Evidence map›Paper›PMID 35403883›Full record

ArticleInternational urogynecology journal2023

The added value of conventional defecography and MRI defecography in clinical decision making on treatment for posterior compartment prolapse.

Dionne M Nijland, Linde T van Genugten, Karin S Dekker, Gert Jan Wagenmakers, Sicco J Braak, Angelique L Veenstra van Nieuwenhoven, Annemarie van der Steen, Anique T M Grob

Open access · hybridAbstract read
In one paragraph

Article in International urogynecology journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 35% 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, 3 citations in OpenAlex.

  1. Review
  2. Article
  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

8 authors at 2 institutions in 1 country.

Dionne M NijlandMulti-Modality Medical Imaging, Faculty of Science and Technology, Technical Medical Centre, University of Twente, Building Technohal, Drienerlolaan 5, 7522, NB, Enschede, The Netherlands.
Linde T van GenugtenDepartment of Obstetrics and Gynecology, Ziekenhuisgroep Twente, Hengelo, The Netherlands.
Karin S DekkerDepartment of Obstetrics and Gynecology, Ziekenhuisgroep Twente, Hengelo, The Netherlands.
Gert Jan WagenmakersDepartment of Radiology, Ziekenhuisgroep Twente, Hengelo, The Netherlands.
Sicco J BraakDepartment of Radiology, Ziekenhuisgroep Twente, Hengelo, The Netherlands.
Angelique L Veenstra van NieuwenhovenDepartment of Obstetrics and Gynecology, Ziekenhuisgroep Twente, Hengelo, The Netherlands.
Annemarie van der SteenDepartment of Obstetrics and Gynecology, Ziekenhuisgroep Twente, Hengelo, The Netherlands.
Anique T M GrobMulti-Modality Medical Imaging, Faculty of Science and Technology, Technical Medical Centre, University of Twente, Building Technohal, Drienerlolaan 5, 7522, NB, Enschede, The Netherlands. a.t.m.grob@utwente.nl.
Ziekenhuis Groep Twente · NLUniversity of Twente · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisConventional defecography and MRI defecography can be requested as an additional test for diagnosing and differentiating the type of posterior compartment prolapse and/or obstructive defecation disorders. The objective of this study was to determine the added value of conventional defecography, conventional defecography and MRI defecography for clinical decision-making on treatment for patients with posterior compartment prolapse.

methodsFour gynecologists were asked to fill in their treatment plan per patient for 32 cases for three different steps. Step 1 consisted of information on the anamnesis and physical examination (POP-Q). Step 2 consisted of Step 1, including conventional defecography (group A) or MRI defecography (group B). In Step 3, all gynecologists received the information on Step 1 including both conventional defecography and MRI defecography. Data analysis solely focused on the assessment of changes in the gynecological treatment plan of the posterior compartment.

resultsAfter Step 2 a change in treatment plan occurred in 37% and 48% of the women in groups A and B, respectively. Accordingly, after Step 3 (including all imaging data), a change in treatment plan occurred in 19% and 52% of the women in groups A and B, respectively. A change within the surgery group (when a different type of surgery was selected) was seen for a total of 11 cases in group A and 20 in group B in all steps combined.

conclusionsBoth conventional defecography and MRI defecography had an large effect on the treatment plan for patients with posterior compartment prolapse. The dedicated added value of the imaging modality individually cannot be concluded yet.

Indexed as

DefecographyRectal ProlapseClinical Decision-MakingConstipationFemaleHumansMagnetic Resonance ImagingClinical decision-makingConventional defecographyMRI defecographyProlapse

Identifiers

PMID35403883
PMCPMC9870817
OpenAlexW4223533505

What OpenQuestion holds

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LicenceCC BY
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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.