Evidence map›Paper›PMID 21279370›Full record

SynthesisInternational journal of colorectal disease2011

Meta-analysis: sacral nerve stimulation versus conservative therapy in the treatment of faecal incontinence.

Emile Tan, Nye-Thane Ngo, Ara Darzi, Michael Shenouda, Paris P Tekkis

2 registry-linked trialsAbstract readComparative StudyMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in International journal of colorectal disease, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 26 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 4 pooled it
6.2field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01957969 completednot on this mapstarted 2013, after this paper: background citation

French Post-Inscription Study on Sacral Neuromodulation in the Treatment of Fecal Incontinence

Typeobservational_patient_registrySponsorMedtronicNeuroRan2013 to 2017Enrolled234ConditionsFecal IncontinenceArmsSacral Nerve Stimulation
NCT04063293 early_phase1unknown statusnot on this mapstarted 2019, after this paper: background citation

The Effect of Platelet Rich Plasma Injection Into the Anal Sphincters on Fecal Incontinence and Quality of Life in Incontinent Patients Had Treated With Low Anterior Resection for Rectal Cancer

TypeinterventionalSponsorIstanbul Medipol University HospitalRan2019 to 2021Enrolled20ConditionsFecal IncontinenceArmsPlatelet Rich Plasma
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 4 syntheses or guidelines pooled it, 94 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Pooled it
  4. Sacral nerve stimulation for faecal incontinence and constipation in adults.The Cochrane database of systematic reviews · 2015
    Pooled it
  5. Trial
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Evidence-Based Update on Treatments of Fecal Incontinence in Women.Obstetrics and gynecology clinics of North America · 2016
    Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Current and emerging treatment options for fecal incontinence.Journal of clinical gastroenterology · 2014
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Emile TanDepartment of Biosurgery and Surgical Technology, Imperial College London, Chelsea and Westminster Hospital Campus, 3rd Floor Academic Surgery, London SW10 9MH, UK.
Nye-Thane Ngo
Ara Darzi
Michael Shenouda
Paris P Tekkis
Imperial College London · GBChelsea and Westminster Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimSacral nerve stimulation (SNS) has recently been used in the management of faecal incontinence (FI). This study compared SNS to conservative management with regards to functional and quality of life outcomes.

methodsMeta-analysis of studies published between 1995 and 2008 on SNS for FI was performed. Outcomes evaluated were functional, physiological and quality of life. A random-effects model was used and sensitivity analyses performed. Subgroup analyses were performed on age and sphincter status.

resultsThirty-four studies were included, reporting on 944 patients undergoing peripheral nerve evaluation; 665 underwent permanent SNS. Weekly incontinence episodes (weighted mean difference [WMD] -6.83; 95% confidence intervals [CI] -8.05, -5.60; p < 0.001) and incontinence scores (WMD -10.57; 95% CI -11.89, -9.24; p < 0.001) were significantly reduced with SNS; ability to defer defecation (WMD 7.99 min; 95% CI 5.93, 10.05; p < 0.001) was increased. Most SF-36 and FIQL domains improved following SNS, and mean anal pressures increased significantly (p < 0.001). Results remained consistent on sensitivity analysis. The under-56 years age group showed smaller functional but greater physiological and quality of life improvements. Results were similar between sphincter intact and impaired subgroups. The complication rate was 15% for permanent SNS, with 3% resulting in permanent explantation.

conclusionSNS results in significant improvements in objective and subjective measures for faecally incontinent patients.

Indexed as

Anal CanalElectric Stimulation TherapyFecal IncontinenceHumansManometryMiddle AgedPublication BiasQuality of LifeRectumSacrumTreatment Outcome

Identifiers

PMID21279370
OpenAlexW1974232038

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.