{"id":"https://openalex.org/W7225414152","doi":"https://doi.org/10.1097/md.0000000000051318","title":"Discordance between levator hiatus morphology and function in pelvic floor dysfunction","display_name":"Discordance between levator hiatus morphology and function in pelvic floor dysfunction","publication_year":2026,"publication_date":"2026-11-06","ids":{"openalex":"https://openalex.org/W7225414152","doi":"https://doi.org/10.1097/md.0000000000051318","pmid":"https://pubmed.ncbi.nlm.nih.gov/42994895"},"language":"en","primary_location":{"id":"doi:10.1097/md.0000000000051318","doi":"https://doi.org/10.1097/md.0000000000051318","is_oa":true,"landing_page_url":"https://doi.org/10.1097/md.0000000000051318","pdf_url":null,"source":{"id":"https://openalex.org/S28966261","display_name":"Medicine","issn_l":"0025-7974","issn":["0025-7974","1536-5964"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310318547","host_organization_name":"Wolters Kluwer","host_organization_lineage":["https://openalex.org/P4310318547"],"host_organization_lineage_names":["Wolters Kluwer"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medicine","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1097/md.0000000000051318","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5160996637","display_name":"Yuhong Xue","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210090354","display_name":"Shaanxi Provincial People's Hospital","ror":"https://ror.org/009czp143","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210090354"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Yuhong Xue","raw_affiliation_strings":["Department of Ultrasound Diagnosis, Shaanxi Provincial People\u2019s Hospital, Xi\u2019an, Shaanxi Province, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Ultrasound Diagnosis, Shaanxi Provincial People\u2019s Hospital, Xi\u2019an, Shaanxi Province, China","institution_ids":["https://openalex.org/I4210090354"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5113322424","display_name":"Liang Mu","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210090354","display_name":"Shaanxi Provincial People's Hospital","ror":"https://ror.org/009czp143","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210090354"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Liang Mu","raw_affiliation_strings":["Department of Ultrasound Diagnosis, Shaanxi Provincial People\u2019s Hospital, Xi\u2019an, Shaanxi Province, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Ultrasound Diagnosis, Shaanxi Provincial People\u2019s Hospital, Xi\u2019an, Shaanxi Province, China","institution_ids":["https://openalex.org/I4210090354"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5135251099","display_name":"Shuliang Nan","orcid":"https://orcid.org/0009-0005-3605-9009","observed_orcids":["https://orcid.org/0009-0005-3605-9009"]},"institutions":[{"id":"https://openalex.org/I4210090354","display_name":"Shaanxi Provincial People's Hospital","ror":"https://ror.org/009czp143","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210090354"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Shuliang Nan","raw_affiliation_strings":["Department of Ultrasound Diagnosis, Shaanxi Provincial People\u2019s Hospital, Xi\u2019an, Shaanxi Province, China"],"raw_orcid":"https://orcid.org/0009-0005-3605-9009","affiliations":[{"raw_affiliation_string":"Department of Ultrasound Diagnosis, Shaanxi Provincial People\u2019s Hospital, Xi\u2019an, Shaanxi Province, China","institution_ids":["https://openalex.org/I4210090354"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I4210090354"],"apc_list":{"value":1950,"currency":"USD","value_usd":1950},"apc_paid":{"value":1950,"currency":"USD","value_usd":1950},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"105","issue":"45","first_page":"e51318","last_page":"e51318"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10418","display_name":"Pelvic floor disorders treatments","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2748","display_name":"Urology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10418","display_name":"Pelvic floor disorders treatments","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2748","display_name":"Urology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10279","display_name":"Urinary Bladder and Prostate Research","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2748","display_name":"Urology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10459","display_name":"Sexual function and dysfunction studies","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/levator-hiatus","display_name":"levator hiatus","score":0.9959999918937683},{"id":"https://openalex.org/keywords/pelvic-floor-dysfunction","display_name":"pelvic floor dysfunction","score":0.9589999914169312},{"id":"https://openalex.org/keywords/cystocele","display_name":"cystocele","score":0.968999981880188},{"id":"https://openalex.org/keywords/pelvic-organ-prolapse","display_name":"pelvic organ prolapse","score":0.7590000033378601},{"id":"https://openalex.org/keywords/valsalva-maneuver","display_name":"Valsalva maneuver","score":0.9850000143051147},{"id":"https://openalex.org/keywords/anatomical-morphology","display_name":"anatomical