Evidence map›Paper›PMID 37109262›Full record

ArticleJournal of clinical medicine2023

Minimal Invasive Abdominal Sacral Colpopexy and Abdominal Lateral Suspension: A Prospective, Open-Label, Multicenter, Non-Inferiority Trial.

Eleonora Russo, Maria Magdalena Montt Guevara, Koray Gorkem Sacinti, Giulia Misasi, Maria Falcone, Riccardo Morganti, Liliana Mereu, Francesca Dalprà, Saverio Tateo, Tommaso Simoncini

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 18% 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

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

  1. Pooled it
  2. Review
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  4. Review
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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

10 authors at 4 institutions in 3 countries.

Eleonora RussoDivision of Obstetrics and Gynecology, Department of Experimental and Clinical Medicine, University of Pisa, 56126 Pisa, Italy.
Maria Magdalena Montt GuevaraDivision of Obstetrics and Gynecology, Department of Experimental and Clinical Medicine, University of Pisa, 56126 Pisa, Italy.ORCID 0000-0002-8648-3845
Koray Gorkem SacintiDivision of Obstetrics and Gynecology, Department of Experimental and Clinical Medicine, University of Pisa, 56126 Pisa, Italy.ORCID 0000-0002-8602-9714
Giulia MisasiDivision of Obstetrics and Gynecology, Department of Experimental and Clinical Medicine, University of Pisa, 56126 Pisa, Italy.
Maria FalconeDivision of Obstetrics and Gynecology, Department of Experimental and Clinical Medicine, University of Pisa, 56126 Pisa, Italy.
Riccardo MorgantiSOD Clinical Trial Statistical Support, Azienda Ospedaliero Universitaria Pisana, 56126 Pisa, Italy.ORCID 0000-0001-7783-0262
Liliana MereuDepartment of Provincial Health Services, Local Health of Trento, 38123 Trento, Italy.ORCID 0000-0002-0610-5132
Francesca DalpràDepartment of Obstetrics and Gynecology, Santorso Hospital, 36014 Vicenza, Italy.
Saverio TateoDepartment of Obstetrics and Gynecology, Centre Hospitalier de Troyes, 10003 Troyes, France.
Tommaso SimonciniDivision of Obstetrics and Gynecology, Department of Experimental and Clinical Medicine, University of Pisa, 56126 Pisa, Italy.
University of Pisa · ITAzienda Ospedaliera Universitaria Pisana · ITCentre Hospitalier de Troyes · FRProvincia Autonoma di Trento · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAbdominal minimally invasive surgery has become increasingly prominent for the treatment of prolapse. Abdominal sacral colpopexy (ASC) is the gold standard for the treatment of advanced apical prolapse; however, alternative surgical approaches such as the abdominal lateral suspension (ALS) have been developed to improve patient outcomes. This study aims to determine whether ALS improves outcomes compared to ASC in multicompartmental prolapse patients.

methodsA prospective, open-label, multicenter, non-inferiority trial was conducted in 360 patients who underwent ASC or ALS for the treatment of apical prolapse. The primary outcome was anatomical and symptomatic cure of the apical compartment at 1-year follow-up; secondary outcomes included prolapse recurrence, re-operation rate, and post-operative complications. A 300-patient cohort was subdivided into 200-patients who underwent ALS and 100-patients who underwent ASC. The confidence interval method was used to calculate the

resultsAt the 12-months follow-up, the objective cure rate of the apical defect was 92% for ALS and 94% for ASC (recurrence rates were 8% and 6%, respectively, and the

conclusionsThis study demonstrated that the ALS technique is not inferior to the gold standard ASC for the surgical treatment of apical prolapse.

Indexed as

apical defectlateral suspensionminimally invasive abdominal surgerysacral suspension

Identifiers

PMID37109262
PMCPMC10147058
OpenAlexW4366281420

What OpenQuestion holds

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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.