The article below summarizes a roundtable discussion of a study published in this issue of the Journal in light of its methodology, relevance to practice, and implications for future research. Article discussed:
Elser DM, Moen MD, Stanford EJ, et al; on behalf of the Urogynecology Network. Abdominal sacrocolpopexy and urinary incontinence: surgical planning based on urodynamics. Am J Obstet Gynecol 2010;202:375.e1-5.
The full discussion appears at www.AJOG.org , pages e1-e3.
Discussion Questions
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What was the study rationale?
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What was the study design?
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How well did the study design address the question under investigation?
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What outcomes were assessed?
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Can you comment on the analysis plan and sample size?
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What do the tables tell us?
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How could the study be improved?
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What is the take-home message?
This month, Journal Club members discussed an article that focused on the value of pairing an incontinence procedure with sacrocolpopexy. A prior study suggested that this approach lessened postoperative stress incontinence. The new work by Elser and colleagues was performed to further assess whether the 2 corrective procedures should be performed together.
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