Evidence map›Paper›PMID 31471384›Full record

ReviewIn vivo (Athens, Greece)

Rethinking the Issue of Power Morcellation of Uterine Fibroids: Is Morcellation the Real Problem or Is this Another Symptom of Disparity in Healthcare Provision?

Funlayo Odejinmi, Mehrnoosh Aref-Adib, Natasha Liou, Michail Sideris, Rebecca Mallick

Abstract readReview
In one paragraph

Review in In vivo (Athens, Greece). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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

8 citing papers in PubMed.

  1. Article
  2. Uterine smooth muscle tumors with uncertain malignant potential: analysis following fertility-saving procedures.International journal of gynecological cancer : official journal of the International Gynecological Cancer Society · 2023
    Article
  3. Article
  4. Complications in laparoscopic and robotic-assisted surgery: definitions, classifications, incidence and risk factors - an up-to-date review.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2021
    Review
  5. Article
  6. Morcellation of the Uterus: Is There Any Place?Current oncology reports · 2020
    Review
  7. Article
  8. 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

5 authors.

Funlayo OdejinmiWhipps Cross Hospital, Barts Health NHS Trust, London, U.K.
Mehrnoosh Aref-AdibWhipps Cross Hospital, Barts Health NHS Trust, London, U.K.
Natasha LiouWhipps Cross Hospital, Barts Health NHS Trust, London, U.K.
Michail SiderisWomen's Health Research Unit, Queen Mary University of London, London, U.K.
Rebecca MallickPrincess Royal Hospital, Brighton and Sussex University Hospitals NHS Trust, Haywards Heath, U.K. rmallick@doctors.org.uk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Power morcellation remains one of the most significant developments in minimal access surgery over the past decade, allowing many more patients to benefit from the least invasive surgical route. However, its use is not without controversy, particularly with regards to the risks of an undiagnosed leiomyosarcoma. Increased media and, in particular, on-going social media coverage since events in 2014 have only served to intensify the debate, culminating in the Food and Drug Administration essentially 'banning' its use in the USA. Practice however continues to vary and this technique remains widely used in Europe and in particular the UK. The aim of this article was to review the development of power morcellation in gynaecology and the underlying risks, including that of undiagnosed leiomyosarcoma, as well as appraise the evolving literature on patient awareness and informed consent and the wider implications of morcellation restriction.

Indexed as

MorcellationAnimalsDisease ManagementEvidence-Based PracticeFemaleHumansIncidenceLeiomyomaLeiomyosarcomaMinimally Invasive Surgical ProceduresQuality ImprovementUndiagnosed DiseasesLaparoscopyleiomyosarcomamorcellationmyomectomyreview

Identifiers

PMID31471384
PMCPMC6754994

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.