Evidence map›Paper›PMID 37587240›Full record

Observational studySurgical endoscopy2023

Urinary incontinence in women who have undergone bariatric surgery.

K Paige Mihalsky, Rachel Tran, Fernando Moreno-Garcia, Caitlin Stenberg, Fernando Mier Giraud, Adam Hare, Lieschen H Quiroz, Laura E Fischer

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Surgical endoscopy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.0field-weighted citation impact, top 23% 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

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. 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.

K Paige MihalskyDepartment of Surgery, University of Oklahoma Health Science Center, Oklahoma City, OK, USA. paige.mihalsky@gmail.com.ORCID 0009-0006-6586-6464
Rachel TranUniversity of Oklahoma School of Medicine, Oklahoma City, OK, USA.
Fernando Moreno-GarciaUniversity of Oklahoma School of Medicine, Oklahoma City, OK, USA.
Caitlin StenbergDepartment of Surgery, University of Oklahoma Health Science Center, Oklahoma City, OK, USA.
Fernando Mier GiraudDepartment of Surgery, University of Oklahoma Health Science Center, Oklahoma City, OK, USA.
Adam HareDepartment of Obstetrics and Gynecology, University of Oklahoma Health Science Center, Oklahoma City, OK, USA.
Lieschen H QuirozDepartment of Obstetrics and Gynecology, University of Oklahoma Health Science Center, Oklahoma City, OK, USA.
Laura E FischerDepartment of Surgery, University of Oklahoma Health Science Center, Oklahoma City, OK, USA.
University of Oklahoma Health Sciences Center · USUniversity of Oklahoma · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionObesity is a known risk factor for urinary incontinence (UI). As bariatric surgery can result in significant and sustainable weight loss, many chronic diseases closely linked to obesity have likewise shown improvement after surgical weight loss. We propose that bariatric surgery may significantly improve obesity-related UI symptoms as well as improve quality of life. METHODS AND PROCEDURES: This is an interim analysis of an ongoing, prospective, single-institution observational study looking at UI in women enrolled in a bariatric surgery program. Participants completed the Pelvic Floor Distress Inventory (PFDI-20), International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI-SF), King's Health Questionnaire (KHQ), and Patient Global Impression of Improvement (PGI-I). Questionnaires were administered upon enrollment, pre-operatively, and at 3, 6, and 12 months post-operatively. Demographic data were collected at each interval and analyzed with descriptive statistics.

resultsAt analysis, 108 patients had enrolled in the study and 60% had progressed to surgery. We analyzed the following surveys: enrollment (n = 108), pre-operative (n = 43), 3-month (n = 29), 6-month (n = 26), and 1-year (n = 27). Mean BMI decreased from 49.8 to 31.1 at 1-year. All surveys showed significant improvement in UI symptoms over time. Overall, UI symptoms (PDFI-20) are correlated with BMI at time of survey and %TBWL (p = 0.03, p = 0.019). Additionally, perception of symptom improvement with surgery (PGI-I) improved over time (3-month p = 0.0289, 6-month p = 0.0024, 12-month p = 0.0035). Quality of life related to UI symptoms (KHQ) significantly improved after surgery (p = 0.0047 3-month, p = 0.0042 6-month, p = 0.0165 1-year).

conclusionsAlthough the relationship is complex and likely depends on many factors, weight loss after bariatric surgery is associated with improvement in UI symptoms and UI-related quality of life. Bariatric surgery can play a role in the long-term treatment of UI in women with obesity that may negate the need for further invasive UI procedures.

Indexed as

Bariatric SurgeryUrinary IncontinenceFemaleHumansObesityProspective StudiesQuality of LifeSurveys and QuestionnairesWeight LossBariatric surgeryQuality of lifeUrinary incontinence

Identifiers

PMID37587240
OpenAlexW4385857834

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.