Evidence map›Paper›PMID 42878792›Full record

ArticleInternational urogynecology journal2026

Developing a Risk-Adjustment Model for Stress Urinary Incontinence Procedures Using Australasian Pelvic Floor Procedure Registry Data.

Stanley Johnson, Mohammad Amin Honardoost, Susannah Ahern, Rasa Ruseckaite, Rhiannon Whale, Bayley Matthews, Fiona Bach, Ailsa Wilson Edwards, Arul Earnest

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Article in International urogynecology journal, 2026. 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.

Stanley JohnsonSchool of Public Health and Preventive Medicine, Monash University, Room 415, Level 4, 553 St Kilda Road, Melbourne, VIC, 3004, Australia.
Mohammad Amin HonardoostSchool of Public Health and Preventive Medicine, Monash University, Room 415, Level 4, 553 St Kilda Road, Melbourne, VIC, 3004, Australia.
Susannah AhernSchool of Public Health and Preventive Medicine, Monash University, Room 415, Level 4, 553 St Kilda Road, Melbourne, VIC, 3004, Australia.
Rasa RuseckaiteSchool of Public Health and Preventive Medicine, Monash University, Room 415, Level 4, 553 St Kilda Road, Melbourne, VIC, 3004, Australia.
Rhiannon WhaleSchool of Public Health and Preventive Medicine, Monash University, Room 415, Level 4, 553 St Kilda Road, Melbourne, VIC, 3004, Australia.
Bayley MatthewsSchool of Public Health and Preventive Medicine, Monash University, Room 415, Level 4, 553 St Kilda Road, Melbourne, VIC, 3004, Australia.
Fiona BachSchool of Public Health and Preventive Medicine, Monash University, Room 415, Level 4, 553 St Kilda Road, Melbourne, VIC, 3004, Australia.
Ailsa Wilson EdwardsSchool of Public Health and Preventive Medicine, Monash University, Room 415, Level 4, 553 St Kilda Road, Melbourne, VIC, 3004, Australia.
Arul EarnestSchool of Public Health and Preventive Medicine, Monash University, Room 415, Level 4, 553 St Kilda Road, Melbourne, VIC, 3004, Australia. arul.earnest@monash.edu.ORCID http://orcid.org/0000-0003-2693-5034

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisSurgical outcomes for stress urinary incontinence (SUI) procedures are influenced by factors beyond the surgeon's control. Using Australasian Pelvic Floor Procedure Registry data, this study is aimed at developing a risk-adjustment model for equitable benchmarking of clinician-reported outcomes for female SUI procedures.

methodsLogistic regression was used to create multivariate models for clinician-reported outcomes of primary SUI procedures. Risk factors such as age, body mass index (BMI), diabetic status, and symptoms of bladder disease were selected for adjustment after consultation with clinicians. Sensitivity analysis was conducted to ensure the robustness of the primary model.

resultsThe multivariate model for clinician-reported improvement indicated that age over 80 years (OR 3.09, 95% CI 1.55 to 6.16, p = 0.001), BMI within the obese range (OR 2.67, 95% CI 1.03 to 6.98, p = 0.044), and a history of overactive bladder (OR 2.08, 95% CI 1.19 to 3.63, p = 0.010) were significantly associated with poorer outcomes. The model showed an acceptable fit, with an area under the curve of 68.38%.

conclusionsClinician-reported outcomes for primary SUI procedures in women are significantly affected by age, BMI and pre-existing bladder disease. This model can be used to statistically adjust for differences in case-mix across different clinical facilities, allowing for unbiased and equitable benchmarking of surgical outcomes.

Indexed as

Pelvic floor diseaseRisk-adjusted modelStress urinary incontinenceSurgical outcomes

Identifiers

PMID42878792

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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.