Evidence map›Paper›PMID 33596878›Full record

ArticleBMC women's health2021

Pelvic organ prolapse and uterine preservation: a cohort study (POP-UP study).

Daniel Gagyor, Vladimir Kalis, Martin Smazinka, Zdenek Rusavy, Radovan Pilka, Khaled M Ismail

Open access · goldAbstract read
In one paragraph

Article in BMC women's health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.4field-weighted citation impact, top 7% 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, 24 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Sacrocolpopexy: The Way I Do It.International urogynecology journal · 2024
    Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. 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

6 authors at 2 institutions in 1 country.

Daniel GagyorDepartment of Obstetrics and Gynaecology, Faculty of Medicine and Dentistry, Palacky University and Faculty Hospital, Olomouc, Czech Republic.
Vladimir KalisBiomedical Center, Faculty of Medicine in Pilsen, Charles University, Pilsen, Czech Republic.ORCID 0000-0001-7003-6795
Martin SmazinkaDepartment of Obstetrics and Gynecology, University Hospital, Pilsen, Czech Republic.
Zdenek RusavyBiomedical Center, Faculty of Medicine in Pilsen, Charles University, Pilsen, Czech Republic.
Radovan PilkaDepartment of Obstetrics and Gynaecology, Faculty of Medicine and Dentistry, Palacky University and Faculty Hospital, Olomouc, Czech Republic.
Khaled M IsmailBiomedical Center, Faculty of Medicine in Pilsen, Charles University, Pilsen, Czech Republic. khaled.ismail@lfp.cuni.cz.ORCID 0000-0001-9449-0706
Charles University · CZPalacký University Olomouc · CZ

Funding

Lékařská Fakulta v Plzni, Univerzita Karlova Progres Q39Ministerstvo Školství, Mládeže a Tělovýchovy CZ.02.1.01/0.0/0.0/16_019/0000787Ministerstvo Školství, Mládeže a Tělovýchovy LO1503
6 · The paper itself

Abstract

backgroundAbdominal and laparoscopic sacro-colpopexy (LSC) is considered the standard surgical option for the management of a symptomatic apical pelvic organ prolapse (POP). Women who have their uterus, and for whom an LSC is indicated, can have a laparoscopic sacro-hysteropexy (LSH), a laparoscopic supra-cervical hysterectomy and laparoscopic sacro-cervicopexy (LSCH + LSC) or a total laparoscopic hysterectomy and laparoscopic sacro-colpopexy (TLH + LSC). The main aim of this study was to compare clinical and patient reported outcomes of uterine sparing versus concomitant hysterectomy LSC procedures.

methodsA retrospective analysis of clinical, imaging and patient reported outcomes at baseline, 3 and 12 months after LSH versus either LSCH + LSC or TLH + LSC between January 2015 and January 2019 in a tertiary referral urogynecology center in Pilsen, the Czech Republic.

resultsIn total, 294 women were included in this analysis (LSH n = 43, LSCH + LSC n = 208 and TLH + LSC n = 43). There were no differences in the incidence of perioperative injuries and complications. There were no statistically significant differences between the concomitant hysterectomy and the uterine sparing groups in any of the operative, clinical or patient reported outcomes except for a significantly lower anterior compartment failure rate (p = 0.017) and higher optimal mesh placement rate at 12 months in women who had concomitant hysterectomy procedures (p = 0.006).

conclusionLSH seems to be associated with higher incidence of anterior compartment failures and suboptimal mesh placement based on postoperative imaging techniques compared to LSC with concomitant hysterectomy.

Indexed as

LaparoscopyPelvic Organ ProlapseCohort StudiesFemaleGynecologic Surgical ProceduresHumansHysterectomyRetrospective StudiesTreatment OutcomeUterusCervicopexyCompartmentHysteropexyLaparoscopicLSCLSCH + LSCLSHMeshPFDIPGI-IPOP-QSacrocolpopexyTLH + LSC

Identifiers

PMID33596878
PMCPMC7890869
OpenAlexW3121372514

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.