Interventions for treating urinary incontinence after stroke in adults

Thomas, Lois H; Coupe, Jacqueline; Cross, Lucy; Tan, Aidan Lyanzhiang; Watkins, Caroline L

doi:10.1002/14651858.cd004462.pub4

Cited by 63 publications

(71 citation statements)

References 83 publications

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“…"We imposed no language or other restrictions on any of the searches." [95] Limits described without justification. "The search was limited to the English language and to human studies."…”

Section: Examplesmentioning

confidence: 99%

PRISMA-S: an extension to the PRISMA Statement for Reporting Literature Searches in Systematic Reviews

et al. 2021

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Background Literature searches underlie the foundations of systematic reviews and related review types. Yet, the literature searching component of systematic reviews and related review types is often poorly reported. Guidance for literature search reporting has been diverse, and, in many cases, does not offer enough detail to authors who need more specific information about reporting search methods and information sources in a clear, reproducible way. This document presents the PRISMA-S (Preferred Reporting Items for Systematic reviews and Meta-Analyses literature search extension) checklist, and explanation and elaboration. Methods The checklist was developed using a 3-stage Delphi survey process, followed by a consensus conference and public review process. Results The final checklist includes 16 reporting items, each of which is detailed with exemplar reporting and rationale. Conclusions The intent of PRISMA-S is to complement the PRISMA Statement and its extensions by providing a checklist that could be used by interdisciplinary authors, editors, and peer reviewers to verify that each component of a search is completely reported and therefore reproducible.

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“…"We imposed no language or other restrictions on any of the searches." [95] Limits described without justification. "The search was limited to the English language and to human studies."…”

Section: Examplesmentioning

confidence: 99%

PRISMA-S: an extension to the PRISMA Statement for Reporting Literature Searches in Systematic Reviews

et al. 2021

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“…However, these conditions have been reported to range from 10% to 45% of patients receiving acute and subacute care in hospitals [ 3 - 5 ]. The often-taboo subject of UI is significantly associated with poorer patient outcomes, including urinary tract or urinary catheter–associated infections [ 6 , 7 ], incontinence-associated pressure injury [ 8 ], falls [ 9 ], and pain associated with these conditions [ 6 , 7 ]. People with UI are twice as likely to experience depression and are more often socially isolated [ 6 , 7 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

“…The often-taboo subject of UI is significantly associated with poorer patient outcomes, including urinary tract or urinary catheter–associated infections [ 6 , 7 ], incontinence-associated pressure injury [ 8 ], falls [ 9 ], and pain associated with these conditions [ 6 , 7 ]. People with UI are twice as likely to experience depression and are more often socially isolated [ 6 , 7 , 10 ]. UI is associated with increased carer stress and is a main reason for carers feeling unable to continue in the carer role, leading to residential care admissions [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

“…Although peak bodies recommend that health services have systems for optimal UI and LUTS care [ 1 , 15 , 17 ], there is little reporting of effective inpatient interventions to systematically deliver this care, as demonstrated in stroke care. In a recent Cochrane review, it was identified that there was limited evidence for the effectiveness of UI interventions poststroke [ 6 ]. The review included 20 trials (with 1338 participants, reporting 21 comparisons), with the authors reporting that the risk of bias was impossible to judge for many of the included studies because of poor reporting.…”

Section: Introductionmentioning

confidence: 99%

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Improving Assessment, Diagnosis, and Management of Urinary Incontinence and Lower Urinary Tract Symptoms on Acute and Rehabilitation Wards That Admit Adult Patients: Protocol for a Before-and-After Implementation Study

