Evidence map›Paper›PMID 30467762›Full record

SynthesisInternational urogynecology journal2019

Pelvic floor symptoms 5 to 14 years after total versus subtotal hysterectomy for benign conditions: a systematic review and meta-analysis.

Gabriel Francisco Aleixo, Marcelo C M Fonseca, Maria Augusta Tezelli Bortolini, Luiz Gustavo O Brito, Rodrigo A Castro

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in International urogynecology journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. Review
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

5 authors.

Gabriel Francisco AleixoUniversidade do Oeste Paulista, UNOESTE, Presidente Prudente, São Paulo, Brazil.
Marcelo C M FonsecaSector of Urogynecology, Department of Gynecology, Federal University of São Paulo, UNIFESP, Rua Barão do Triunfo, 427/1206, São Paulo, SP, CEP: 04602-001, Brazil.
Maria Augusta Tezelli BortoliniSector of Urogynecology, Department of Gynecology, Federal University of São Paulo, UNIFESP, Rua Barão do Triunfo, 427/1206, São Paulo, SP, CEP: 04602-001, Brazil. maria.augusta@gmail.com.
Luiz Gustavo O BritoDepartment of Obstetrics & Gynecology, University of Campinas, Campinas, Brazil.
Rodrigo A CastroSector of Urogynecology, Department of Gynecology, Federal University of São Paulo, UNIFESP, Rua Barão do Triunfo, 427/1206, São Paulo, SP, CEP: 04602-001, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisWe aim to compare total versus subtotal abdominal hysterectomy regarding urinary and bowel symptoms and pelvic organ prolapse at long-term follow-up.

methodsA systematic literature search was performed on the MEDLINE, LILACS, Cochrane CENTRAL and SCOPUS databases and conference abstracts (AAGL, AUGS, ICS) from inception up to November 2017. We included randomized trials comparing total versus subtotal hysterectomy for benign conditions that evaluated pelvic floor symptoms over 5 years of follow-up. Risk of bias and GRADE assessment for quality of evidence were performed.

resultsWe included four studies involving 566 participants with follow-up ranging from 5 to 14 years. Women who underwent total hysterectomy presented lower risk of reported urinary incontinence [RR 0.74 (CI = 0.58, 0.94) i

conclusionsPatient-reported urinary incontinence and stress urinary incontinence events favored total hysterectomy over subtotal hysterectomy up to 14-year long-term follow-up.

Indexed as

FemaleFollow-Up StudiesHumansHysterectomyPelvic Floor DisordersPostoperative ComplicationsTime FactorsUrinary IncontinenceUrinary Incontinence, StressHysterectomyLong-termMeta-analysisReviewSubtotalSupracervicalTotal

Identifiers

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.