Evidence map›Paper›PMID 38849830›Full record

ArticleBMC women's health2024

Development and validation of a prediction model for postoperative urinary retention after prolapse surgery: A retrospective cohort study.

Min Ju Kim, Sungyoung Lee, So Yeon Lee, Sumin Oh, Myung Jae Jeon

Abstract readValidation Study
In one paragraph

Article in BMC women's health, 2024. 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
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Min Ju Kim *Department of Obstetrics and Gynecology, Kyungpook National University Chilgok Hospital, Daegu, Korea.
Sungyoung Lee *Department of Genomic Medicine, Seoul National University Hospital, Seoul, Korea.
So Yeon LeeDepartment of Obstetrics and Gynecology, Gangseo MizMidi Hospital, Seoul, Korea.
Sumin OhDepartment of Obstetrics and Gynecology, Korea University Guro Hospital, Seoul, Korea.
Myung Jae JeonDepartment of Obstetrics and Gynecology, Seoul National University College of Medicine, 103 Daehak-ro, Jongno-gu, Seoul, 03080, Korea. jeonmj@snu.ac.kr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPostoperative urinary retention (POUR), a common condition after prolapse surgery with potential serious sequelae if left untreated, lacks a clearly established optimal timing for catheter removal. This study aimed to develop and validate a predictive model for postoperative urinary retention lasting > 2 and > 4 days after prolapse surgery.

methodsWe conducted a retrospective review of 1,122 patients undergoing prolapse surgery. The dataset was divided into training and testing cohorts. POUR was defined as the need for continuous intermittent catheterization resulting from a failed spontaneous voiding trial, with passing defined as two consecutive voids ≥ 150 mL and a postvoid residual urine volume ≤ 150 mL. We performed logistic regression and the predicted model was validated using both training and testing cohorts.

resultsAmong patients, 31% and 12% experienced POUR lasting > 2 and > 4 days, respectively. Multivariable logistic model identified 6 predictors. For predicting POUR, internal validation using cross-validation approach showed good performance, with accuracy lasting > 2 (area under the curve [AUC] 0.73) and > 4 days (AUC 0.75). Split validation using pre-separated dataset also showed good performance, with accuracy lasting > 2 (AUC 0.73) and > 4 days (AUC 0.74). Calibration curves demonstrated that the model accurately predicted POUR lasting > 2 and > 4 days (from 0 to 80%).

conclusionsThe proposed prediction model can assist clinicians in personalizing postoperative bladder care for patients undergoing prolapse surgery by providing accurate individual risk estimates.

Indexed as

Postoperative ComplicationsUrinary RetentionAgedCohort StudiesFemaleHumansLogistic ModelsMiddle AgedPelvic Organ ProlapseRetrospective StudiesRisk FactorsUrinary CatheterizationClinical decision-makingPelvic organ prolapseUrinary retention

Identifiers

PMID38849830
PMCPMC11157900

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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.