morphology","score":0.5199999809265137},{"id":"https://openalex.org/keywords/body-mass-index","display_name":"body mass index","score":0.8209999799728394},{"id":"https://openalex.org/keywords/primiparous-women","display_name":"primiparous women","score":0.8799999952316284},{"id":"https://openalex.org/keywords/nulliparous-women","display_name":"nulliparous women","score":0.7300000190734863},{"id":"https://openalex.org/keywords/parity-effects","display_name":"parity effects","score":0.4909999966621399},{"id":"https://openalex.org/keywords/diagnostic-performance","display_name":"diagnostic performance","score":0.7549999952316284}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.958899974822998},{"id":"https://openalex.org/C2777517520","wikidata":"https://www.wikidata.org/wiki/Q1427231","display_name":"Valsalva maneuver","level":3,"score":0.6707000136375427},{"id":"https://openalex.org/C2781244320","wikidata":"https://www.wikidata.org/wiki/Q813683","display_name":"Pelvic floor","level":2,"score":0.6395999789237976},{"id":"https://openalex.org/C2780221984","wikidata":"https://www.wikidata.org/wiki/Q131191","display_name":"Body mass index","level":2,"score":0.5260000228881836},{"id":"https://openalex.org/C58471807","wikidata":"https://www.wikidata.org/wiki/Q327120","display_name":"Receiver operating characteristic","level":2,"score":0.4943999946117401},{"id":"https://openalex.org/C2778616789","wikidata":"https://www.wikidata.org/wiki/Q537123","display_name":"Levator ani","level":3,"score":0.46950000524520874},{"id":"https://openalex.org/C2776140610","wikidata":"https://www.wikidata.org/wiki/Q1547362","display_name":"Pelvic cavity","level":2,"score":0.4113999903202057},{"id":"https://openalex.org/C2779662851","wikidata":"https://www.wikidata.org/wiki/Q7161799","display_name":"Pelvic floor dysfunction","level":3,"score":0.3772999942302704},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.3303999900817871},{"id":"https://openalex.org/C105702510","wikidata":"https://www.wikidata.org/wiki/Q514","display_name":"Anatomy","level":1,"score":0.3262999951839447},{"id":"https://openalex.org/C2778531004","wikidata":"https://www.wikidata.org/wiki/Q281490","display_name":"Urinary incontinence","level":2,"score":0.3181999921798706},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.31220000982284546},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.3107999861240387},{"id":"https://openalex.org/C2779762690","wikidata":"https://www.wikidata.org/wiki/Q9382","display_name":"Urinary bladder","level":2,"score":0.28040000796318054},{"id":"https://openalex.org/C122732770","wikidata":"https://www.wikidata.org/wiki/Q9382","display_name":"Neck of urinary bladder","level":3,"score":0.2685999870300293},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.2653999924659729},{"id":"https://openalex.org/C126894567","wikidata":"https://www.wikidata.org/wiki/Q105650","display_name":"Urology","level":1,"score":0.26350000500679016},{"id":"https://openalex.org/C146304588","wikidata":"https://www.wikidata.org/wiki/Q961652","display_name":"Case-control study","level":2,"score":0.25870001316070557},{"id":"https://openalex.org/C77411442","wikidata":"https://www.wikidata.org/wiki/Q181100","display_name":"Urinary system","level":2,"score":0.2547000050544739},{"id":"https://openalex.org/C76318530","wikidata":"https://www.wikidata.org/wiki/Q16833590","display_name":"Area under the curve","level":2,"score":0.2515999972820282}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010298","descriptor_name":"Parity","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012372","descriptor_name":"ROC Curve","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014636","descriptor_name":"Valsalva Maneuver","qualifier_ui":"Q000502","qualifier_name":"physiology","is_major_topic":false},{"descriptor_ui":"D015992","descriptor_name":"Body Mass Index","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016022","descriptor_name":"Case-Control Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017773","descriptor_name":"Pelvic Floor","qualifier_ui":"Q000033","qualifier_name":"anatomy & histology","is_major_topic":true},{"descriptor_ui":"D017773","descriptor_name":"Pelvic Floor","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":true},{"descriptor_ui":"D017773","descriptor_name":"Pelvic Floor","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":true},{"descriptor_ui":"D052858","descriptor_name":"Cystocele","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":true},{"descriptor_ui":"D056887","descriptor_name":"Pelvic Organ Prolapse","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":false},{"descriptor_ui":"D059952","descriptor_name":"Pelvic Floor Disorders","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D059952","descriptor_name":"Pelvic Floor Disorders","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1097/md.0000000000051318","doi":"https://doi.org/10.1097/md.0000000000051318","is_oa":true,"landing_page_url":"https://doi.org/10.1097/md.0000000000051318","pdf_url":null,"source":{"id":"https://openalex.org/S28966261","display_name":"Medicine","issn_l":"0025-7974","issn":["0025-7974","1536-5964"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310318547","host_organization_name":"Wolters