Evidence map›Paper›PMID 39464497›Full record

ArticlePrzeglad menopauzalny = Menopause review2024

Preoperative uterine artery embolisation before hysterectomy in women with giant uterine fibroid and HIV-associated nephropathy.

Filip Szkodziak, Sławomir Woźniak, Łukasz Światłowski, Emilia Maleszyk, Piotr Szkodziak, Krzysztof Pyra, Viktor Berczi, Tomasz Paszkowski, Tomasz Jargiełło

Abstract readCase Reports
In one paragraph

Article in Przeglad menopauzalny = Menopause review, 2024. 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
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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.

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

9 authors.

Filip SzkodziakThird Chair and Department of Gynaecology, Medical University of Lublin, Lublin, Poland.
Sławomir WoźniakThird Chair and Department of Gynaecology, Medical University of Lublin, Lublin, Poland.
Łukasz ŚwiatłowskiDepartment of Interventional Radiology and Neuroradiology, Medical University of Lublin, Lublin, Poland.
Emilia MaleszykDepartment of Surgical Oncology, Medical University of Lublin, Lublin Poland.
Piotr SzkodziakThird Chair and Department of Gynaecology, Medical University of Lublin, Lublin, Poland.
Krzysztof PyraDepartment of Interventional Radiology and Neuroradiology, Medical University of Lublin, Lublin, Poland.
Viktor BercziDepartment of Radiology, Medical Imaging Clinic, Semmelweis University Budapest, Budapest, Hungary.
Tomasz PaszkowskiThird Chair and Department of Gynaecology, Medical University of Lublin, Lublin, Poland.
Tomasz JargiełłoDepartment of Interventional Radiology and Neuroradiology, Medical University of Lublin, Lublin, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Uterine fibroids are the most common pelvic benign tumours occurring in women of reproductive age. Current treatment options include surgical procedures, pharmacological therapies, and minimally invasive procedures. The most commonly applied and accepted minimally invasive procedure used in the treatment of symptomatic uterine fibroid is uterine artery embolisation (UAE). Uterine artery embolisation is a minimally invasive procedure that can be used either as an auxiliary method or the main treatment method of symptomatic uterine fibroids. We would like to present the application of pre-operative UAE before hysterectomy in anaemic women with giant uterine fibroid (21.9 × 14.9 × 10.4 cm) and HIV-associated nephropathy. Among the possible treatment options for uterine fibroids in cases like the one presented in our manuscript, hysterectomy is the treatment of choice. However, surgical treatment in a patient with severe comorbid conditions and giant uterine fibroid carries serious risk of perioperative complications. Pre-operative UAE decreases such risk by reducing blood loss during hysterectomy and shortening operation/anaesthesia time. Although the benefits of pre-operative UAE before planned myomectomy or hysterectomy in high surgical risk patients with large fibroids has yet to be confirmed in a well-designed clinical trial, this procedure seems to be a promising tool to reduce the risk of perioperative complications in such patients.

Indexed as

high-risk surgical patienthysterectomyuterine arteries embolisationuterine fibroids

Identifiers

PMID39464497
PMCPMC11504482

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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.