What do Cochrane systematic reviews say about non-surgical interventions for urinary incontinence in women?
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | https://repositorio.unifesp.br/handle/11600/53789 http://dx.doi.org/10.1590/1516-3180.2017.039420122017 |
Resumo: | BACKGROUND: Urinary incontinence is a highly prevalent condition that impacts self-esteem and overall quality of life. Many non-surgical treatment options are available, ranging from pharmacological approaches to pelvic exercises. We aimed to summarize the available evidence regarding these non-surgical interventions. DESIGN AND SETTING: Review of systematic reviews, conducted in the Discipline of Evidence-Based Medicine, Escola Paulista de Medicina, Universidade Federal de Sao Paulo (EPM-UNIFESP). METHODS: A sensitive search was conducted to identify all Cochrane systematic reviews that fulfilled the inclusion criteria. Titles and abstracts were screened by two authors. RESULTS: We included 20 Cochrane systematic reviews: 4 assessing methods of vesical training, 3 evaluating pharmacological interventions, 4 studying pelvic floor muscle training approaches and 9 aimed at other alternatives (such as urethral injections, weighted vaginal cone use, acupuncture, biostimulation and radiofrequency therapy). The reviews found that the evidence regarding the benefits of these diverse interventions ranged in quality from low to high. CONCLUSIONS: This review included 20 Cochrane systematic reviews that provided evidence (of diverse quality) for non-pharmacological interventions for patients with urinary incontinence. Moderate to high quality of evidence was found favoring the use of pelvic floor muscle training among women with urinary incontinence. To establish solid conclusions for all the other comparisons, further studies of good methodological quality are needed. |
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Leal Freitas da Costa, Anderson Adriano [UNIFESP]Vasconcellos, Igor Martins [UNIFESP]Pacheco, Rafael Leite [UNIFESP]Katalin de Jarmy di Bella, Zsuzsanna Ilona [UNIFESP]Riera, Rachel [UNIFESP]2020-07-02T18:51:57Z2020-07-02T18:51:57Z2018Sao Paulo Medical Journal. Sao Paulo, v. 136, n. 1, p. 73-83, 2018.1516-3180https://repositorio.unifesp.br/handle/11600/53789http://dx.doi.org/10.1590/1516-3180.2017.039420122017WOS000428567400011.pdf10.1590/1516-3180.2017.039420122017WOS:000428567400011BACKGROUND: Urinary incontinence is a highly prevalent condition that impacts self-esteem and overall quality of life. Many non-surgical treatment options are available, ranging from pharmacological approaches to pelvic exercises. We aimed to summarize the available evidence regarding these non-surgical interventions. DESIGN AND SETTING: Review of systematic reviews, conducted in the Discipline of Evidence-Based Medicine, Escola Paulista de Medicina, Universidade Federal de Sao Paulo (EPM-UNIFESP). METHODS: A sensitive search was conducted to identify all Cochrane systematic reviews that fulfilled the inclusion criteria. Titles and abstracts were screened by two authors. RESULTS: We included 20 Cochrane systematic reviews: 4 assessing methods of vesical training, 3 evaluating pharmacological interventions, 4 studying pelvic floor muscle training approaches and 9 aimed at other alternatives (such as urethral injections, weighted vaginal cone use, acupuncture, biostimulation and radiofrequency therapy). The reviews found that the evidence regarding the benefits of these diverse interventions ranged in quality from low to high. CONCLUSIONS: This review included 20 Cochrane systematic reviews that provided evidence (of diverse quality) for non-pharmacological interventions for patients with urinary incontinence. Moderate to high quality of evidence was found favoring the use of pelvic floor muscle training among women with urinary incontinence. To establish solid conclusions for all the other comparisons, further studies of good methodological quality are needed.Univ Fed Sao Paulo Unifesp, Escola Paulista Med, Discipline Evidence Based Hlth, Sao Paulo, SP, BrazilUniv Fed Sao Paulo Unifesp, Escola Paulista Med, Sao Paulo, SP, BrazilUniv Fed Sao Paulo Unifesp, Escola Paulista Med, Dept Gynecol, Sao Paulo, SP, BrazilUniv Fed Sao Paulo Unifesp, Escola Paulista Med, Discipline Evidence Based Hlth, Sao Paulo, SP, BrazilUniv Fed Sao Paulo Unifesp, Escola Paulista Med, Sao Paulo, SP, BrazilUniv Fed Sao Paulo Unifesp, Escola Paulista Med, Dept Gynecol, Sao Paulo, SP, BrazilWeb of Science73-83engAssociacao Paulista MedicinaSao Paulo Medical JournalReviewEvidence-based medicineTherapeuticsEvidence-based practiceUrinary incontinenceWhat do Cochrane systematic reviews say about non-surgical interventions for urinary incontinence in women?info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleSao Paulo1361info:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESPORIGINALWOS000428567400011.pdfapplication/pdf176875${dspace.ui.url}/bitstream/11600/53789/1/WOS000428567400011.pdf9aea712f3ab40c009d445a0121835fafMD51open accessTEXTWOS000428567400011.pdf.txtWOS000428567400011.pdf.txtExtracted texttext/plain51922${dspace.ui.url}/bitstream/11600/53789/2/WOS000428567400011.pdf.txt45a97936f58a3c87d967d9c60c16f4eeMD52open accessTHUMBNAILWOS000428567400011.pdf.jpgWOS000428567400011.pdf.jpgIM Thumbnailimage/jpeg6601${dspace.ui.url}/bitstream/11600/53789/4/WOS000428567400011.pdf.jpgb36d4c486bde3d934c1953072a2cb68dMD54open access11600/537892022-08-01 09:16:14.878open accessoai:repositorio.unifesp.br:11600/53789Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestopendoar:34652023-05-25T12:19:15.462696Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.en.fl_str_mv |