Kluwer","host_organization_lineage":["https://openalex.org/P4310318547"],"host_organization_lineage_names":["Wolters Kluwer"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medicine","raw_type":"journal-article"},{"id":"pmid:42994895","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42994895","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medicine","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1097/md.0000000000051318","doi":"https://doi.org/10.1097/md.0000000000051318","is_oa":true,"landing_page_url":"https://doi.org/10.1097/md.0000000000051318","pdf_url":null,"source":{"id":"https://openalex.org/S28966261","display_name":"Medicine","issn_l":"0025-7974","issn":["0025-7974","1536-5964"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310318547","host_organization_name":"Wolters Kluwer","host_organization_lineage":["https://openalex.org/P4310318547"],"host_organization_lineage_names":["Wolters Kluwer"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medicine","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9940000176429749,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":11,"referenced_works":["https://openalex.org/W2605992488","https://openalex.org/W2734589992","https://openalex.org/W2775638175","https://openalex.org/W2951758754","https://openalex.org/W2972082444","https://openalex.org/W2993904724","https://openalex.org/W3003284802","https://openalex.org/W3021615400","https://openalex.org/W3135006197","https://openalex.org/W4283695058","https://openalex.org/W4294031779"],"related_works":["https://openalex.org/W2121281585","https://openalex.org/W1968650573","https://openalex.org/W1989352407","https://openalex.org/W2734589992","https://openalex.org/W2086253109","https://openalex.org/W2592263559","https://openalex.org/W2368942956","https://openalex.org/W4406270008","https://openalex.org/W2426486831","https://openalex.org/W4401935924"],"abstract_inverted_index":{"This":[0],"study":[1,149],"aimed":[2],"to":[3,21,60,117,132,143],"characterize":[4],"static":[5,245,277],"anatomical":[6,178,246,278],"and":[7,20,98,103,121,127,158,183,216,251,265,288],"dynamic":[8,196,266],"functional":[9,197,270],"parameters":[10,247],"of":[11,31,124],"the":[12,37,50,104,119,148,166,171,181,195,200,244],"levator":[13,90,152,262],"hiatus":[14,91,153,263],"in":[15,85,165,170,236,286],"women":[16,27,46],"with":[17,28,188,205,243],"bladder":[18,32],"prolapse":[19,33,38,167],"examine":[22],"their":[23],"diagnostic":[24,145,231,282],"performance.":[25],"Primiparous":[26],"a":[29,62],"diagnosis":[30],"were":[34,47,58,161,186],"recruited":[35],"as":[36,49],"group":[39,52,64,125,168,173,189,207],"(n":[40,53],"=":[41,54,211,220,223,240,249],"62),":[42],"while":[43],"healthy":[44],"nulliparous":[45],"included":[48],"control":[51,172],"60).":[55],"Nulliparous":[56],"controls":[57],"selected":[59],"provide":[61,273],"reference":[63],"without":[65],"childbirth-related":[66],"pelvic":[67],"floor":[68],"remodeling;":[69],"however,":[70,280],"because":[71],"parity":[72],"differed":[73],"systematically":[74],"between":[75,106],"groups,":[76],"parity-related":[77],"effects":[78,84],"cannot":[79],"be":[80],"separated":[81],"from":[82],"prolapse-related":[83],"this":[86,237],"case-control":[87],"design.":[88],"The":[89,151],"area":[92,159,201,234,267],"was":[93,110,115,141,203],"measured":[94],"both":[95,206],"at":[96],"rest":[97],"during":[99],"maximal":[100],"Valsalva":[101,156,184],"maneuver,":[102],"difference":[105],"these":[107,133],"2":[108],"measurements":[109],"calculated.":[111],"Hierarchical":[112],"regression":[113],"analysis":[114,140,226],"performed":[116],"evaluate":[118],"independent":[120,289],"joint":[122],"contributions":[123],"status":[126,190,208],"body":[128],"mass":[129],"index":[130],"(BMI)":[131],"parameters.":[134],"Receiver":[135],"operating":[136],"characteristic":[137],"(ROC)":[138],"curve":[139],"used":[142],"assess":[144],"performance":[146,232,283],"within":[147],"cohort.":[150],"resting":[154,182],"area,":[155,157],"change":[160,235],"all":[162],"significantly":[163],"greater":[164],"than":[169],"(P":[174,191],"<":[175,192,214],".001).":[176],"Static":[177],"parameters,":[179],"including":[180],"areas,":[185],"associated":[187,204],".001),":[193],"whereas":[194],"parameter,":[198],"namely":[199],"change,":[202],"(standardized":[209,218],"\u03b2":[210,219],"0.829,":[212],"P":[213,222],".001)":[215],"BMI":[217],"0.139,":[221],".003).":[224],"ROC":[225],"showed":[227],"very":[228],"high":[229],"apparent":[230],"for":[233,261],"cohort":[238],"(AUC":[239,248],"1.000),":[241],"compared":[242],"0.999":[250],"0.920,":[252],"respectively).":[253],"These":[254],"findings":[255],"indicate":[256],"different":[257],"statistical":[258],"association":[259],"patterns":[260],"morphology":[264],"change.":[268],"Dynamic":[269],"assessment":[271],"may":[272],"complementary":[274],"information":[275],"beyond":[276],"measures;":[279],"its":[281],"requires":[284],"confirmation":[285],"parity-matched":[287],"validation":[290],"cohorts.":[291]},"counts_by_year":[],"updated_date":"2026-11-09T13:22:03.289127","created_date":"2026-11-07T00:00:00"}
