Evidence map›Paper›PMID 30612960›Full record

ArticleAmerican journal of obstetrics and gynecology2019

Gaining the patient perspective on pelvic floor disorders' surgical adverse events.

Gena C Dunivan, Andrew L Sussman, J Eric Jelovsek, Vivian Sung, Uduak U Andy, Alicia Ballard, Sharon Jakus-Waldman, Cindy L Amundsen, Christopher J Chermansky, Carla M Bann and 3 more

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in American journal of obstetrics and gynecology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 5% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 62 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Review
  7. Minimally Invasive Sacrocolpopexy: Impact on Sexual Function.International urogynecology journal · 2024
    Review
  8. Observational
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Patient-Centered Goals for Treatment of Pelvic Floor Disorders.Current bladder dysfunction reports · 2022
    Review
  17. Article
  18. Article
  19. Article
  20. Deciding Our Future: Consensus Conference Summary Report.Female pelvic medicine & reconstructive surgery · 2020
    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

13 authors at 10 institutions in 1 country.

Gena C DunivanDivision of Urogynecology, Department of Obstetrics-Gynecology, University of New Mexico, Albuquerque, NM. Electronic address: gdunivan@salud.unm.edu.
Andrew L SussmanDepartment of Family and Community Medicine, University of New Mexico, Albuquerque, NM.
J Eric JelovsekDepartment of Obstetrics-Gynecology, Duke University, Durham, NC.
Vivian SungDepartment of Obstetrics-Gynecology, Brown University, Providence, RI.
Uduak U AndyDepartment of Obstetrics-Gynecology, University of Pennsylvania.
Alicia BallardDepartment of Obstetrics-Gynecology, University of Alabama, Birmingham, AL.
Sharon Jakus-WaldmanDepartment of Obstetrics-Gynecology, Bellflower Medical Center, Bellflower, CA.
Cindy L AmundsenDepartment of Obstetrics-Gynecology, Duke University, Durham, NC.
Christopher J ChermanskyDivision of Urology, University of Pittsburgh, Pittsburgh, PA.
Carla M BannDivision of Statistical and Data Sciences, RTI International, Research Triangle Park, NC.
Donna MazloomdoostEunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD.
Rebecca G RogersDell Medical School, Department of Women's Health, University of Texas at Austin, Austin, TX.
Eunice Kennedy Shriver National Institute of Child Health and Human Development Pelvic Floor Disorders Network
Duke University · USUniversity of New Mexico · USBrown University · USFlower Hospital · USNational Institutes of Health · USRTI International · USThe University of Texas at Austin · USUniversity of Alabama at Birmingham · USUniversity of Pennsylvania · USUniversity of Pittsburgh · US

