Evidence map›Paper›PMID 34437897›Full record

ArticleUrology2021

Same Day Discharge Versus Overnight Observation Protocols - Similar Outcomes Following Artificial Urinary Sphincter Surgery.

Benjamin M Dropkin, Sarah C Sanders, Mehraban Kavoussi, Aziz Shaaban, Gregory A Joice, Steven J Hudak, Yair Lotan, Allen F Morey

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Urology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Artificial urinary sphincter surgery in the UK: are we following the guidelines?Annals of the Royal College of Surgeons of England · 2026
    Article
  3. Article
  4. Review
  5. Article
  6. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Benjamin M DropkinDepartment of Urology, University of Texas Southwestern Medical Center, Dallas, TX.
Sarah C SandersDepartment of Urology, University of Texas Southwestern Medical Center, Dallas, TX.
Mehraban KavoussiDepartment of Urology, University of Texas Southwestern Medical Center, Dallas, TX.
Aziz ShaabanDepartment of Urology, University of Texas Southwestern Medical Center, Dallas, TX.
Gregory A JoiceDepartment of Urology, University of Texas Southwestern Medical Center, Dallas, TX.
Steven J HudakDepartment of Urology, University of Texas Southwestern Medical Center, Dallas, TX.
Yair LotanDepartment of Urology, University of Texas Southwestern Medical Center, Dallas, TX.
Allen F MoreyDepartment of Urology, University of Texas Southwestern Medical Center, Dallas, TX. Electronic address: Allen.Morey@utsouthwestern.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo analyze our institutional experience transitioning from overnight observation (OBS) to same day surgery (SDS) for artificial urinary sphincter (AUS) procedures. Prior research has questioned the need for OBS following AUS surgery.

methodsWe retrospectively reviewed AUS surgeries performed by a single surgeon at our tertiary academic medical center between 08/2013 and 01/2020. Patients were grouped based on discharge status: OBS vs SDS. Cost savings associated with SDS were estimated using room and bed charges from a contemporary group of AUS patients.

resultsWe identified 525 AUS cases that met inclusion criteria. Men in the SDS group (n = 318) were more likely to have undergone a virgin AUS insertion and were slightly younger and healthier. Men in the OBS group (n = 207) were more likely to suffer an immediate postoperative complication (1% vs 0%, P < .01) and to be readmitted within 90 days of surgery (15% vs 5%, P < .01). The groups did not vary with respect to multiple other perioperative outcomes measures. Among patients who underwent AUS surgery between 09/2017 and 08/2020, those with OBS status (n = 39) had mean additional room and bed charges of $ 745 ± 302 vs none for SDS patients (n = 183).

conclusionSDS for AUS insertion is safe, effective, and associated with significant cost savings. Routine overnight observation after AUS insertion appears to be unnecessary.

Indexed as

Ambulatory Surgical ProceduresClinical ProtocolsLength of StayPatient DischargeProsthesis ImplantationUrinary Sphincter, ArtificialAgedAged, 80 and overHumansMaleMiddle AgedPostoperative ComplicationsRetrospective Studies

Identifiers

PMID34437897

What OpenQuestion holds

Textmetadata
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.