Evidence map›Paper›PMID 31456030›Full record

ArticleInternational urogynecology journal2020

Impact of preoperative urodynamics on women undergoing pelvic organ prolapse surgery.

Dianne Glass, Frank C Lin, Aqsa A Khan, Michelle Van Kuiken, Alice Drain, Michael Siev, Benoit Peyronett, Nirit Rosenblum, Benjamin M Brucker, Victor W Nitti

Abstract read
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In one paragraph

Article 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 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.1field-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

7 citing papers in PubMed, 14 citations in OpenAlex.

  1. Observational
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  3. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 1 country.

Dianne GlassDepartment of Obstetrics and Gynecology, University of Chicago, Chicago, IL, USA.
Frank C LinDepartment of Urology, Division of Female Pelvic Medicine and Reconstructive Surgery, University of California Los Angeles, Los Angeles, CA, USA. fclin@mednet.ucla.edu.ORCID http://orcid.org/0000-0001-6010-3659
Aqsa A KhanDepartment of Urology, Mayo Clinic, Scottsdale, AZ, USA.
Michelle Van KuikenDepartment of Urology, Division of Female Pelvic Medicine and Reconstructive Surgery, University of California Los Angeles, Los Angeles, CA, USA.
Alice DrainDepartment of Urology, Division of Female Pelvic Medicine and Reconstructive Surgery, New York University, New York, NY, USA.
Michael SievDepartment of Urology, Division of Female Pelvic Medicine and Reconstructive Surgery, New York University, New York, NY, USA.
Benoit PeyronettDepartment of Urology, Division of Female Pelvic Medicine and Reconstructive Surgery, New York University, New York, NY, USA.
Nirit RosenblumDepartment of Urology, Division of Female Pelvic Medicine and Reconstructive Surgery, New York University, New York, NY, USA.
Benjamin M BruckerDepartment of Urology, Division of Female Pelvic Medicine and Reconstructive Surgery, New York University, New York, NY, USA.
Victor W NittiDepartment of Urology, Division of Female Pelvic Medicine and Reconstructive Surgery, University of California Los Angeles, Los Angeles, CA, USA.
Institute for Female Pelvic Medicine and Reconstructive Surgery · USUniversity of California, Los Angeles · USMayo Clinic in Arizona · USUniversity of Chicago · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisPreoperative urodynamic studies (UDS) are frequently performed before pelvic organ prolapse (POP) surgery to assess urethral and bladder function. The primary goal of this study is to examine how preoperative UDS are utilized and what value these studies have in patient treatment and/or counseling.

methodsWe retrospectively reviewed patients who underwent prolapse surgery and had preoperative UDS between June 2010 and February 2015. Indications for UDS were classified into four categories: (1) occult stress urinary incontinence only, (2) overactive bladder symptoms, (3) mixed or insensible urinary incontinence, and (4) voiding symptoms and/or elevated post-void residual. We identified changes in management or counseling that were directly attributable to UDS results prior to surgery.

resultsThree hundred ninety-two patients underwent urodynamic testing for indications 2-4 above, and 316 met the inclusion criteria. Fifty-seven percent (180/316) had OAB symptoms (34.4% wet, 65.6% dry), 40.2% (127/316) had mixed incontinence, and 17.1% (54/316) had voiding symptoms and/or elevated PVR. A total of 3.5% (11/316) patients had alteration in their management or counseling based on the results of the UDS; 29.4% (50/170) of the women evaluated for occult SUI alone or with other symptoms demonstrated it and 41 underwent sling placement.

conclusionsUDS did not have a significant impact on preoperative management or counseling in POP surgery if demonstration of occult SUI was not the indication for preoperative study in women committed to POP surgery. Major alterations in treatment were rare and occurred mostly in women with stress incontinence that also had concomitant voiding symptoms and/or elevated PVR.

Indexed as

Pelvic Organ ProlapseUrinary Incontinence, StressFemaleHumansRetrospective StudiesUrodynamicsUrologic Surgical ProceduresOveractive bladderPelvic organ prolapseProlapse repairStress urinary incontinenceUrodynamics

Identifiers

PMID31456030
OpenAlexW2970952276

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.