Evidence map›Paper›PMID 32034459›Full record

ArticleInternational urogynecology journal2020

A comprehensive look at risk factors for mid-urethral sling revision surgery.

Melissa Keslar, Haroutyoun Margossian, Justin E Katz, Nisha Lakhi

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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, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
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, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
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 1 country.

Melissa KeslarDepartment of Obstetrics and Gynecology, Richmond University Medical Center, 355 Bard Avenue, Staten Island, NY, 10310, USA. mel.keslar@gmail.com.ORCID 0000-0002-0491-5932
Haroutyoun MargossianDepartment of Obstetrics and Gynecology, Richmond University Medical Center, 355 Bard Avenue, Staten Island, NY, 10310, USA.
Justin E KatzDepartment of Obstetrics and Gynecology, Richmond University Medical Center, 355 Bard Avenue, Staten Island, NY, 10310, USA.
Nisha LakhiDepartment of Obstetrics and Gynecology, Richmond University Medical Center, 355 Bard Avenue, Staten Island, NY, 10310, USA.
Richmond University Medical Center · USNew York Medical College · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe objective of this study was to identify risk factors and urodynamic parameters predictive of mid-urethral sling (MUS) revision surgery that can be used for counseling patients and individualizing risk prediction.

methodsRetrospective case-control analysis of 40 sling revisions performed during the 12-year study period were compared to 123 control cases that did not require revision to obtain a 1:3 case-to-control ratio. Demographic, perioperative, and urodynamic data were analyzed, with p < 0.05 as significant. Independent predictors of sling revision were assessed by binary logistic regression models, with risk expressed as adjusted odds ratios.

resultsAfter multiple regression analysis, younger age at time of index MUS placement (aOR 0.93, 95% CI 0.88-0.97), increasing number of cesarean deliveries (CD) (aOR 2.00, 95% CI 1.01-3.96), and concomitant apical prolapse repair during index MUS procedure (aOR 4.63, 95% CI 1.34-15.93) were significant predictors of sling revision.

conclusionsYoung age at the time of placement, multiple CD, and concomitant apical prolapse repair were independent factors predictive of sling revision. Giving consideration to risk factors could improve patient counseling and surgical candidate selection.

Indexed as

Suburethral SlingsUrinary Incontinence, StressAdultAgedFemaleHumansMiddle AgedReoperationRetrospective StudiesRisk FactorsMidurethral slingRevisionStress urinary incontinence

Identifiers

PMID32034459
OpenAlexW3005452890

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.