Evidence map›Paper›PMID 31900547›Full record

ArticleInternational urogynecology journal2020

Perioperative adverse events in women over age 65 undergoing robot-assisted sacrocolpopexy.

Christopher X Hong, Priyanka K Halani, Naomi Gutkind, Heidi S Harvie, Lily A Arya, Uduak U Andy

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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.7field-weighted citation impact, top 30% 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

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

6 authors at 2 institutions in 1 country.

Christopher X HongDivision of Urogynecology, Department of Obstetrics and Gynecology, Hospital of the University of Pennsylvania, 5 Dulles, 3400 Spruce Street, Philadelphia, PA, 19104, USA. christopher.hong@pennmedicine.upenn.edu.ORCID 0000-0003-1294-4132
Priyanka K HalaniDivision of Urogynecology, Department of Obstetrics and Gynecology, Hospital of the University of Pennsylvania, 5 Dulles, 3400 Spruce Street, Philadelphia, PA, 19104, USA.
Naomi GutkindPerelman School of Medicine, University of Pennsylvania, 3400 Civic Center Blvd, Philadelphia, 19104, PA, USA.
Heidi S HarvieDivision of Urogynecology, Department of Obstetrics and Gynecology, Hospital of the University of Pennsylvania, 5 Dulles, 3400 Spruce Street, Philadelphia, PA, 19104, USA.
Lily A AryaDivision of Urogynecology, Department of Obstetrics and Gynecology, Hospital of the University of Pennsylvania, 5 Dulles, 3400 Spruce Street, Philadelphia, PA, 19104, USA.
Uduak U AndyDivision of Urogynecology, Department of Obstetrics and Gynecology, Hospital of the University of Pennsylvania, 5 Dulles, 3400 Spruce Street, Philadelphia, PA, 19104, USA.
Hospital of the University of Pennsylvania · USUniversity of Pennsylvania · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisPelvic floor disorders are common among and disproportionately affect older women. There are limited data regarding perioperative adverse events in older women undergoing robot-assisted sacrocolpopexy (RASC) specifically. The aim of this study was to compare the rate of perioperative adverse events in younger (age <65 years) versus older (age >65 years) women who underwent RASC.

methodsWe conducted a retrospective cohort study of women who underwent RASC between 2013 and 2018. Postoperative adverse events were categorized according to the Clavien-Dindo classification. Our primary outcome was the rate of intraoperative adverse events and postoperative adverse events with Clavien-Dindo grade II or greater. Outcomes were compared using univariate and multivariate analysis.

resultsOf the 327 patients included in the study, 227 were <65 years of age and 100 were ≥65 years of age. Women ≥65 years of age had higher rates of hypertension, higher American Society of Anesthesiologist (ASA) class, and higher Charlson Comorbidity Index (CCI) scores compared with women <65 years of age; these were not associated with increased likelihood of adverse events. The overall rate of any perioperative adverse event was 18.3%. There was no statistically significant difference in the overall rate of perioperative adverse events between younger and older women (18.5% vs 18.0%, p = 0.91).

conclusionsThere is no difference in rate of adverse events between women ≥65 years of age undergoing RASC and their younger counterparts.

Indexed as

Pelvic Organ ProlapseRoboticsRobotic Surgical ProceduresAgedAged, 80 and overFemaleHumansPostoperative ComplicationsRetrospective StudiesClavien–Dindo complicationsOlder womenPerioperative complicationsRobotic sacrocolpopexy

Identifiers

PMID31900547
OpenAlexW2997716281

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.