et al. 2021

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Background Urinary incontinence (UI) and lower urinary tract symptoms (LUTS) are commonly experienced by adult patients in hospitals (inpatients). Although peak bodies recommend that health services have systems for optimal UI and LUTS care, they are often not delivered. For example, results from the 2017 Australian National Stroke Audit Acute Services indicated that of the one-third of acute stroke inpatients with UI, only 18% received a management plan. In the 2018 Australian National Stroke Audit Rehabilitation Services, half of the 41% of patients with UI received a management plan. There is little reporting of effective inpatient interventions to systematically deliver optimal UI/LUTS care. Objective This study aims to determine whether our UI/LUTS practice-change package is feasible and effective for delivering optimal UI/LUTS care in an inpatient setting. The package includes our intervention that has been synthesized from the best-available evidence on UI/LUTS care and a theoretically informed implementation strategy targeting identified barriers and enablers. The package is targeted at clinicians working in the participating wards. Methods This is a pragmatic, real-world, before- and after-implementation study conducted at 12 hospitals (15 wards: 7/15, 47% metropolitan, 8/15, 53% regional) in Australia. Data will be collected at 3 time points: before implementation (T0), immediately after the 6-month implementation period (T1), and again after a 6-month maintenance period (T2). We will undertake medical record audits to determine any change in the proportion of inpatients receiving optimal UI/LUTS care, including assessment, diagnosis, and management plans. Potential economic implications (cost and consequences) for hospitals implementing our intervention will be determined. Results This study was approved by the Hunter New England Human Research Ethics Committee (HNEHREC Reference No. 18/10/17/4.02). Preimplementation data collection (T0) was completed in March 2020. As of November 2020, 87% (13/15) wards have completed implementation and are undertaking postimplementation data collection (T1). Conclusions Our practice-change package is designed to reduce the current inpatient UI/LUTS evidence-based practice gap, such as those identified through national stroke audits. This study has been designed to provide clinicians, managers, and policy makers with the evidence needed to assess the potential benefit of further wide-scale implementation of our practice-change package. International Registered Report Identifier (IRRID) DERR1-10.2196/22902

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“…Acupuncture, as a typical treatment modality of traditional Chinese medicine (TCM) [20,21]. With few adverse effects, TCM may be used as an alternative treatment approach for patients.…”

Section: Introductionmentioning

confidence: 99%

Acupuncture for Prostatectomy Incontinence: Study Protocol for A Multicenter Single Blind Randomized Parallel Controlled Trial

Zhang

Guo

Wang

et al. 2021

Preprint

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Background: Urinary incontinence is a common complication after prostatectomy. Acupuncture is considered an effective treatment for prostatectomy incontinence (PPI), but evidence is still limited. We propose to evaluate the effectiveness of acupuncture in a rigorously conducted trial.Methods: Twenty hospitals will recruit 340 participants with urinary incontinence after prostatectomy in China from April 2021 to April 2022. Participants will be randomly allocated to acupuncture or sham acupuncture with a 1:1 ratio using computerized simple random sampling. The study plan consists of 1-week baseline, 6-week treatment, and 18-week follow up. Eighteen 30-mintute sessions of acupuncture or sham acupuncture treatment will be provided between weeks 1 and 6. The primary outcome is the change in the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI-SF) score at the week 6 from the baseline. Secondary outcomes include the change in volume of urine leakage at weeks 4 and 6 from a baseline measured using the 1-h Pad Test;72-h incontinence episode frequency based on a 72-h voiding diary; change in the Expanded prostate cancer Index Composite scale (EPIC-26); change in the Self-Rating Anxiety Scale; weekly consumption of pads; the severity of urinary incontinence based on a 72-h bladder diary and self-assessment of the therapeutic effect. The safety of acupuncture will also be assessed.Discussion: This trial will help to identify whether acupuncture is effective for PPI, and, if so, whether it exerts a therapeutic rather than a placebo effect.Trial Registration: The trial was registered on www.Chictr.org.cn. ChiCTR2100042500. Retrospectively registered on 22 January 2021.

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Interventions for treating urinary incontinence after stroke in adults

Abstract: Trusted evidence. Informed decisions. Better health.

Cited by 63 publications

References 83 publications

PRISMA-S: an extension to the PRISMA Statement for Reporting Literature Searches in Systematic Reviews

PRISMA-S: an extension to the PRISMA Statement for Reporting Literature Searches in Systematic Reviews

Improving Assessment, Diagnosis, and Management of Urinary Incontinence and Lower Urinary Tract Symptoms on Acute and Rehabilitation Wards That Admit Adult Patients: Protocol for a Before-and-After Implementation Study

Acupuncture for Prostatectomy Incontinence: Study Protocol for A Multicenter Single Blind Randomized Parallel Controlled Trial

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