Evidence map›Paper›PMID 31005655›Full record

ArticleUrology2019

The Impact of Frailty on Artificial Urinary Sphincter Placement and Removal Procedures.

Andrew R Medendorp, Jennifer T Anger, Chengshi Jin, Katherine A Amin, Lindsay A Hampson, Una J Lee, Anne M Suskind

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Urology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
1.3field-weighted citation impact, top 22% 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, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Andrew R MedendorpDepartment of Urology, University of California, Los Angeles (UCLA), Los Angeles, CA.
Jennifer T AngerDepartment of Urology, University of California, Los Angeles (UCLA), Los Angeles, CA; Division of Urology, Department of Surgery, Cedars Sinai Medical Center, Los Angeles, CA.
Chengshi JinDepartment of Epidemiology and Biostatistics, University of California, San Francisco (UCSF), San Francisco, CA.
Katherine A AminSection of Urology, Virginia Mason Medical Center, Seattle, WA.
Lindsay A HampsonDepartment of Urology, University of California, San Francisco (UCSF), San Francisco, CA.
Una J LeeSection of Urology, Virginia Mason Medical Center, Seattle, WA.
Anne M SuskindDepartment of Urology, University of California, San Francisco (UCSF), San Francisco, CA. Electronic address: Anne.Suskind@ucsf.edu.
University of California, San Francisco · USVirginia Mason Medical Center · USCedars-Sinai Medical Center · USUniversity of California, Los Angeles · US

Funding

UCSF KURe Career Development ProgramK12DK083021 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BASKIN, LAURENCE, CARROLL, PETER R · 2008 to 2017
$5.9M
NIDDK NIH HHS K12 DK083021
6 · The paper itself

Abstract

objectiveTo determine whether frailty is associated with increased odds of 30-day surgical complications among men undergoing both artificial urinary sphincter (AUS) placement and removal procedures and to determine whether frailty was associated with increased odds of having an AUS removal procedure.

methodsThis is a retrospective cohort study of men undergoing AUS placement and removal procedures using data from the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) from 2006 to 2013. Frailty was quantified using the NSQIP-FI (frailty index) and was applied to logistic regression models predicting 30-day complications (overall, major, and minor) and the odds of having an AUS removal procedure (over an AUS placement procedure).

resultsWe identified a total of 624 and 147 men undergoing AUS placement and removal procedures, respectively. NSQIP-FI of ≥0.27, but not age, was associated with major complications (aOR 3.5, 95% confidence interval 1.2-9.9), while age ≥85 years, but not NSQIP-FI, was associated with minor complications (aOR 7.9, 95% confidence interval 1.4-45.6). Men undergoing AUS removal procedures tended to be more frail compared to men undergoing AUS placement procedures (12.9% vs 6.1% had NSQIP-FI of ≥0.27, P<.01).

conclusionMen undergoing AUS removal procedures are, on average, more frail compared to men undergoing AUS placement procedures. Frailty is associated with increased odds of major complications and with having an AUS removal procedure. These findings highlight the importance of incorporating measures of frailty, instead of age alone, into the perioperative decision-making process for adults considering these types of procedures.

Indexed as

AgedAged, 80 and overDevice RemovalFemaleFollow-Up StudiesFrailtyHumansIncidenceMalePostoperative ComplicationsRetrospective StudiesUnited StatesUrinary Incontinence, StressUrinary Sphincter, ArtificialUrologic Surgical Procedures

Identifiers

PMID31005655
PMCPMC6692072
OpenAlexW2937867543

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.