Evidence map›Paper›PMID 32223055›Full record

ArticleTropical medicine & international health : TM & IH2020

Frequency and management of non-obstetric fistula in the Democratic Republic of Congo: experience from the Fistula Care Plus project.

Michel Mpunga Mafu, Don Félicien Banze, Dolores Nembunzu, Raha Maroyi, Justin Paluku, Rachel Kinja, Esther Kitambala, Brian Tena-Tena Aussak, Ruth Bulu Bobina, Notia Amisi and 5 more

Open access · hybridAbstract read
In one paragraph

Article in Tropical medicine & international health : TM & IH, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 27% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Observational
  4. Article
  5. Rectovaginal Fistula Management in Low-Resource Settings.Clinics in colon and rectal surgery · 2022
    Review
  6. Article
  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

15 authors at 4 institutions in 3 countries.

Michel Mpunga MafuEngenderHealth, Kinshasa, République Démocratique Congo.
Don Félicien BanzeEngenderHealth, Kinshasa, République Démocratique Congo.
Dolores NembunzuHôpital Saint Joseph, Kinshasa, République Démocratique Congo.
Raha MaroyiHôpital Général de Référence de Panzi, Bukavu, République Démocratique Congo.
Justin PalukuHôpital HEAL Africa, Goma, République Démocratique Congo.
Rachel KinjaHôpital Général de Référence de Panzi, Bukavu, République Démocratique Congo.
Esther KitambalaHôpital HEAL Africa, Goma, République Démocratique Congo.
Brian Tena-Tena AussakHôpital Saint Joseph, Kinshasa, République Démocratique Congo.
Ruth Bulu BobinaHôpital HEAL Africa, Goma, République Démocratique Congo.
Notia AmisiHôpital Général de Référence de Panzi, Bukavu, République Démocratique Congo.
Ange MukuliboyHôpital Saint Joseph, Kinshasa, République Démocratique Congo.
Altine DiopEngenderhealth, New York, NY, USA.
Vandana TripathiEngenderhealth, New York, NY, USA.
Lauri RomanziEngenderhealth, New York, NY, USA.
Alexandre DelamouDepartment of Public Health, Gamal Abdel Nasser University of Conakry, Conakry, Guinea.
EngenderHealth · USKinshasa General Hospital · CDObservatoire Volcanologique de Goma · CDGamal Abdel Nasser University of Conakry · GN

Funding

United States Agency for International Development AID-OAA-A14-00013
6 · The paper itself

Abstract

objectiveTo describe the frequency, causes and post-repair outcomes of NOF in hospitals supported by the Fistula Care Plus (FC+) project in the Democratic Republic of Congo.

methodsRetrospective cohort study from 1 January 2015 to 31 December 2017 in three FC + supported fistula repair sites.

resultsOf 1984 women treated for female genital fistula between 2015 and 2017 in the three FC + supported hospitals, 384 (19%) were considered to be non-obstetric fistula (NOF) cases. 49.3% were married/in a relationship at the time of treatment vs. 69% before the fistula, P < 0.001. Type III (n = 247; 64.3%) and type I (n = 121; 31.5%) fistulas according to Kees/Waaldijk classification were the most common. The main causes of NOF were medical procedure (n = 305; 79.4%); of these, caesarean section (n = 234; 76.7%) and hysterectomy (n = 54; 17.7%) were the most common. At hospital discharge, the fistula was closed and dry in 353 women (95.7%).

conclusionNon-obstetric fistula, particularly due to iatrogenic causes, was relatively common in the DRC, calling for more prevention that includes improved quality of care in maternal health services.

Indexed as

AdolescentAdultCesarean SectionDemocratic Republic of the CongoFemaleHumansHysterectomyMiddle AgedParityResidence CharacteristicsRetrospective StudiesSeverity of Illness IndexSocioeconomic FactorsVesicovaginal FistulaYoung AdultcohortcohorteDemocratic Republic of Congofistule non obstétricalefréquencefrequencymanagementnon-obstetric fistulaprise en chargeRDC

Identifiers

PMID32223055
PMCPMC7317201
OpenAlexW3013561426

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.