Evidence map›Paper›PMID 24355892›Full record

ReviewThe Permanente journal2013

Current management of fecal incontinence.

Jennifer Y Wang, Maher A Abbas

Registry-linked trialAbstract readReview
In one paragraph

Review in The Permanente journal, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03543566 (Antimuscarinic Medication for Urgency Urinary Incontinence in Women With Dual Incontinence), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.8field-weighted citation impact, top 16% 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.

NCT03543566 completednot on this mapstarted 2018, after this paper: background citation

Antimuscarinic Medication for Urgency Urinary Incontinence in Women With Dual Incontinence (Darifenacin for Treatment of Women With Dual Incontinence)

TypeobservationalSponsorUniversity of Alabama at BirminghamRan2018 to 2019Enrolled32ConditionsUrinary Incontinence, Urge, Fecal Incontinence
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 36 citations in OpenAlex.

  1. Article
  2. Article
  3. Association between pelvic floor disorders and hernias.International urogynecology journal · 2021
    Article
  4. Observational
  5. Article
  6. Article
  7. Evidence-Based Update on Treatments of Fecal Incontinence in Women.Obstetrics and gynecology clinics of North America · 2016
    Review
  8. Review
  9. 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

2 authors at 2 institutions in 2 countries.

Jennifer Y WangGeneral and Colorectal Surgeon at the San Jose Medical Center in CA. E-mail: jennifer.y1.wang@kp.org.
Maher A Abbas
Colorado Permanente Medical Group · USGeneral Medical Council · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo review the management of fecal incontinence, which affects more than 1 in 10 people and can have a substantial negative impact on quality of life.

methodsThe medical literature between 1980 and April 2012 was reviewed for the evaluation and management of fecal incontinence.

resultsA comprehensive history and physical examination are required to help understand the severity and type of symptoms and the cause of incontinence. Treatment options range from medical therapy and minimally invasive interventions to more invasive procedures with varying degrees of morbidity. The treatment approach must be tailored to each patient. Many patients can have substantial improvement in symptoms with dietary management and biofeedback therapy. For younger patients with large sphincter defects, sphincter repair can be helpful. For patients in whom biofeedback has failed, other options include injectable medications, radiofrequency ablation, or sacral nerve stimulation. Patients with postdefecation fecal incontinence and a rectocele can benefit from rectocele repair. An artificial bowel sphincter is reserved for patients with more severe fecal incontinence.

conclusionThe treatment algorithm for fecal incontinence will continue to evolve as additional data become available on newer technologies.

Indexed as

Fecal IncontinenceHumans

Identifiers

PMID24355892
PMCPMC3783075
OpenAlexW2047858460

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.