Evidence map›Paper›PMID 30685785›Full record

ArticleInternational urogynecology journal2019

An epidemiologic study of pelvic organ prolapse in rural Chinese women: a population-based sample in China.

Zhiyi Li, Tao Xu, Zhaoai Li, Jian Gong, Qing Liu, Lan Zhu

Abstract read
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In one paragraph

Article 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 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
4.1field-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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 53 citations in OpenAlex.

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  18. Pelvic Floor Considerations in COVID-19.Journal of women's health physical therapy · 2020
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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

6 authors at 3 institutions in 1 country.

Zhiyi LiDepartment of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, No. 1 ShuaiFu Road, Dongcheng District, Beijing, People's Republic of China.
Tao XuDepartment of Epidemiology and Statistics, Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences and School of Basic Medicine, Peking Union Medical College, Beijing, People's Republic of China.
Zhaoai LiDepartment of Gynecology and Obstetrics, Children's Hospital of Shanxi Province, Shanxi, People's Republic of China.
Jian GongDepartment of Gynecology and Obstetrics, Maternal and Child Health Hospital of Wuxi, Jiangsu, People's Republic of China.
Qing LiuDepartment of Gynecology and Obstetrics, Maternal and Child Health Hospital of Gansu Province, Lanzhou, People's Republic of China.
Lan ZhuDepartment of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, No. 1 ShuaiFu Road, Dongcheng District, Beijing, People's Republic of China. zhu_julie@vip.sina.com.ORCID http://orcid.org/0000-0002-1252-5483
Chinese Academy of Medical Sciences & Peking Union Medical College · CNGansu Provincial Maternal and Child Health Hospital · CNMaternal and Child Health Hospital of Xinjiang Uygur Autonomous Region · CN

Funding

CAMS Initiative for Innovative Medicine (CAMS-I2 M) 2017-I2 M-1-002
6 · The paper itself

Abstract

introduction and hypothesisWe aimed to investigate the prevalence and risk factors of symptomatic pelvic organ prolapse (POP) in rural China.

methodsA cross-sectional study of POP was conducted in rural China from February 2014 to March 2016. In total, 25,864 rural women were recruited. All were asked to complete a questionnaire that included questions about their age, job, parity, diseases, and so on. Symptomatic POP was assessed using Pelvic Organ Prolapse Quantification (POP-Q) system staging and validation questionnaires. Multivariate logistic regression was used to assess the factors associated with symptomatic POP.

resultsThe prevalence of symptomatic POP was 9.10%. There was a consistent trend toward an increasing prevalence of POP with increasing age, ranging from 2.53 to 13.40% (P < 0.0001). Women aged 50-59 years [adjusted odds ratio (AOR) 1.86, 95% confidence interval (CI) 1.46-2.37] were more likely to have POP than women aged 20-29 years. POP was positively associated with giving birth to more than three children (AOR 2.18, 95% CI 1.88-2.43). Cesarean section was a significant protective factor (AOR = 0.34, 95% CI 0.33-0.49) compared with vaginal delivery. Multivariate logistic regression analysis showed that obesity, constipation, smoking, coughing, gynecological diseases, and other physical diseases were also associated with POP.

conclusionsSymptomatic POP affects a substantial proportion of women in rural China. Older age, multiparity, vaginal delivery, obesity, and many chronic conditions significantly increased the odds of developing symptomatic POP. Additional healthcare campaigns are needed to educate women in rural areas about POP.

Indexed as

AdultAgedChinaCross-Sectional StudiesDiagnostic Self EvaluationEpidemiologic StudiesFemaleHumansMiddle AgedPelvic Organ ProlapsePrevalenceRisk FactorsRural HealthYoung AdultEpidemiologyPelvic organ prolapsePrevalenceRisk factorsRural

Identifiers

PMID30685785
OpenAlexW2912897239

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.