Evidence map›Paper›PMID 34383134›Full record

ArticleWorld journal of urology2021

Temporal trends in the incidence of severe pelvic fracture urethral injuries in the United States from 1998 to 2014.

Hanson Zhao, Colby Souders, John M Masterson, Catherine Bresee, Alex Hannemann, Jennifer T Anger, George D Webster

Abstract read
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Article in World journal of urology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.2field-weighted citation impact, top 47% 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

0 citing papers in PubMed, 2 citations in OpenAlex.

No citing paper in PubMed yet.

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

7 authors at 3 institutions in 1 country.

Hanson ZhaoDivision of Urology, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Colby SoudersDivision of Urology, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
John M MastersonDivision of Urology, Cedars-Sinai Medical Center, Los Angeles, CA, USA.ORCID http://orcid.org/0000-0002-0388-1670
Catherine BreseeDivision of Urology, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Alex HannemannUniversity of South Dakota Sanford School of Medicine, Vermillion, SD, USA.
Jennifer T AngerDivision of Urology, Cedars-Sinai Medical Center, Los Angeles, CA, USA. drjenanger@gmail.com.
George D WebsterDivision of Urology, Duke University Medical Center, Durham, NC, USA.
Cedars-Sinai Medical Center · USDuke Medical Center · USUniversity of South Dakota · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectTo use a contemporary population-based cohort to investigate temporal trends in the national incidence of pelvic fracture urethral injuries (PFUIs) in the United States.

methodsUsing the NIS (National Inpatient Sample), we identified patients with a severe PFUI by a combination of an ICD-9 diagnosis code for pelvic fracture (808.xx) and ICD-9 procedure code for suprapubic tube (57.17 or 57.18) from 1998 to 2014. We compared the annual rates of PFUIs and the annual rates of pelvic fractures alone.

resultsAn estimated total of 6052 ± 347 males with PFUIs were identified. The average age was 38.4 ± 0.5 years. 9.1% ± 0.8% of patients died while hospitalized. In the time frame studied, the rate of PFUI significantly decreased during from 532 patients in 1998 to 255 patients in 2014. Sensitivity analysis excluding patients with bladder repairs identified a similar trend. The annual rate of PFUI per 1000 pelvic fractures has also decreased from 14.6 ± 1.6 in 1998 to 6.5 ± 0.9 in 2014 (p = 0.001).

conclusionsIn this population level study, the number of severe PFUIs has decreased in the United States from 1998 to 2014, which coincides with the implementation and enforcement of seat belt and air bag regulations. Given the rarity of these cases, there is a strong need for collaborative efforts in research and teaching at tertiary care centers for reconstructive urology.

Indexed as

AdultFractures, BoneHumansIncidenceInjury Severity ScoreMaleTime FactorsUnited StatesUrethraWounds and InjuriesPelvic fracturePrimary realignmentUrethral injuryUrethroplastyUrinary reconstruction

Identifiers

PMID34383134
OpenAlexW3191149037

What OpenQuestion holds

Textmetadata
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Registered trials

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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.