Evidence map›Paper›PMID 36431343›Full record

ArticleJournal of clinical medicine2022

Long-Term Assessment of Pelvic Organ Prolapse Reoperation Risk in Obese Women: Vaginal and Laparoscopic Approaches.

Marine Lallemant, Géraldine Giraudet, Victoire Delporte, Hélène Behal, Chrystele Rubod, Sophie Delplanque, Yohan Kerbage, Michel Cosson

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2022. 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
0.3field-weighted citation impact, top 38% 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. Surgical Decision-Making: Who Should Be Offered Sacrocolpopexy?International urogynecology journal · 2024
    Review
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 4 institutions in 1 country.

Marine LallemantDepartment of Gynecologic Surgery, Jeanne de Flandre University Hospital, 59000 Lille, France.ORCID 0000-0002-3341-5267
Géraldine GiraudetDepartment of Gynecologic Surgery, Jeanne de Flandre University Hospital, 59000 Lille, France.
Victoire DelporteDepartment of Gynecologic Surgery, Jeanne de Flandre University Hospital, 59000 Lille, France.ORCID 0000-0003-1008-9865
Hélène BehalSanté Publique: Epidémiologie et Qualité des Soins, Unité de Biostatistiques, University of Lille, France CHU Lille, EA 2694, 59000 Lille, France.
Chrystele RubodDepartment of Gynecologic Surgery, Jeanne de Flandre University Hospital, 59000 Lille, France.
Sophie DelplanqueDepartment of Gynecologic Surgery, Jeanne de Flandre University Hospital, 59000 Lille, France.
Yohan KerbageDepartment of Gynecologic Surgery, Jeanne de Flandre University Hospital, 59000 Lille, France.
Michel CossonDepartment of Gynecologic Surgery, Jeanne de Flandre University Hospital, 59000 Lille, France.
Hôpital Jeanne de Flandre · FRCentre Hospitalier Universitaire de Lille · FRUniversité de Lille · FRFranche-Comté Électronique Mécanique Thermique et Optique - Sciences et Technologies · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of this study was to compare reoperation risks after pelvic organ prolapse repair at 5-year follow-up between obese, overweight, and normal-weight women and to assess these risks accounting for the surgical procedure. We performed a retrospective chart review of all the women who underwent POP repair by transvaginal mesh surgery between January 2005 and January 2009 or laparoscopic sacrocolpopexy between January 2003 and December 2013 at the Gynecologic Surgery Department of the Lille University Hospital. During the study period, 744 women who underwent POP repair were divided into three groups: 382 (51%), 240 (32%), and 122 (16%) in the nonobese group (BMI < 25 kg/m²), overweight group (25 kg/m² ≤ BMI < 30 kg/m²), and obese group (BMI ≥ 30 kg/m²), respectively. The primary outcome was global reoperation. The median duration of follow-up was 87 months. The risks of global reoperation did not significantly differ between the three BMI groups (adjusted HR (95% CI): 1.12 (0.69 to 1.82) for overweight women and 0.90 (0.46 to 1.74) for obese women compared to normal-weight women, adjusted p = 0.80), nor among the women who underwent transvaginal mesh surgery or laparoscopic sacrocolpopexy. The risks of reoperation for POP recurrence, stress urinary incontinence, or mesh-related complications did not significantly differ between the three BMI groups in the overall population nor accounting for the surgical procedure. In conclusion, obesity does not seem to be a risk factor of reoperation for POP recurrence, SUI, or mesh-related complications in the long term regardless of the surgical approach.

Indexed as

complicationslong-term outcomesobesitypelvic organ prolapsePOP repairrecurrencereoperation

Identifiers

PMID36431343
PMCPMC9695500
OpenAlexW4309689140

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.