Evidence map›Paper›PMID 30034533›Full record

ArticleTherapeutic advances in gastroenterology2018

The short-term effects of posterior tibial nerve stimulation on anorectal physiology in patients with faecal incontinence: a single centre experience.

Nick A Heywood, James S Pearson, James E Nicholson, Clare Molyneux, Abhiram Sharma, Edward S Kiff, Peter J Whorwell, Karen J Telford

Open access · goldAbstract read
In one paragraph

Article in Therapeutic advances in gastroenterology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 21% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. 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

8 authors at 3 institutions in 1 country.

Nick A HeywoodDepartment of General Surgery, University Hospital of South Manchester, 2nd Floor Acute Block, Southmoor Road, Wythenshawe, M23 9LT, UK.ORCID https://orcid.org/0000-0002-1852-9426
James S PearsonUniversity Hospital of South Manchester, Manchester, UK.
James E NicholsonLancashire Teaching Hospitals NHS Foundation Trust, Preston, UK.
Clare MolyneuxUniversity Hospital of South Manchester, Manchester, UK.
Abhiram SharmaUniversity Hospital of South Manchester, Manchester, UK.
Edward S KiffUniversity Hospital of South Manchester, Manchester, UK.
Peter J WhorwellUniversity Hospital of South Manchester & Manchester University, Manchester, UK.
Karen J TelfordUniversity Hospital of South Manchester, Manchester, UK.
Lancashire Teaching Hospitals NHS Foundation Trust · GBUniversity of Manchester · GBWythenshawe Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPosterior tibial nerve stimulation (PTNS) is a novel treatment for patients with faecal incontinence (FI) and may be effective in selected patients; however, its mechanism of action is unknown. We sought to determine the effects of PTNS on anorectal physiological parameters.

methodsFifty patients with FI underwent 30 min of PTNS treatment, weekly for 12 weeks. High-resolution anorectal manometry, bowel diaries and Vaizey questionnaires were performed before and after treatment. Successful treatment was determined as a greater than 50% reduction in FI episodes.

resultsFifty patients with FI were studied; 39 women, median age 62 years (range 30-82). Compared with pretreatment, there were reductions in episodes of urgency (16.0

conclusionsPTNS has a measureable physiological effect on rectal sensory volumes without an effect on anal canal pressures. It also reduces FI episodes; however, this effect is independent of changing physiology, suggesting that PTNS has a complex mechanism of action.

Indexed as

Faecalfaecal incontinenceincontinenceneuromodulationPTNSstimulation

Identifiers

PMID30034533
PMCPMC6048664
OpenAlexW2810775423

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.