Evidence map›Paper›PMID 33259073›Full record

Trial reportNeurourology and urodynamics2021

Polypropylene and polyvinylidene fluoride transobturator slings for the treatment of female stress urinary incontinence: 1-Year outcomes from a multicentre randomized trial.

Jordi Sabadell, Anna Pereda-Núñez, Fernando Ojeda-de-Los-Santos, Manuel Urbaneja, Carmen González-García, Narcís Camps-Lloveras, Àngela Pérez-Plantado, Judit Canet-Rodríguez, Maria Paz Pérez-Espejo, Nuria Rodríguez-Mias and 6 more

Open access · hybridAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Neurourology and urodynamics, 2021. 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
1.1field-weighted citation impact, top 22% 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, 10 citations in OpenAlex.

  1. Pooled it
  2. Trial
  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

16 authors at 9 institutions in 1 country.

Jordi SabadellUrogynecology and Pelvic Floor Unit, Department of Gynecology, Hospital Universitari Vall d'Hebron, Vall d'Hebron Barcelona Hospital Campus, Universitat Autònoma de Barcelona, Barcelona, Spain.ORCID 0000-0001-9380-0338
Anna Pereda-NúñezPelvic Floor Unit, Department of Obstetrics and Gynecology, Hospital General de Granollers, Barcelona, Spain.
Fernando Ojeda-de-Los-SantosDepartment of Gynecology, Hospital Quirón Sagrado Corazón, Sevilla, Spain.
Manuel UrbanejaDepartment of Gynecology, Hospital Virgen del Rocío, Sevilla, Spain.
Carmen González-GarcíaDepartment of Gynecology, Hospital de Viladecans, Barcelona, Spain.
Narcís Camps-LloverasFunctional Urology and Urodynamics Unit, Department of Urology, Hospital Universitari de Bellvitge, Universitat de Barcelona, Barcelona, Spain.
Àngela Pérez-PlantadoDepartment of Gynecology, Hospital de Mataró, Consorci Sanitari del Maresme, Barcelona, Spain.
Judit Canet-RodríguezDepartment of Gynecology, Hospital Santa Caterina de Salt, Girona, Spain.
Maria Paz Pérez-EspejoDepartment of Urology, Hospital General de Riotinto, Huelva, Spain.
Nuria Rodríguez-MiasUrogynecology and Pelvic Floor Unit, Department of Gynecology, Hospital Universitari Vall d'Hebron, Vall d'Hebron Barcelona Hospital Campus, Universitat Autònoma de Barcelona, Barcelona, Spain.
Núria Sarasa-CastellóPelvic Floor Unit, Department of Obstetrics and Gynecology, Hospital General de Granollers, Barcelona, Spain.
Marta PalauDepartment of Gynecology, Hospital Virgen del Rocío, Sevilla, Spain.
Anabel Montero-ArmengolUrogynecology and Pelvic Floor Unit, Department of Gynecology, Hospital Universitari Vall d'Hebron, Vall d'Hebron Barcelona Hospital Campus, Universitat Autònoma de Barcelona, Barcelona, Spain.
Sabina SalicrúUrogynecology and Pelvic Floor Unit, Department of Gynecology, Hospital Universitari Vall d'Hebron, Vall d'Hebron Barcelona Hospital Campus, Universitat Autònoma de Barcelona, Barcelona, Spain.
Antonio Gil-MorenoDepartment of Gynecology, Hospital Universitari Vall d'Hebron, Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.
Jose L PozaUrogynecology and Pelvic Floor Unit, Department of Gynecology, Hospital Universitari Vall d'Hebron, Vall d'Hebron Barcelona Hospital Campus, Universitat Autònoma de Barcelona, Barcelona, Spain.
Universitat Autònoma de Barcelona · ESHospital General de Granollers · ESHospital Universitario Virgen del Rocío · ESBellvitge University Hospital · ESHospital de Viladecans · ESHospital Quirónsalud Sagrado Corazón · ESHospital Riotinto · ESHospital Santa Caterina · ESMaresme Health Consortium · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo compare the effectiveness and safety of polypropylene (PP) and polyvinylidene fluoride (PVDF) transobturator tapes (TOT) for the treatment of female stress urinary incontinence (SUI).

methodsThis is a multicentre randomized trial. Women with SUI or stress-predominant mixed urinary incontinence and scheduled for a TOT procedure were randomized to PP or PVDF slings. The primary outcome was 1-year cure or improvement rate using composite criteria. Complications were also compared. Relationships with outcomes were analyzed using multivariable logistic regressions models.

resultsFrom April 2016 to January 2018 285 participants were randomized. PP and PVDF slings showed similar high cure or improvement rate (91.0% vs. 95.6%, p = .138). Improvement in validated questionnaires was also similar. PVDF slings were associated with a lower rate of de novo urgency incontinence (adjusted odds ratio = 0.35; 95% confidence interval = 0.15-0.80). We found no statistical differences in complications rates, although a higher incidence of long-term pain events were observed in the PP group. The study is underpowered to find differences in specific complications owing to the low number of events.

conclusionPP and PVDF TOTs are equally effective, although PVDF is associated with fewer cases of de novo urgency incontinence. Further studies are needed to give robust conclusions on safety profiles.

Indexed as

AgedFemaleFluorocarbon PolymersHumansMiddle AgedPolypropylenesPolyvinylsSurveys and QuestionnairesTreatment OutcomeUrinary IncontinenceUrinary Incontinence, StressUrologic Surgical ProceduresFluorocarbon PolymersPolypropylenespolyvinylidene fluoridePolyvinylsde novo urgency incontinencemidurethral slingpolypropylenepolyvinylidene fluoridePVDFsling complicationsstress urinary incontinencesuburethral slingsuburethral tapetransobturator

Identifiers

PMID33259073
PMCPMC7839450
OpenAlexW3108183368

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.