325›Full record

SynthesisInternational urogynecology journal2018

Anterior colporrhaphy: a standard operation? Systematic review of the technical aspects of a common procedure in randomized controlled trials.

Ksenia Halpern-Elenskaia, Wolfgang Umek, Barbara Bodner-Adler, Engelbert Hanzal

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis 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 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

17 citing papers in PubMed, 32 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Surgical anatomy of the mid-vagina.Neurourology and urodynamics · 2022
    Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. 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

4 authors at 1 institution in 1 country.

Ksenia Halpern-ElenskaiaDivision of General Gynecology and Gynecologic Oncology, Department of Obstetrics and Gynecology, Medical University Vienna, Waehringer Guertel 18, 1090, Vienna, Austria. ksenia.halpern@meduniwien.ac.at.
Wolfgang UmekDivision of General Gynecology and Gynecologic Oncology, Department of Obstetrics and Gynecology, Medical University Vienna, Waehringer Guertel 18, 1090, Vienna, Austria.
Barbara Bodner-AdlerDivision of General Gynecology and Gynecologic Oncology, Department of Obstetrics and Gynecology, Medical University Vienna, Waehringer Guertel 18, 1090, Vienna, Austria.
Engelbert HanzalDivision of General Gynecology and Gynecologic Oncology, Department of Obstetrics and Gynecology, Medical University Vienna, Waehringer Guertel 18, 1090, Vienna, Austria.
Medical University of Vienna · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAnterior colporrhaphy (AC) is considered a standard procedure and is performed all over the world. However, not a single step of the procedure has ever been truly standardized and the rates of failure show a wide range in the literature from 0% up to 92%. The aim of this systematic review was to evaluate the differences in technique and procedure worldwide.

methodsWe performed a systematic literature search up to March 2016 using the MeSH terms "(anterior AND (colporrhaph* or colporhaph* or repair* or cystocel*)" using Preferred Reporting Items for Sytematic Reviews and Meta-Analyses (PRISMA). Only randomized controlled trials (RCT) were included in the systematic review. A 14-point checklist was used to assess the quality of surgery undertaken in each RCT.

resultsForty RCTs from all over the world were included in the review. The indication for AC was urinary incontinence and/or pelvic organ prolapse. A detailed description of colporrhaphy was not provided even in the well-conducted RCTs. The review showed differences in each step of the procedure, in perioperative care, in anesthesia and in surgeon' experience.

conclusionOur results highlight the problems concerning AC with the great range in postoperative outcomes. There is diversity in the anatomical structures used in the repair, in perioperative care and in the procedure itself.

Indexed as

Randomized Controlled Trials as TopicSurgical MeshColpotomyFemaleGynecologic Surgical ProceduresHumansPelvic Organ ProlapsePostoperative ComplicationsPregnancyTreatment OutcomeUrinary IncontinenceVaginaColporrhaphyCystoceleOutcomeProlapseSurgery

Identifiers

PMID29214325
PMCPMC5948274
OpenAlexW2773815220

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.