Evidence map›Paper›PMID 29298467›Full record

ArticleInternational neurourology journal2017

Impact of Preoperative Patient Characteristics and Flow Rate on Failure, Early Complications, and Voiding Dysfunction After a Transobturator Tape Procedure: A Multicentre Study.

Andrea Cocci, Giovanni E Cacciamani, Giorgio Ivan Russo, Maria Angela Cerruto, Martina Milanesi, Luis G Medina, Sebastiano Cimino, Walter Artibani, Giuseppe Morgia, Marco Carini and 1 more

Open access · diamondAbstract read
In one paragraph

Article in International neurourology journal, 2017. 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
0.2field-weighted citation impact, top 36% 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, 5 citations in OpenAlex.

  1. Article
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  4. 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

11 authors at 4 institutions in 2 countries.

Andrea CocciDepartment of Urology, University of Florence, Florence, Italy.ORCID 0000-0003-0138-6294
Giovanni E CacciamaniDepartment of Urology, Polo Chirurgico "P. Confortini", Azienda Ospedaliera Universitaria Integrata, Verona, Italy.ORCID 0000-0002-8892-5539
Giorgio Ivan RussoDepartment of Urology, University of Catania, Catania, Italy.ORCID 0000-0003-4687-7353
Maria Angela CerrutoDepartment of Urology, Polo Chirurgico "P. Confortini", Azienda Ospedaliera Universitaria Integrata, Verona, Italy.ORCID 0000-0002-1793-2336
Martina MilanesiDepartment of Urology, University of Florence, Florence, Italy.ORCID 0000-0003-3472-3568
Luis G MedinaUrology Institute, University of Southern California, Los Angeles, CA, USA.ORCID 0000-0002-4188-7096
Sebastiano CiminoDepartment of Urology, University of Catania, Catania, Italy.ORCID 0000-0002-6045-3373
Walter ArtibaniDepartment of Urology, Polo Chirurgico "P. Confortini", Azienda Ospedaliera Universitaria Integrata, Verona, Italy.ORCID 0000-0002-7956-9456
Giuseppe MorgiaDepartment of Urology, University of Catania, Catania, Italy.ORCID 0000-0002-7224-7577
Marco CariniDepartment of Urology, University of Florence, Florence, Italy.ORCID 0000-0002-2288-3647
Vincenzo Li MarziDepartment of Urology, University of Florence, Florence, Italy.ORCID 0000-0002-6328-7980
University of Florence · ITAzienda Ospedaliera Universitaria Integrata Verona · ITUniversity of Catania · ITUniversity of Southern California · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the impact of preoperative patient characteristics and flow rate on failure, early postoperative complications, and voiding in patients who underwent transvaginal tension-free vaginal tape-obturator (TVT-O) treatment for uncomplicated stress urinary incontinence (SUI).

methodsWe retrospectively reviewed patients who underwent TVT-O for SUI at 3 Italian centres. The exclusion criteria were predominant voiding and storage symptoms suggestive of detrusor overactivity, the presence of grade >1 urogenital prolapse, previous pelvic radiotherapy or other clinical contraindications for surgical procedures, neurogenic bladder dysfunction, and collagen diseases. Multivariate logistic regression models were constructed to identify predictors of early voiding dysfunction after TVT-O.

resultsA total of 219 patients underwent TVT-O between January 2010 and December 2015. All patients received follow-up at 3, 6, and 12 months, and underwent a stress test, uroflowmetry, and bladder ultrasound to evaluate the postvoid residual volume. They also responded to the Urogenital Distress Inventory (UDI-6) questionnaire. The rates of persistent incontinence after TVT-O, postoperative complications, and satisfaction were 16.4% (36 of 219), 24.2% (53 of 219), and 86.3% (189 of 219), respectively. Nineteen patients (9.5%) experienced early voiding dysfunction. Based on an analysis of baseline characteristics, we determined that a cutoff value of 9.0 on the UDI-6 predicted postoperative SUI with 62% specificity, 72% sensitivity, and 66% accuracy. In the multivariate logistic regression analysis, a preoperative UDI-6≥9.0 was an independent predictor of postoperative SUI. The predictors of complications were menopause (P = 0.04) and the preoperative UDI-6 score (P = 0.01).

conclusionsMenopause and UDI-6 scores could be prognostic factors for persistent SUI after TVT-O. Well-designed prospective studies with a suitable number of patients are needed to corroborate our findings.

Indexed as

Tension-Free Vaginal TapeUretrhal SlingUrinary IncontinenceUrinary Incontinence, StressUrodynamics

Identifiers

PMID29298467
PMCPMC5756816
OpenAlexW2779084676

What OpenQuestion holds

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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.