Evidence map›Paper›PMID 30547721›Full record

ArticleSurgical innovation2019

Gatekeeper Improves Voluntary Contractility in Patients With Fecal Incontinence.

Ugo Grossi, Veronica De Simone, Angelo Parello, Francesco Litta, Lorenza Donisi, Gian Luca Di Tanna, Marta Goglia, Carlo Ratto

Open access · hybridAbstract read
In one paragraph

Article in Surgical innovation, 2019. 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
1.6field-weighted citation impact, top 16% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Systematic Localisation Based on History and Clinical Examination.The Malaysian journal of medical sciences : MJMS · 2024
    Article
  3. Article
  4. Article
  5. Review
  6. 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

8 authors at 3 institutions in 2 countries.

Ugo Grossi1 Proctology Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.ORCID https://orcid.org/0000-0001-5372-2873
Veronica De Simone1 Proctology Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Angelo Parello1 Proctology Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Francesco Litta1 Proctology Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Lorenza Donisi1 Proctology Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Gian Luca Di Tanna2 Universitat de Barcelona, Barcelona, Spain.
Marta Goglia1 Proctology Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Carlo Ratto1 Proctology Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.ORCID https://orcid.org/0000-0002-0556-0037
Agostino Gemelli University Polyclinic · ITUniversità Cattolica del Sacro Cuore · ITUniversitat de Barcelona · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGatekeeper (GK) has shown to be safe and effective in patients with fecal incontinence (FI). We aimed to understand its mechanism of action by comparing pre- and post-implant change in the external anal sphincter (EAS) contractility.

methodsStudy of EAS contractility was conducted in 16 FI females (median age = 69 years) before and after implant of 6 GK prostheses. Muscle tension ( Tm), expressed in millinewtons per centimeter squared, mN(cm

resultsCompared with baseline, despite unchanged tm (2.7 [2.5-2.8] vs 2.5 [2.2-2.8] mm; P = .31 mm), a significant increase in P (median = 45.8 [26.5-75.8] vs 60.4 [43.1-88.1] mm Hg; P = .017), and r

conclusionsGK-related EAS compression positively influences muscle contractility by increasing r

Indexed as

Prostheses and ImplantsProsthesis ImplantationAgedAged, 80 and overAnal CanalFecal IncontinenceFemaleHumansMiddle AgedMuscle ContractionProspective Studiesexternal anal sphincterfecal incontinenceGatekeeperlength-tension relationshipmechanism of action

Identifiers

PMID30547721
PMCPMC6535806
OpenAlexW2904518117

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.