Evidence map›Paper›PMID 29145873›Full record

Trial reportTrials2017

Group physiotherapy compared to individual physiotherapy to treat urinary incontinence in aging women: study protocol for a randomized controlled trial.

Chantale Dumoulin, Mélanie Morin, Marie-Hélène Mayrand, Michel Tousignant, Michal Abrahamowicz

2 registry-linked trialsOpen access · goldAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2017. 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 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
2.7field-weighted citation impact, top 10% 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.

NCT02039830 naactive not recruitingnot on this map

Group Physiotherapy Compared to Individual Physiotherapy to Treat Urinary Incontinence in Aging Women: A Randomized Control Trial

TypeinterventionalSponsorCentre de Recherche de l'Institut Universitaire de Geriatrie de MontrealRan2012 to 2027Enrolled362ConditionsUrinary Incontinence, Urinary Stress IncontinenceArmsGroup physiotherapy, Individual one-on-one physiotherapy
NCT06200922 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Telehealth in the Rehabilitation of Urinary Incontinence in Older Women: Randomized Controlled Trial

TypeinterventionalSponsorFederal University of Health Science of Porto AlegreRan2022 to 2024Enrolled69ConditionsUrinary Incontinence in Old AgeArmsPelvic physiotherapy
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 47 citations in OpenAlex.

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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 5 institutions in 1 country.

Chantale DumoulinSchool of Rehabilitation, Faculty of Medicine, Université de Montréal, Research Centre of the Institut Universitaire de Gériatrie de Montréal, 4565 Queen Mary M-5816, Montreal, QC, H3W 1W5, Canada. chantal.dumoulin@umontreal.ca.
Mélanie MorinSchool of Rehabilitation, Faculty of Medicine and Health Sciences, Université de Sherbrooke and Research Center of the Centre hospitalier universitaire de Sherbrooke (CHUS), Sherbrooke, QC, Canada.
Marie-Hélène MayrandDepartment of Obstetrics and Gynecology and Social and Preventive Medicine, Université de Montréal and Research Center of the Centre Hospitalier de l'Université de Montréal, Montréal, QC, Canada.
Michel TousignantSchool of Rehabilitation, Faculty of Medicine and Health Sciences, Université de Sherbrooke and Research Center on Aging, Sherbrooke, QC, Canada.
Michal AbrahamowiczDepartment of Epidemiology, Biostatistics and Occupational Health, McGill University, Research Institute of the McGill University Health Centre, Montréal, QC, Canada.
Centre Hospitalier de l’Université de Montréal · CACentre Hospitalier Universitaire de Sherbrooke · CAMcGill University Health Centre · CAUniversité de Montréal · CAUniversité de Sherbrooke · CA

Funding

Canadian Institutes of Health Research #MSH-258993
6 · The paper itself

Abstract

backgroundUrinary incontinence (UI), one of the most prevalent health concerns confronting women aged over 60 years, affects up to 55% of older community-dwelling women-20-25% with severe symptoms. Clinical practice guidelines recommend individualized pelvic floor muscle training (PFMT) as a first-line treatment for stress or mixed UI in women, although lack of human and financial resources limits delivery of this first-line treatment. Preliminary data suggest that group-based treatments may provide the answer. To date, no adequately powered trials have evaluated the effectiveness or cost-effectiveness of group compared to individual PFMT for UI in older women. Given demographic projections, high prevalence of UI in older women, costly barriers, and group PFMT promising results, there is a clear need to rigorously compare the short- and long-term effectiveness and cost-effectiveness of group vs individual PFMT. METHODS/

designThe study is designed as a non-inferiority randomized controlled trial, conducted in two facilities (Montreal and Sherbrooke) in the Canadian province of Quebec. Participants include 364 ambulatory, community-dwelling women, aged 60 years and older, with stress or mixed UI. Randomly assigned participants will follow a 12-week PFMT, either in one-on-one sessions or as part of a group, under the supervision of a physiotherapist. Blinded assessments at baseline, immediately post intervention, and at one year will include the seven-day bladder diary, the 24-h pad test, symptoms and quality of life questionnaires, adherence and self-efficacy questionnaire, pelvic floor muscle function, and cost assessments. Primary analysis will test our main hypothesis that group-based treatment is not inferior to individualized treatment with respect to the primary outcome: relative (%) reduction in the number of leakages. DISCUSSION: Should this study find that a group-based approach is not less effective than individual PFMT, and more cost-effective, this trial will impact positively continence-care accessibility and warrant a change in clinical practice.

trial registrationClinicalTrials.gov, NCT02039830 . Registered on 12 December 2013; Study protocol version 2; 21 November 2013.

Indexed as

Clinical ProtocolsPhysical Therapy ModalitiesAgedAged, 80 and overFemaleHumansOutcome Assessment, Health CareTreatment Adherence and ComplianceUrinary IncontinenceElderly womenPelvic floor muscle trainingUrinary incontinence

Identifiers

PMID29145873
PMCPMC5689182
OpenAlexW2769482379

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.