Evidence map›Paper›PMID 42456160›Full record

ArticleThe Journal of urology2026

Frailty Is Associated With Postoperative Complications and Device Removal and Revision in Men Undergoing Surgery for Stress Urinary Incontinence.

Farnoosh Nik-Ahd, Leo D Dreyfuss, Lufan Wang, Abigail Shatkin-Margolis, W John Boscardin, Lindsay A Hampson, Benjamin N Breyer, Kenneth Covinsky, Anne M Suskind

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The Journal of urology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Farnoosh Nik-AhdDepartment of Urology, University of California, San Francisco, San Francisco, California.ORCID 0000-0003-4726-9894
Leo D DreyfussDepartment of Urology, Weill Cornell Medical Center, New York, New York.
Lufan WangDepartment of Urology, University of California, San Francisco, San Francisco, California.
Abigail Shatkin-MargolisDepartment of Obstetrics, Gynecology, and Reproductive Services, University of California, San Francisco, San Francisco, California.
W John BoscardinDepartment of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, California.
Lindsay A HampsonDepartment of Urology, University of California, San Francisco, San Francisco, California.
Benjamin N BreyerDepartment of Urology, University of California, San Francisco, San Francisco, California.
Kenneth CovinskyDepartment of Geriatrics, University of California, San Francisco, San Francisco, California.
Anne M SuskindDepartment of Urology, University of California, San Francisco, San Francisco, California.

Funding

Optimizing surgical decision-making for nursing home residents undergoing surgery for bladder and bowel dysfunctionR01AG058616 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SUSKIND, ANNE M. · 2018 to 2021
$1.7M
Promoting Multidisciplinary Clinical and Translational Science in Aging by Resident InvestigatorsR38AG070171 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HUANG, ALISON · 2021 to 2024
$1.4M
NIA NIH HHS R01 AG058616NIA NIH HHS R38 AG070171
6 · The paper itself

Abstract

purposeOur goal was to understand the association between frailty and postoperative complications after artificial urinary sphincter (AUS) and male urethral sling placement. MATERIALS AND

methodsThis was a retrospective study of Medicare beneficiaries undergoing AUS or sling from 2014 to 2016. Baseline frailty was quantified using the Claims-Based Frailty Index (CFI): not frail (<0.15), prefrail (0.15-0.24), and mildly-to-severely frail (≥0.25). Thirty-day complications and device revision/removal were analyzed using generalized linear regression models with log link, Poisson distribution, and robust standard errors.

resultsAltogether, 7252 men underwent surgery: 62.2% AUS and 37.8% sling. Mean age was 74.2 years (SD 5.6 years), and mean CFI was 0.15 (SD 0.05). Thirty-day complications occurred in 15% (N = 1052), and device revision/removal within 1 year occurred in 11% (N = 841). Thirty-day complications were associated with increasing CFI (prefrail adjusted relative risk [aRR] 1.5, mildly-to-severely frail aRR 2.5, compared with not frail, global

conclusionsFrailty, independent of age and comorbidity, was associated with increased odds of 30-day complications and device revision/removal. Thus, frailty, more than comorbidity, is an important yet often unrecognized factor that should be considered during preoperative decision-making for AUS or sling procedures.

Indexed as

Device RemovalFrailtyPostoperative ComplicationsSuburethral SlingsUrinary Incontinence, StressUrinary Sphincter, ArtificialAgedAged, 80 and overHumansMaleReoperationRetrospective StudiesUnited Statesartificial urinary sphincterfrailtymale stress urinary incontinencemale urethral slingprostate cancer

Identifiers

PMID42456160
PMCPMC13505961

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.