Evidence map›Paper›PMID 32680500›Full record

ArticleBMC women's health2020

Quality of life and the prevalence of urinary incontinence after surgical treatment for gynecologic cancer: a questionnaire survey.

Noriko Nakayama, Tetsuya Tsuji, Makoto Aoyama, Takafumi Fujino, Meigen Liu

Open access · goldAbstract read
In one paragraph

Article in BMC women's health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

11 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
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  4. Article
  5. Article
  6. Review
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  8. Evaluation of incontinence and lymphedema in gynecological cancer patients along with their impact on the quality of life.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Article
  9. Article
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  11. 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 at 2 institutions in 1 country.

Noriko NakayamaDepartment of Rehabilitation, Teine Keijinkai Hospital, Sapporo, Japan.
Tetsuya TsujiDepartment of Rehabilitation Medicine, Keio University School of Medicine, Tokyo, Japan. cxa01423@nifty.com.ORCID 0000-0002-4728-9409
Makoto AoyamaDepartment of Rehabilitation, Teine Keijinkai Hospital, Sapporo, Japan.
Takafumi FujinoDepartment of Obstetrics & Gynecology, Teine Keijinkai Hospital, Sapporo, Japan.
Meigen LiuDepartment of Rehabilitation Medicine, Keio University School of Medicine, Tokyo, Japan.
Teine Keijinkai Hospital · JPKeio University · JP

Funding

Japan Agency for Medical Research and Development 16ck0106215JSPS KAKENHI 17K01469
6 · The paper itself

Abstract

backgroundAlthough there have been a number of reports on urinary voiding symptoms associated with surgical interventions for gynecologic cancer and post-voiding symptoms, there have been few reports on urinary storage symptoms such as urinary incontinence (UI) and overactive bladder (OAB). The purpose of this study was to examine the rates and impact on quality of life (QOL) of urinary storage symptoms after gynecologic cancer surgery.

methodsA questionnaire survey, including Japanese-language versions of the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF), Overactive Bladder Symptom Score (OABSS), and Incontinence Impact Questionnaire-7 (IIQ-7), was distributed to gynecologic cancer patients who underwent hysterectomy between 2008 and 2013.

resultsOf the 145 patients analyzed, 49 (33.8%) had UI pre-surgery, and 76 (52.4%) had UI post-surgery, including 34 (35.4%) first-time UI patients, with a significant difference between pre- and post-surgery. Of the 49 subjects with UI pre-surgery, 43 (87.7%) had stress incontinence, while of the 76 patients with UI post-surgery, 44 (57.1%) had stress incontinence, and 24 (31.2%) had mixed incontinence. Seven (4.8%) subjects had OAB pre-surgery, whereas 19 (13.1%) had OAB symptoms post-surgery (including 15 first-time OAB patients), with a significant difference between pre- and post-surgery. IIQ-7 scores were markedly higher for patients with mixed incontinence post-surgery than for those with stress incontinence, indicating a lower QOL. Logistic regression analysis identified the number of Cesarean sections and days of urinary bladder catheterization as risk factors for postoperative UI.

conclusionsUI and OAB rates were higher after gynecologic cancer surgery than in the general female population. The mixed incontinence rate was markedly higher post-surgery; QOL was low for such patients due to the combination of urge and stress incontinence. Multiple Cesarean sections and urinary bladder catheterization post-surgery were risk factors for post-surgical UI.

Indexed as

AdultAgedAged, 80 and overCross-Sectional StudiesFemaleGenital Neoplasms, FemaleHumansJapanMiddle AgedPostoperative ComplicationsPrevalenceQuality of LifeSurveys and QuestionnairesUrinary Bladder, OveractiveUrinary IncontinenceComplicationsGynecologic cancerQuality of lifeUrinary incontinence

Identifiers

PMID32680500
PMCPMC7367359
OpenAlexW3042573745

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.