Evidence map›Paper›PMID 24999460›Full record

ReviewAnnals of coloproctology2014

Pelvic floor rehabilitation to improve functional outcome after a low anterior resection: a systematic review.

Wilhelmina S Visser, Wouter W Te Riele, Djamila Boerma, Bert van Ramshorst, Henderik L van Westreenen

2 registry-linked trialsAbstract readReview
In one paragraph

Review in Annals of coloproctology, 2014. 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 52 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 6 pooled it
–field-weighted citation impact
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.

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
NCT06524362 naunknown statusnot on this mapstarted 2024, after this paper: background citation

Effect of Pelvic Rehabilitation After Low Anterior Resection for Cancer Rectum. - A Randomised Controlled Trial (PERECARE TRIAL)

TypeinterventionalSponsorGEM Hospital & Research CenterRan2024 to 2026Enrolled77ConditionsRectal Cancer, Rectum Neoplasm, Rectal Neoplasms, Rectal AdenocarcinomaArmsPelvic Floor Physiotherapy (PFR), Conventional group
3 · Its place in the literature

Who cites it

52 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Efficacy of pelvic floor rehabilitation for bowel dysfunction after anterior resection for colorectal cancer: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    Pooled it
  5. A Systematic Review of Exercise Systematic Reviews in the Cancer Literature (2005-2017).PM & R : the journal of injury, function, and rehabilitation · 2017
    Pooled it
  6. Pooled it
  7. Trial
  8. Structured pelvic floor physiotherapy rehabilitation for low anterior resection syndrome in colorectal cancer: An Australian feasibility study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Diagnosis and Treatment of Low Anterior Resection Syndrome.Journal of the anus, rectum and colon · 2025
    Review
  16. Article
  17. Article
  18. Article
  19. Review
  20. Low anterior resection syndrome.Annals of gastroenterological surgery · 2023
    Review
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.

Wilhelmina S VisserDepartment of Surgery, St. Antonius Hospital, Nieuwegein, The Netherlands.
Wouter W Te RieleDepartment of Surgery, St. Antonius Hospital, Nieuwegein, The Netherlands.
Djamila BoermaDepartment of Surgery, St. Antonius Hospital, Nieuwegein, The Netherlands.
Bert van RamshorstDepartment of Surgery, St. Antonius Hospital, Nieuwegein, The Netherlands.
Henderik L van WestreenenDepartment of Surgery, Isala Clinics, Zwolle, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeImpaired functional outcome is common after a low anterior resection (LAR). Pelvic floor rehabilitation (PFR) might improve functional outcome after a LAR. The aim of this systematic review is to evaluate the effectiveness of PFR in improving functional outcome.

methodsPubMed, Embase, and the Cochrane Library were searched using the terms fecal incontinence, colorectal neoplasm/surgery, LAR, rectal cancer, anterior resection syndrome, bowel habit, pelvic floor, training, therapy, physical therapy, rehabilitation and biofeedback. Of the 125 identified records, 5 articles were included.

resultsThe 5 included studies reported on 321 patients, of which 286 patients (89%) underwent pelvic floor training. Three studies included patients with anterior resection syndrome after a LAR while the remaining studies included a series of patients after a LAR. Functional outcome was mostly assessed by using the Wexner incontinence scale. Quality of life was assessed in one study, and in three studies, rectal manometry was performed. After PFR, the functional outcome was improved in four studies, as was the quality of life.

conclusionThis systematic review demonstrated that PFR is useful for improving the functional outcome after a LAR. The data are extracted from studies of limited quality, but the available evidence points to the effectiveness of the procedure.

Indexed as

Fecal incontinencePelvic floorRectal neoplasms

Identifiers

PMID24999460
PMCPMC4079807

What OpenQuestion holds

Textmetadata
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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.