Evidence map›Paper›PMID 32040873›Full record

Observational studyNeurourology and urodynamics2020

Cough stress tests to diagnose stress urinary incontinence in women with pelvic organ prolapse with indication for surgical treatment.

Montserrat Espuña-Pons, Irene Diez-Itza, Sònia Anglès-Acedo, Patrick J O Covernton, GISPEM group

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Neurourology and urodynamics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 17% 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, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Guideline
  2. Review
  3. Observational
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Observational
  10. Editorial Comment: De novo urinary incontinence after pelvic organ prolapse surgery-a national database study.International braz j urol : official journal of the Brazilian Society of Urology
    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

5 authors at 4 institutions in 3 countries.

Montserrat Espuña-PonsDepartment and Clinical Institute of Gynaecology, Obstetrics and Neonatology, Hospital Clinic I Provincial, University of Barcelona, Barcelona, Spain.
Irene Diez-ItzaDepartment of Obstetrics and Gynaecology, Donostia University Hospital, San Sebastián, Spain.
Sònia Anglès-AcedoDepartment and Clinical Institute of Gynaecology, Obstetrics and Neonatology, Hospital Clinic I Provincial, University of Barcelona, Barcelona, Spain.
Patrick J O CoverntonMedical Affairs EMEA, Astellas Pharma Europe Ltd, Chertsey, UK.
GISPEM group
Astellas Pharma (Germany) · DEBiogipuzkoa Health Research Institute · ESHospital Clínic de Barcelona · ESUniversitat de Barcelona · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo evaluate the diagnostic ability of different cough stress tests (CSTs) in women with pelvic organ prolapse (POP), performed during outpatient urogynaecological exams.

methodsProspective, multicentre observational study involving women on waiting lists for POP surgery. With a subjectively full bladder, patients were asked to perform five different CSTs: without prolapse reduction ([a] standing, followed by [b] semilithotomy position); keeping semilithotomy position with prolapse reduced (by [c] posterior speculum, followed by [d] pessary); [e] standing again with the pessary in place. Primary outcome was positive CST in at least one of the five CSTs. Bladder volume was measured and symptoms of stress urinary incontinence (SUI) were detected by two validated questionnaires.

resultsA total of 297 women completed all CSTs and were included in the analyses. Mean (SD) age, parity, and body mass index were 64.8 (9.9) years, 2.7 (1.3) deliveries, and 26.6 (3.4) kg/m

conclusionsThe identification of urinary leakage cases with CSTs is best achieved using multiple different patient positions, different prolapse reduction methods, and bladder volumes ≥200 mL.

Indexed as

CoughPessariesPostureAgedCase-Control StudiesFemaleHumansMiddle AgedParityPatient PositioningPelvic Organ ProlapseProspective StudiesSurveys and QuestionnairesUrinary BladderUrinary Incontinence, Stresscough stress testpelvic organ prolapsestress urinary incontinence

Identifiers

PMID32040873
PMCPMC7078860
OpenAlexW3006349628

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.