Evidence map›Paper›PMID 34400354›Full record

ArticleJournal of minimally invasive gynecology2022

Risk Factors Associated with Adnexal Torsion after Hysterectomy.

Laura N Homewood, Eesha D Dave, Riyas Ali, Indika V Mallawaarachchi, Sarah J Ratcliffe, Goundappa K Balasubramani, Ted T M Lee

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of minimally invasive gynecology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 31% 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

1 citing paper in PubMed, 7 citations in OpenAlex.

  1. 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

7 authors at 3 institutions in 2 countries.

Laura N HomewoodDepartment of Obstetrics and Gynecology, University of Virginia Health (Dr. Homewood). Electronic address: homewoodmanuscripts@gmail.com.
Eesha D DaveDepartment of Obstetrics, Gynecology and Reproductive Sciences, University of Pittsburgh Medical Center (Drs. Dave, Ali, and Lee).
Riyas AliDepartment of Obstetrics, Gynecology and Reproductive Sciences, University of Pittsburgh Medical Center (Drs. Dave, Ali, and Lee).
Indika V MallawaarachchiDivision of Biostatistics, Department of Public Health Sciences, School of Medicine, University of Virginia (Mr. Mallawaarachchi and Dr. Ratcliffe), Charlottesville, Virginia.
Sarah J RatcliffeDivision of Biostatistics, Department of Public Health Sciences, School of Medicine, University of Virginia (Mr. Mallawaarachchi and Dr. Ratcliffe), Charlottesville, Virginia.
Goundappa K BalasubramaniDepartment of Epidemiology, and Clinical and Translational Science Institute, Graduate School of Public Health, University of Pittsburgh (Dr. Balasubramani), Pittsburgh, Pennsylvania.
Ted T M LeeDepartment of Obstetrics, Gynecology and Reproductive Sciences, University of Pittsburgh Medical Center (Drs. Dave, Ali, and Lee).
University of Pittsburgh Medical Center · USUniversity of Virginia · USHomewood Research Institute · CA

Funding

University of Pittsburgh Clinical and Translational Science InstituteUL1TR001857 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2016 to 2025
$129.3M
The integrated Translational Health Research Institute of Virginia (iTHRIV): Using Data to Improve HealthUL1TR003015 · NCATS · UNIVERSITY OF VIRGINIA · PI BROWN, DONALD E, JOHNSTON, KAREN C. · 2019 to 2023
$20.3M
NCATS NIH HHS UL1 TR001857NCATS NIH HHS UL1 TR003015
6 · The paper itself

Abstract

STUDY

objectiveTo identify preoperative and intraoperative risk factors for adnexal torsion after hysterectomy, and to estimate the incidence of the disease in the modern-day era of laparoscopic surgery.

designRetrospective nested case-control study.

settingLarge urban medical system. PATIENTS: Eighty-nine female patients ages 17 to 51.

interventionsPatients underwent ovarian-sparing hysterectomy. MEASUREMENTS AND MAIN

resultsThe estimated incidence of ovarian torsion after hysterectomy was 0.5% (46/8538 ovarian-sparing hysterectomies). The following variables were found to be associated with adnexal torsion after hysterectomy in an adjusted logistic regression: laparoscopic or laparoscopic-assisted approach to hysterectomy vs any other approach (odds ratio [OR], 3.36; 95% confidence interval [CI], 0.86-13.23); younger age at the time of hysterectomy (17-40 years) vs older age (41-51 years) (OR, 3.45; 95% CI, 1.33-8.97); and a gynecologic history significant for endometriosis (OR, 4.07; 95% CI, 1.04-15.88).

conclusionThere is an association between laparoscopic approach to hysterectomy, younger age at time of hysterectomy, and a history of endometriosis with subsequent risk of adnexal torsion. Providers should have a heightened index of suspicion for adnexal torsion after hysterectomy in patients presenting with acute-onset abdominal pain who underwent laparoscopic hysterectomy at a younger age.

Indexed as

Adnexal DiseasesLaparoscopyAdolescentAdultCase-Control StudiesFemaleHumansHysterectomyMiddle AgedOvarian TorsionRetrospective StudiesRisk FactorsYoung AdultAdnexal torsionEndometriosisLaparoscopyOvarian torsionPost-hysterectomySalpingectomy

Identifiers

PMID34400354
PMCPMC8837652
OpenAlexW3193910473

What OpenQuestion holds

Textmetadata
LicenceTDM
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.