Evidence map›Paper›PMID 35604419›Full record

ArticleInternational urogynecology journal2022

Does parity impact obstructed defecation in women with normal anorectal anatomy?

Nishamini Subramaniam, Francisca Andrea Solar Altamirano, Talia Friedman Barhum, Bernadette Brown, Hans Peter Dietz

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Article in International urogynecology journal, 2022. 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
–field-weighted citation impact, top 91% 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, 0 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

5 authors at 1 institution in 3 countries.

Nishamini SubramaniamSydney Medical School Nepean, University of Sydney, Sydney, Australia. nishamini78@gmail.com.ORCID 0000-0001-7677-676X
Francisca Andrea Solar AltamiranoSydney Medical School Nepean, University of Sydney, Sydney, Australia.
Talia Friedman BarhumSydney Medical School Nepean, University of Sydney, Sydney, Australia.
Bernadette BrownSydney Medical School Nepean, University of Sydney, Sydney, Australia.
Hans Peter DietzSydney Medical School Nepean, University of Sydney, Sydney, Australia.
The University of Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisObstructed defecation (OD) is often associated with trauma to pelvic connective tissue and nerves sustained during pregnancy and childbirth. Although there are multiple potential etiologies of defecatory dysfunction, the pathophysiology of this symptom complex is not well understood. The purpose of this study is to determine the role of parity in the development of obstructed defecatory symptoms in women with normal anorectal anatomy in a search for evidence of a presumptive neuropathic effect of pregnancy and childbirth.

methodsThis study retrospectively evaluated the records of 754 women presenting at a tertiary urogynecology unit for pelvic floor dysfunction with no anatomical abnormalities of the anorectum on imaging. They were stratified according to parity. The authors determined the prevalence of obstructed defecation symptoms in these groups. Chi-squared test was performed for statistical analysis.

resultsMedian age was 51 (range 16-88) years, and median vaginal parity was 2 (0-8); 399 (53%) women reported symptoms of OD. When anatomical abnormalities of the anorectum were excluded, parity did not seem to have a major effect on the prevalence of symptoms of OD.

conclusionsIn this cohort, parity is unlikely to be a cause of OD in women with normal anorectal anatomy.

Indexed as

ConstipationDefecationAdolescentAdultAgedAged, 80 and overFemaleHumansMiddle AgedParityPregnancyRetrospective StudiesVaginaYoung Adult3D/4D translabial/exoanal ultrasoundConstipationObstructed defecationParityPelvic floor dysfunction

Identifiers

PMID35604419
OpenAlexW4281285444

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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.