Evidence map›Paper›PMID 31396638›Full record

Observational studyInternational urogynecology journal2020

Obesity and its long-term impact on sacrocolpopexy key outcomes (OBELISK).

Martin Smazinka, Vladimir Kalis, Martin Havir, Linda Havelkova, Khaled M Ismail, Zdenek Rusavy

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in International urogynecology journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.3field-weighted citation impact, top 8% 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

10 citing papers in PubMed, 26 citations in OpenAlex.

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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 2 institutions in 1 country.

Martin SmazinkaDepartment of Gynecology and Obstetrics, University Hospital, Pilsen, Czech Republic.
Vladimir KalisDepartment of Gynecology and Obstetrics, University Hospital, Pilsen, Czech Republic.
Martin HavirDepartment of Gynecology and Obstetrics, University Hospital, Pilsen, Czech Republic.
Linda HavelkovaNew Technologies-Research Centre, University of West Bohemia, Pilsen, Czech Republic.
Khaled M IsmailBiomedical Center, Faculty of Medicine in Pilsen, Charles University, Pilsen, Czech Republic. khaled.ismail@lfp.cuni.cz.ORCID http://orcid.org/0000-0001-9449-0706
Zdenek RusavyDepartment of Gynecology and Obstetrics, University Hospital, Pilsen, Czech Republic.
Charles University · CZUniversity of West Bohemia in Pilsen · CZ

Funding

Lékařská Fakulta v Plzni, Univerzita Karlova Progress Q39National sustainability program I LO1503
6 · The paper itself

Abstract

introduction and hypothesisSacrocolpopexy is the preferred contemporary approach to managing significant apical pelvic organ prolapse. Obesity is an established risk factor for several surgical procedures and can have a negative impact on outcomes. Our goal was to evaluate the impact of BMI on the safety and efficacy of laparoscopic sacrocolpopexy in women with pelvic organ prolapse.

methodsA single-center retrospective observational study of women undergoing laparoscopic sacrocolpopexy between January 1, 2015, and December 31, 2017.

resultsWe found 299 procedures: 82 (27.4%), 147 (49.2%) and 70 (23.4%) in women with BMI <25 (normal weight), BMI ≥ 25 - < 30 (overweight) and BMI ≥ 30 (obese), respectively. Perioperative and early postoperative complications were generally low and not statistically significantly different between the groups. At 12 months postoperatively, 81 (98.8%), 136 (92.5%) and 62 (88.6%) normal-weight, overweight and obese women attended their follow-up, respectively. All obese women attending the follow-up scored an overall Patient Global Impression of Improvement (PGI-I) of ≤ 3. The Pelvic Floor Distress Inventory (PFDI) scores showed a significant improvement in all domains and were similar between the study groups. In total, there was one (0.4%) anatomical apical compartment failure, three (1.1%) anterior compartment failures and two (0.7%) posterior compartment failures with no significant differences between the groups. Similarly, there were no differences in functional outcomes or mesh position as assessed by ultrasound.

conclusionsThere were no differences in surgical, short- and long-term outcomes of laparoscopic sacrocolpopexy for pelvic organ prolapse in obese compared with non-obese women.

Indexed as

LaparoscopyPelvic Organ ProlapseFemaleGynecologic Surgical ProceduresHumansObesitySurgical MeshTreatment OutcomeBMILaparoscopyPOPProlapseSacrocolpopexyUrogynecology

Identifiers

PMID31396638
OpenAlexW2968028815

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.