Evidence map›Paper›PMID 31222572›Full record

Trial reportInternational urogynecology journal2019

Adjustable mini-sling compared with conventional mid-urethral slings in women with urinary incontinence: a 3-year follow-up of a randomized controlled trial.

Vasileios Alexandridis, Martin Rudnicki, Ulf Jakobsson, Pia Teleman

Registry-linked trialOpen access · hybridAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in International urogynecology journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06731985 (The FAST- Study), which is not on this map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 33% 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.

NCT06731985 recruitingnot on this mapstarted 2024, after this paper: background citation

The FAST- Study: The Follow-up After Shorter Tapes Study Effectiveness and Safety of Shorter Trans-obturator Tapes: A Prospective Observational Study From the Norwegian Female Incontinence Registry

TypeobservationalSponsorUniversity Hospital, AkershusRan2024 to 2026Enrolled750ConditionsStress Urinary Incontinence, Postsurgical Pain, Follow-Up Studies
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Review
  5. Article
  6. Review
  7. 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

4 authors at 2 institutions in 3 countries.

Vasileios AlexandridisDepartment of Obstetrics and Gynecology, Skane University Hospital, Lund, Sweden. alexandridisv@gmail.com.ORCID 0000-0003-3899-9318
Martin RudnickiDepartment of Obstetrics and Gynecology, Odense University Hospital, Odense, Denmark.
Ulf JakobssonFaculty of Medicine, Lund University, Lund, Sweden.
Pia TelemanDepartment of Obstetrics and Gynecology, Skane University Hospital, Lund, Sweden.
Lund University · SEUniversity of Southern Denmark · DK

Funding

Nordic Federation of Obstetrics and Gynecology Research Fund NF12013
6 · The paper itself

Abstract

introduction and hypothesisThe aim of this study was to compare the long-term subjective outcomes of an adjustable single-incision sling (Ajust®) vs standard mid-urethral slings (SMUS) for the treatment of women with stress urinary incontinence.

methodsThis study was designed as a multicenter prospective randomized trial. Women under 60 years old with objectively verified stress urinary incontinence were included from seven centers in three countries. Women with mixed urinary incontinence were also included. Randomization was held in blocks for operation with either Ajust® or SMUS. Women analyzed at 1-year follow-up received the International Consultation on Incontinence Questionnaire Urinary Incontinence Short Form (ICIQ-UI-SF), International Consultation on Incontinence Questionnaire Overactive Bladder, Pelvic Organ Prolapse/Urinary Incontinence/Sexual Function Questionnaire-12, Patient Global Impression of Severity, and Patient Global Impression of Improvement questionnaires, together with a bladder diary to fill out at least 3 years after the procedure. The main outcome evaluated was the subjective cure rate as reported through the ICIQ-UI-SF questionnaire at 3 years.

resultsIn total, 205 women participated in the 3-year follow-up: 107 in the Ajust® and 98 in the SMUS group. No significant difference was observed between the groups regarding subjective cure rate (50.9% vs 51.5%, p = 0.909) or dyspareunia. Both groups demonstrated similar postoperative perception of improvement in addition to reduced urgency and urge urinary incontinence. The postoperative improvement remained at the same level after 3 years as it was at 1-year follow-up for both Ajust® and SMUS.

conclusionsAjust® appears to be equally effective and safe as SMUS with regard to long-term follow-up of patient-reported outcomes.

Indexed as

Suburethral SlingsFemaleFollow-Up StudiesHumansMiddle AgedPostoperative PeriodProspective StudiesProsthesis DesignQuality of LifeSurveys and QuestionnairesTime FactorsTreatment OutcomeUrinary Incontinence, StressMid-urethral slingMini-slingSingle-incision slingStress urinary incontinence

Identifiers

PMID31222572
PMCPMC6706362
OpenAlexW2893197513

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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.