Evidence map›Paper›PMID 29947819›Full record

ArticleInternational urogynecology journal2018

How do patients and surgeons decide on uterine preservation or hysterectomy in apical prolapse?

Breffini Anglim, Orfhlaith O'Sullivan, Barry O'Reilly

Abstract read
PubMed Publisher
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 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 6% 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, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
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  11. Update in native tissue vaginal vault prolapse repair.International urogynecology journal · 2020
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  14. Observational
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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

3 authors at 2 institutions in 1 country.

Breffini AnglimDepartment of Urogynaecology, Cork University Maternity Hospital, Wilton, Cork, Ireland. breffini.anglim@gmail.com.ORCID http://orcid.org/0000-0002-8859-9112
Orfhlaith O'SullivanDepartment of Urogynaecology, Cork University Maternity Hospital, Wilton, Cork, Ireland.
Barry O'ReillyDepartment of Urogynaecology, Cork University Maternity Hospital, Wilton, Cork, Ireland.
Cork University Hospital · IEUniversity College Cork · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Increasingly, uterine preservation surgeries are being performed for treating apical prolapse. Several types of procedures and surgical approaches to correct apical prolapse have been described in the literature. Despite this, there remains inadequate information to provide evidence-based recommendations regarding the optimal treatment approach and materials to use, and trials are ongoing to identify the optimal techniques. In the future, our patients may be the strongest determining influence when it comes to choice of apical prolapse surgery, with factors such as autonomy, reproduction, intimacy and fear influencing their decision. It is our opinion that the two most powerful forces behind the choice of apical POP surgical technique are the woman's personal desire for uterine preservation or not and the surgeon's personal choice of procedure based on training received. Present management of apical prolapse involves understanding patient goals and acknowledging their treatment preferences and values.

Indexed as

Organ Sparing TreatmentsFemaleGynecologic Surgical ProceduresHumansHysterectomyPelvic Organ ProlapseSurgeonsTreatment OutcomeUterusHysterectomyHysteropexyPelvic organ prolapseUterine preservation

Identifiers

PMID29947819
OpenAlexW2808382725

What OpenQuestion holds

Textmetadata
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.