What do Cochrane systematic reviews say about non-surgical interventions for urinary incontinence in women? |
title |
What do Cochrane systematic reviews say about non-surgical interventions for urinary incontinence in women? |
spellingShingle |
What do Cochrane systematic reviews say about non-surgical interventions for urinary incontinence in women? Leal Freitas da Costa, Anderson Adriano [UNIFESP] Review Evidence-based medicine Therapeutics Evidence-based practice Urinary incontinence |
title_short |
What do Cochrane systematic reviews say about non-surgical interventions for urinary incontinence in women? |
title_full |
What do Cochrane systematic reviews say about non-surgical interventions for urinary incontinence in women? |
title_fullStr |
What do Cochrane systematic reviews say about non-surgical interventions for urinary incontinence in women? |
title_full_unstemmed |
What do Cochrane systematic reviews say about non-surgical interventions for urinary incontinence in women? |
title_sort |
What do Cochrane systematic reviews say about non-surgical interventions for urinary incontinence in women? |
author |
Leal Freitas da Costa, Anderson Adriano [UNIFESP] |
author_facet |
Leal Freitas da Costa, Anderson Adriano [UNIFESP] Vasconcellos, Igor Martins [UNIFESP] Pacheco, Rafael Leite [UNIFESP] Katalin de Jarmy di Bella, Zsuzsanna Ilona [UNIFESP] Riera, Rachel [UNIFESP] |
author_role |
author |
author2 |
Vasconcellos, Igor Martins [UNIFESP] Pacheco, Rafael Leite [UNIFESP] Katalin de Jarmy di Bella, Zsuzsanna Ilona [UNIFESP] Riera, Rachel [UNIFESP] |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Leal Freitas da Costa, Anderson Adriano [UNIFESP] Vasconcellos, Igor Martins [UNIFESP] Pacheco, Rafael Leite [UNIFESP] Katalin de Jarmy di Bella, Zsuzsanna Ilona [UNIFESP] Riera, Rachel [UNIFESP] |
dc.subject.eng.fl_str_mv |
Review Evidence-based medicine Therapeutics Evidence-based practice Urinary incontinence |
topic |
Review Evidence-based medicine Therapeutics Evidence-based practice Urinary incontinence |
description |
BACKGROUND: Urinary incontinence is a highly prevalent condition that impacts self-esteem and overall quality of life. Many non-surgical treatment options are available, ranging from pharmacological approaches to pelvic exercises. We aimed to summarize the available evidence regarding these non-surgical interventions. DESIGN AND SETTING: Review of systematic reviews, conducted in the Discipline of Evidence-Based Medicine, Escola Paulista de Medicina, Universidade Federal de Sao Paulo (EPM-UNIFESP). METHODS: A sensitive search was conducted to identify all Cochrane systematic reviews that fulfilled the inclusion criteria. Titles and abstracts were screened by two authors. RESULTS: We included 20 Cochrane systematic reviews: 4 assessing methods of vesical training, 3 evaluating pharmacological interventions, 4 studying pelvic floor muscle training approaches and 9 aimed at other alternatives (such as urethral injections, weighted vaginal cone use, acupuncture, biostimulation and radiofrequency therapy). The reviews found that the evidence regarding the benefits of these diverse interventions ranged in quality from low to high. CONCLUSIONS: This review included 20 Cochrane systematic reviews that provided evidence (of diverse quality) for non-pharmacological interventions for patients with urinary incontinence. Moderate to high quality of evidence was found favoring the use of pelvic floor muscle training among women with urinary incontinence. To establish solid conclusions for all the other comparisons, further studies of good methodological quality are needed. |
publishDate |
2018 |
dc.date.issued.fl_str_mv |
2018 |
dc.date.accessioned.fl_str_mv |
2020-07-02T18:51:57Z |
dc.date.available.fl_str_mv |
2020-07-02T18:51:57Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
Sao Paulo Medical Journal. Sao Paulo, v. 136, n. 1, p. 73-83, 2018. |
dc.identifier.uri.fl_str_mv |
https://repositorio.unifesp.br/handle/11600/53789 http://dx.doi.org/10.1590/1516-3180.2017.039420122017 |
dc.identifier.issn.none.fl_str_mv |
1516-3180 |
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WOS000428567400011.pdf |
dc.identifier.doi.none.fl_str_mv |
10.1590/1516-3180.2017.039420122017 |
dc.identifier.wos.none.fl_str_mv |
WOS:000428567400011 |
identifier_str_mv |
Sao Paulo Medical Journal. Sao Paulo, v. 136, n. 1, p. 73-83, 2018. 1516-3180 WOS000428567400011.pdf 10.1590/1516-3180.2017.039420122017 WOS:000428567400011 |
url |
https://repositorio.unifesp.br/handle/11600/53789 http://dx.doi.org/10.1590/1516-3180.2017.039420122017 |
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eng |
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73-83 |
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Sao Paulo |
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Associacao Paulista Medicina |
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Associacao Paulista Medicina |
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