Mechanical devices for urinary incontinence in women

Ong, Eng K; Glavind, Karin; Cook, Jonathan; N’Dow, James

doi:10.1002/14651858.cd001756.pub4

Cited by 19 publications

(6 citation statements)

References 27 publications

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“…The clinical effectiveness of these devices in comparison with no treatment or other conservative methods of managing stress incontinence was the subject of a recent systematic review. 68 This review included six trials with a total of 286 participants. The mechanical devices used were five intravaginal devices and five intraurethral devices.…”

Section: Mechanical Devicesmentioning

confidence: 99%

“…50,56,60,64,68,71,[83][84][85]87,88,106,201,[224][225][226][227][228] What our study has added is the systematic review and overview of the treatments relevant to the NHS, where evidence on the relative effectiveness has been derived using more advanced methods of meta-analysis than have been used previously. These methods have allowed us to provide clearer evidence about which treatments work and how well they work than was hitherto available.…”

Section: Strengths Assumptions Limitations and Uncertaintiesmentioning

confidence: 99%

See 1 more Smart Citation

Systematic review and economic modelling of the effectiveness and cost-effectiveness of non-surgical treatments for women with stress urinary incontinence

Imamura

Abrams²,

Bain³

et al. 2010

Health Technol Assess

168

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How to obtain copies of this and other HTA programme reports An electronic version of this title, in Adobe Acrobat format, is available for downloading free of charge for personal use from the HTA website (www.hta.ac.uk). A fully searchable DVD is also available (see below).Printed copies of HTA journal series issues cost £20 each (post and packing free in the UK) to both public and private sector purchasers from our despatch agents.Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per issue and for the rest of the world £3 per issue. How to order:-fax (with credit card details) -post (with credit card details or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you to either print out your order or download a blank order form. Contact details are as follows:Synergie UK (HTA Department) Digital House, The Loddon Centre Wade Road Basingstoke Hants RG24 8QW Email: orders@hta.ac.uk Tel: 0845 812 4000 -ask for 'HTA Payment Services' (out-of-hours answer-phone service) Fax: 0845 812 4001 -put 'HTA Order' on the fax header Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to University of Southampton and drawn on a bank with a UK address. Paying by credit cardYou can order using your credit card by phone, fax or post. SubscriptionsNHS libraries can subscribe free of charge. Public libraries can subscribe at a reduced cost of £100 for each volume (normally comprising 40-50 titles). The commercial subscription rate is £400 per volume (addresses within the UK) and £600 per volume (addresses outside the UK). Please see our website for details. Subscriptions can be purchased only for the current or forthcoming volume. How do I get a copy of HTA on DVD?Please use the form on the HTA website (www.hta.ac.uk/htacd/index.shtml). HTA on DVD is currently free of charge worldwide.The website also provides information about the HTA programme and lists the membership of the various committees. HTA NIHR Health Technology Assessment programmeT he Health Technology Assessment (HTA) programme, part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the effectiveness, costs and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined as all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care. The research findings from the HTA programme directly influence decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC). HTA findings also help to improve the quality of clinical practice in the NHS indirectly in that they form a key component of the 'National Knowledge Service'. The HTA programme is needs led in that it fills gaps in the evidence needed by the NHS. There are three routes to the start of projec...

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Section: Mechanical Devicesmentioning

confidence: 99%

Section: Strengths Assumptions Limitations and Uncertaintiesmentioning

confidence: 99%

Systematic review and economic modelling of the effectiveness and cost-effectiveness of non-surgical treatments for women with stress urinary incontinence

Imamura

Abrams²,

Bain³

et al. 2010

Health Technol Assess

168

View full text Add to dashboard Cite

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“…Figure 1 summarises the process of literature identification and selection. Of 367 citations, there were 13 (3.5%) review articles that met the selection criteria 15–27 Tables 1 and 2. show the details of each review and summary of findings.…”

Section: Resultsmentioning

confidence: 99%

Nonsurgical treatment of stress urinary incontinence (SUI): grading of evidence in systematic reviews

Latthe

Foon

Khan

2008

BJOG

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Background The guidance on SUI has not been rigorously assessed using GRADE system.Objective To determine if the quality and results of existing systematic reviews on conservative treatment of stress urinary incontinence (SUI) can underpin evidence-based recommendations for practice.Study design Review of systematic reviews.Data sources Electronic search in PubMed, Medline (OVID 1966-version), CINAHL, Biomed, Psychinfo, the Cochrane library, National Library for Health, the National Research Register and hand search of reference lists.Methods Two reviewers independently selected systematic review articles in which a publicly available database was searched for randomised trials on conservative treatment of SUI and assessed them for quality of methods and results (OR and 95% CIs). The extracted information was used to classify strength of evidence as per the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) system.Results There were 13 reviews of variable quality. Quality assessment of studies included in the reviews and their findings were adequately tabulated in all but four reviews. Meta-analysis of data was carried out in six reviews. Pelvic floor muscle training (PFMT) and other physical treatments, estrogens and duloxetine were better than no treatment in SUI. Based on the assessment as per GRADE system, only 2/13 (15.4%) reviews were deemed to be of high quality, 8/13 (61.5%) of moderate quality and 3/13 (23.1%) of low quality. The case for recommendation of PFMT and duloxetine was strong.Conclusion Systematic reviews of conservative treatments of SUI are not always suitable to generate robust recommendations for practice as they are weak in methodological quality or lack power to produce reliable results.Keywords Meta-analysis, review, systematic review, urinary incontinence.Please cite this paper as: Latthe P, Foon R, Khan K. Nonsurgical treatment of stress urinary incontinence: grading of evidence in systematic reviews . BJOG 2008;115:435-444.

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“…29 Newer therapies A recent Cochrane review showed that use of artificial sphincters in the management of SUI was questionable and larger trials were needed to determine their role in the management of SUI. 30 Preliminary studies using stem cells for strengthening the urethral sphincter have shown promise. 31 In particular, mesenchymal stem cells and CD34(+) cells have shown great assurance to differentiate into muscular and vascular components, respectively.…”

Section: Artificial Urinary Sphincter (Aus)mentioning

confidence: 99%