Funding

UNM HSC Clinical and Translational Science CenterUL1TR001449 · NCATS · UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR · PI CAMPEN, MATTHEW J, PANDHI, NANCY · 2015 to 2024
$36.9M
Pelvic Floor Disorders Network Data Coordinating Center Administrative Supplement: ODSS CDE FundingU24HD069031 · NICHD · RESEARCH TRIANGLE INSTITUTE · PI MARIE G GANTZ · 2016 to 2026
$35.8M
Pelvic Floor Disorders Network Data Coordinating Center (U01)U01HD069031 · NICHD · RESEARCH TRIANGLE INSTITUTE · PI GANTZ, MARIE G · 2011 to 2015
$19.7M
Perioperative Pelvic Floor Rehab: A Rrandomized TrialU10HD041261 · NICHD · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI RICHTER, HOLLY E · 2001 to 2015
$5.1M
UNC Pelvic Floor Disorders Research CollaborativeU10HD041267 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI VISCO, ANTHONY G · 2001 to 2015
$5.0M
Pelvic Floor Disorders NetworkU10HD054214 · NICHD · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI LUKACZ, EMILY S. · 2006 to 2015
$3.3M
The Cleveland Clinic Clinical SiteU10HD054215 · NICHD · CLEVELAND CLINIC LERNER COM-CWRU · PI BARBER, MATTHEW D · 2006 to 2015
$3.2M
Pelvic Floor Disorders Network Clinical Sites (UG1)UG1HD069010 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI Heidi S Harvie · 2016 to 2026
$3.0M
Pelvic Floor Disorders Network Clinical Site Application: The San Diego PelvicFloor ConsortiumUG1HD054214 · NICHD · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI EMILY S. LUKACZ, Shawn A Menefee · 2016 to 2026
$2.9M
Duke University Medical Center (DUMC) Pelvic Floor Disorders Network (PFDN) Clinical SiteUG1HD041267 · NICHD · DUKE UNIVERSITY · PI NAZEMA Y SIDDIQUI · 2016 to 2026
$2.8M
Pelvic Floor Disorders Network Clinical Sites (U10)U10HD069010 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI ARYA, LILY A · 2011 to 2015
$1.7M
Brown/WIH Pelvic Floor Disorders Network SiteU10HD069013 · NICHD · WOMEN AND INFANTS HOSPITAL-RHODE ISLAND · PI SUNG, VIVIAN W · 2011 to 2015
$1.6M
NCATS NIH HHS UL1 TR001449NICHD NIH HHS L30 HD085503NICHD NIH HHS U01 HD069031NICHD NIH HHS U10 HD041261NICHD NIH HHS U10 HD041267NICHD NIH HHS U10 HD054214NICHD NIH HHS U10 HD054215NICHD NIH HHS U10 HD069006NICHD NIH HHS U10 HD069010NICHD NIH HHS U10 HD069013NICHD NIH HHS U10 HD069025NICHD NIH HHS U24 HD069031NICHD NIH HHS UG1 HD041267NICHD NIH HHS UG1 HD054214NICHD NIH HHS UG1 HD069006NICHD NIH HHS UG1 HD069010
6 · The paper itself

Abstract

backgroundThe Institute for Healthcare Improvement defines an adverse event as an unintended physical injury resulting from or contributed to by medical care that requires additional monitoring, treatment, or hospitalization or that results in death. The majority of research has focused on adverse events from the provider's perspective.

objectiveThe objective of this qualitative study was to describe patient perceptions on adverse events following surgery for pelvic floor disorders. STUDY

designWomen representing the following 3 separate surgical populations participated in focus groups: (1) preoperative (women <12 weeks prior to surgery); (2) short-term postoperative (women up to 12 weeks after surgery); and (3) long-term postoperative (women 1-5 years after surgery). Deidentified transcripts of audio recordings were coded and analyzed with NVivo 10 software to identify themes, concepts, and adverse events. Women were asked to rank patient-identified and surgeon-identified adverse events in order of perceived severity.

resultsEighty-one women participated in 12 focus groups. Group demographics were similar between groups, and all groups shared similar perspectives regarding surgical expectations. Women commonly reported an unclear understanding of their surgery and categorized adverse events such as incontinence, constipation, nocturia, and lack of improvement in sexual function as very severe, ranking these comparably with intensive care unit admissions or other major surgical complications. Women also expressed a sense of personal failure and shame if symptoms recurred.

conclusionWomen consider functional outcomes such as incontinence, sexual dysfunction, and recurrence of symptoms as severe adverse events and rate them as similar in severity to intensive care unit admissions and death.

Indexed as

Patient SatisfactionAdultAgedFemaleFocus GroupsGynecologic Surgical ProceduresHumansMiddle AgedPelvic Floor DisordersPerceptionPostoperative ComplicationsQualitative ResearchQuality of Lifefunction outcomespelvic floor disordersqualitative studysurgical adverse events

Identifiers

PMID30612960
PMCPMC6351201
OpenAlexW2898297116

What OpenQuestion holds

Textmetadata
LicenceTDM
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.