Evidence map›Paper›PMID 37819369›Full record

ReviewInternational urogynecology journal2023

International urogynecological consultation chapter 4.1: definition of outcomes for pelvic organ prolapse surgery.

Joseph T Kowalski, Matthew D Barber, Wenche M Klerkx, Magdalena E Grzybowska, Philip Toozs-Hobson, Rebecca G Rogers, Alfredo L Milani

Abstract readReview
PubMed Publisher
In one paragraph

Review in International urogynecology journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 6% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Observational
  10. Article
  11. Article
  12. Chapter 4.5: New Proposed Treatments for Pelvic Organ Prolapse.International urogynecology journal · 2026
    Review
  13. Review
  14. Review
  15. Review
  16. Article
  17. Observational
  18. Measuring Pelvic Organ Prolapse: An Evolution.International urogynecology journal · 2024
    Review
  19. 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

7 authors at 7 institutions in 4 countries.

Joseph T KowalskiDepartment of Obstetrics and Gynecology, University of Iowa Hospitals and Clinics, Iowa City, IA, USA. joseph-kowalski@uiowa.edu.
Matthew D BarberDepartment of Ob/Gyn, Duke University Medical Center, Durham, NC, USA.
Wenche M KlerkxSt. Antoniusziekenhuis Utrecht, Nieuwegein, the Netherlands.
Magdalena E GrzybowskaDepartment of Gynecology, Obstetrics and Neonatology, Medical University of Gdańsk, Smoluchowskiego 17, 80-214, Gdańsk, Poland.
Philip Toozs-HobsonBirmingham Womens & Children's Hospital, Birmingham, UK.
Rebecca G RogersAlbany Medical Center, Albany, NY, USA.
Alfredo L MilaniDepartment of Obstetrics & Gynecology, Reinier de Graaf Hospital, 2625 AD, Delft, the Netherlands.
Albany Medical Center Hospital · USBirmingham Women's Hospital · GBDuke University Hospital · USGdańsk Medical University · PLReinier de Graaf Hospital · NLSt. Antonius Ziekenhuis · NLUniversity of Iowa Hospitals and Clinics · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisThis manuscript of Chapter 4 of the International Urogynecological Consultation (IUC) on Pelvic Organ Prolapse (POP) reviews the literature and makes recommendations on the definition of success in the surgical treatment of pelvic organ prolapse.

methodsAn international group containing seven urogynecologists performed an exhaustive search of the literature using two PubMed searches and using PICO methodology. The first search was from 01/01/2012-06/12/2022. A second search from inception to 7/24/2022 was done to access older references. Publications were eliminated if not relevant to the clinical definition of surgical success for the treatment of POP. All abstracts were reviewed for inclusion and any disagreements were adjudicated by majority consensus of the writing group. The resulting list of articles were used to inform a comprehensive review and creation of the definition of success in the surgical treatment of POP. OUTCOMES: The original search yielded 12,161 references of which 45 were used by the writing group. Ultimately, 68 references are included in the manuscript. For research purposes, surgical success should be primarily defined by the absence of bothersome patient bulge symptoms or retreatment for POP and a time frame of at least 12 months follow-up should be used. Secondary outcomes, including anatomic measures of POP and related pelvic floor symptoms, should not contribute to a definition of success or failure. For clinical practice, surgical success should primarily be defined as the absence of bothersome patient bulge symptoms. Surgeons may consider using PASS (patient acceptable symptom state) or patient goal attainment assessments, and patients should be followed for a minimum of at least one encounter at 6-12 weeks post-operatively. For surgeries involving mesh longer-term follow-up is recommended.

Indexed as

Pelvic Organ ProlapseConsensusFemaleGynecologic Surgical ProceduresHumansPelvic FloorRetreatmentSurgical MeshTreatment OutcomeClinical definitionOutcomePelvic organ prolapseResearchSuccessSurgeryTerminology

Identifiers

PMID37819369
OpenAlexW4387530914

What Socratic 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 Socratic graph.