Evidence map›Paper›PMID 31028418›Full record

SynthesisInternational urogynecology journal2019

The impact of bariatric surgery on urinary incontinence: a systematic review and meta-analysis.

Bhawana Purwar, Rufus Cartwright, Geraldo Cavalcanti, Giuseppe Alessandro Digesu, Ruwan Fernando, Vik Khullar

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 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
1.3field-weighted citation impact, top 20% 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

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

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 2 countries.

Bhawana PurwarDepartment of Urogynaecology, Singleton Hospital, Sketty Lane, Swansea, Wales, SA2 8QA, UK. drbhawanapurwar@yahoo.com.ORCID 0000-0001-6435-018X
Rufus CartwrightDepartment of Urogynaecology, John Radcliffe Hospital, Oxford, UK.
Geraldo CavalcantiFederal University of Pernambuco (UFPE), Recife, Brazil and University of Pernambuco (UPE), campus Recife, Recife, Brazil.
Giuseppe Alessandro DigesuDepartment of Urogynaecology, St Mary's Hospital, London, UK.
Ruwan FernandoDepartment of Urogynaecology, St Mary's Hospital, London, UK.
Vik KhullarDepartment of Urogynaecology, St Mary's Hospital, London, UK.
St Mary's Hospital · GBJohn Radcliffe Hospital · GBSingleton Hospital · GBUniversidade Federal de Pernambuco · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisObesity and overweight are strongly associated with stress and urgency urinary incontinence, and weight loss has been associated with improvement in urinary incontinence. We aimed to measure pooled effect sizes for different weight loss procedures on incontinence-specific quality of life and incontinence cure rate in a systematic review and meta-analysis.

methodsMEDLINE, Embase and the Cochrane library were searched using a pre-defined strategy for relevant cohort studies. Random effects meta-analyses were conducted for the weighted mean difference for urinary quality of life scores and weighted overall pooled estimates for proportions of women cured. We explored heterogeneity using meta-regression, testing the type of bariatric surgery and change in BMI as predictors of effect size. The studies were categorised as either low or high risk of bias using a novel instrument specifically designed for longitudinal symptom research studies.

resultsTwenty-three studies (n = 3,225) were included. Incontinence-specific quality of life scores were improved by 14% (weighted mean difference = -14.79; CI = -18.47 to -11.11; I

conclusionsBariatric surgery results in clinically meaningful improvements in incontinence-specific quality of life. Current data are limited by both short-term follow-up and unexplained heterogeneity among studies.

Indexed as

Bariatric SurgeryQuality of LifeWeight LossHumansObesityTreatment OutcomeUrinary IncontinenceBariatric surgeryObesitySurgically induced weight lossUrinary incontinence

Identifiers

PMID31028418
OpenAlexW2941624222

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.