Evidence map›Paper›PMID 29776405›Full record

SynthesisBMC urology2018

Adjustable single-incision mini-slings (Ajust®) versus other slings in surgical management of female stress urinary incontinence: a meta-analysis of effectiveness and complications.

Fuding Bai, Jimin Chen, Zhewei Zhang, Yichun Zheng, Jiaming Wen, Xiawa Mao, Nan Zhang

Abstract readComparative StudyMeta-Analysis
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in BMC urology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

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

  1. Single-incision sling operations for urinary incontinence in women.The Cochrane database of systematic reviews · 2023
    Pooled it
  2. Article
  3. Article
  4. Comparison of Two Single-Incision Mini-Slings for the Treatment of Incontinence.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2021
    Article
  5. Review
  6. 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

7 authors.

Fuding BaiDepartment of Urology, School of Medicine Hangzhou, Second Affiliated Hospital, Zhejiang University, No.88 Jiefang Road, Hangzhou, Zhejiang Province, People's Republic of China.
Jimin ChenDepartment of Urology, School of Medicine Hangzhou, Second Affiliated Hospital, Zhejiang University, No.88 Jiefang Road, Hangzhou, Zhejiang Province, People's Republic of China.
Zhewei ZhangDepartment of Urology, School of Medicine Hangzhou, Second Affiliated Hospital, Zhejiang University, No.88 Jiefang Road, Hangzhou, Zhejiang Province, People's Republic of China.
Yichun ZhengDepartment of Urology, School of Medicine Hangzhou, Second Affiliated Hospital, Zhejiang University, No.88 Jiefang Road, Hangzhou, Zhejiang Province, People's Republic of China.
Jiaming WenDepartment of Urology, School of Medicine Hangzhou, Second Affiliated Hospital, Zhejiang University, No.88 Jiefang Road, Hangzhou, Zhejiang Province, People's Republic of China.
Xiawa MaoDepartment of Urology, School of Medicine Hangzhou, Second Affiliated Hospital, Zhejiang University, No.88 Jiefang Road, Hangzhou, Zhejiang Province, People's Republic of China.
Nan ZhangDepartment of Urology, School of Medicine Hangzhou, Second Affiliated Hospital, Zhejiang University, No.88 Jiefang Road, Hangzhou, Zhejiang Province, People's Republic of China. nanzhang@zju.edu.cn.

Funding

the National Natural Science Foundation of China No. 81400756 and No. 81202022the Public Welfare Technology, project of Science Technology Department of Zhejiang Province 2014C33184Zhejiang health Bureau 2016KYA093Zhejiang Provincial Natural Science Foundation of China LY16H160028
6 · The paper itself

Abstract

backgroundAdjustable single-incision mini-sling (SIMS) is a new category of SIMS for stress urinary incontinence (SUI). The aim of this study was to compare the efficacy and safety of adjustable single-incision mini-sling with other slings.

methodsLiterature search in databases such as Pubmed, and Conchrane Library was performed up to December, 2015. The outcomes including cure rate, operation time, postoperative pain score and complications were reanalyzed. The pooled relative risk (RR) and mean difference (MD) with their 95% confidence interval (95% CI) were calculated by RevMan v5.0.

resultsEight studies with 1093 SUI female patients were included. There was no significant difference between adjustable SIMS and other slings (transobturator slings and MiniArc) in patients subjective cure rate and objective cure rate. In addition, adjustable SIMS was associated with a significantly shorter operative time and lower postoperative pain score when comparing adjustable SIMS with transobturator tape (MD = - 1.35; 95%CI: -2.24 to - 0.46, P = 0.003). For the complications, there was also no significant difference between adjustable SIMS and transobturator slings.

conclusionsAdjustable SIMS had equally efficacy for SUI compared with transobturator slings and MiniArc. However, the significantly shorter operative time and lower postoperative pain score than transobturator tape supported the clinical application of adjustable SIMS.

Indexed as

Disease ManagementFemaleHumansPostoperative ComplicationsProsthesis ImplantationSuburethral SlingsTreatment OutcomeUrinary Incontinence, StressAjustMeta-analysisMiniArcSingle-incision mini-slingsTransobturator slings

Identifiers

PMID29776405
PMCPMC5960193

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.