Evidence map›Paper›PMID 33034678›Full record

ArticleInternational urogynecology journal2021

Efficacy of surgical revision of mesh complications in prolapse and urinary incontinence surgery.

Claudia R Kowalik, Mariëlle M E Lakeman, Sandra E Zwolsman, Jan-Paul W R Roovers

Open access · hybridAbstract read
In one paragraph

Article in International urogynecology journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.2field-weighted citation impact, top 44% 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

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. Article
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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.

Claudia R KowalikDepartment of Obstetrics and Gynecology, Amsterdam University Medical Centre, Room H4-262, PO Box 22660, 1100, DD, Amsterdam, The Netherlands. c.r.kowalik@amsterdamumc.nl.ORCID http://orcid.org/0000-0003-0802-1116
Mariëlle M E LakemanDepartment of Obstetrics and Gynecology, BovenIJ ziekenhuis, Statenjachtstraat 1, Po box 37610, 1030, BD, Amsterdam, The Netherlands.
Sandra E ZwolsmanDepartment of Obstetrics and Gynecology, Amsterdam University Medical Centre, Room H4-262, PO Box 22660, 1100, DD, Amsterdam, The Netherlands.
Jan-Paul W R RooversDepartment of Obstetrics and Gynecology, Amsterdam University Medical Centre, Room H4-262, PO Box 22660, 1100, DD, Amsterdam, The Netherlands.
University of Amsterdam · NLAmsterdam University Medical Centers · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisWomen with mesh-related complications in prolapse (POP) and stress-urinary incontinence (SUI) surgery may benefit from operative mesh resection to alleviate symptoms. We hypothesized that mesh resection would alleviate symptoms and aimed to evaluate risks and benefits in these women.

methodsWe carried out a cross-sectional study. Primary outcome was improvement specified as better, unchanged or worsened symptoms after mesh revision surgery. Secondary outcomes were health-related quality of life (HrQol) scores of validated questionnaires, surgical characteristics and physical findings at follow-up visits. Descriptive data were reported with mean and medians. Associations were calculated with Spearman correlation coefficient and chi-square test to determine statistical differences between groups.

resultsFifty-nine women who underwent mesh revision surgery between 2009 and 2016 were included. After a median follow-up of 1.7 (IQR: 1.1-2.4) years, 44 women (75%) reported improvement of symptoms. No significant surgical or patient characteristics were identified that could differentiate which patients did or did not experience cure or complications.A trend was observed to better HrQol scores in women who reported overall improvement after mesh revision surgery. Seventeen (29%) women needed a subsequent operation after mesh removal.

conclusionsThis cross-sectional study shows that mesh revision surgery alleviates symptoms in 75% of women with mesh-related complications. Type of revision surgery and individual characteristics did not seem to matter to the individual chance of cure or complications. These data can facilitate the counseling of women considering mesh revision surgery.

Indexed as

Pelvic Organ ProlapseSuburethral SlingsUrinary IncontinenceUrinary Incontinence, StressCross-Sectional StudiesFemaleHumansQuality of LifeReoperationSurgical MeshComplicationsPelvic organ prolapseSurgery

Identifiers

PMID33034678
PMCPMC8346427
OpenAlexW3092576664

What OpenQuestion holds

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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.