Evidence map›Paper›PMID 30203319›Full record

ArticleInternational journal of colorectal disease2018

Impact of sphincter lesions and delayed sphincter repair on sacral neuromodulation treatment outcomes for faecal incontinence: results from a Finnish national cohort study.

Jaan Kirss, Tarja Pinta, Tero Rautio, Pirita Varpe, Matti Kairaluoma, Marja Hyöty, Saija Hurme, Camilla Böckelman, Valtteri Kairaluoma, Sinikka Salmenkylä and 1 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in International journal of colorectal disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 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.

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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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

11 authors.

Jaan KirssTurku University Hospital, Turku, Finland. jaan.kirss@tyks.fi.ORCID http://orcid.org/0000-0001-8413-365X
Tarja PintaSeinäjoki Central Hospital, Seinäjoki, Finland.
Tero RautioOulu University Hospital, Oulu, Finland.
Pirita VarpeTurku University Hospital, Turku, Finland.
Matti KairaluomaJyväskylä Central Hospital, Jyväskylä, Finland.
Marja HyötyTampere University Hospital, Tampere, Finland.
Saija HurmeUniversity of Turku, Turku, Finland.
Camilla BöckelmanHelsinki University Hospital and University of Helsinki, Helsinki, Finland.
Valtteri KairaluomaJyväskylä Central Hospital, Jyväskylä, Finland.
Sinikka SalmenkyläHelsinki University Hospital and University of Helsinki, Helsinki, Finland.
Mikael VictorzonUniversity of Turku, Turku, Finland.

Funding

Turun Yliopisto 101026
6 · The paper itself

Abstract

purposeThe aim of this multicentre study was to analyse the effects of patent sphincter lesions and previous sphincter repair on the results of sacral neuromodulation (SNM) treatment on patients with faecal incontinence (FI).

methodsPatients examined by endoanal ultrasound (EAUS) with FI as the indication for SNM treatment were included in the study. Data was collected from all the centres providing SNM treatment in Finland and analysed for differences in treatment outcomes.

resultsA total of 237 patients treated for incontinence with SNM had been examined by EAUS. Of these patients, 33 had a history of previous delayed sphincter repair. A patent sphincter lesion was detected by EAUS in 128 patients. The EAUS finding did not influence the SNM test phase outcome (p = 0.129) or the final treatment outcome (p = 0.233). Patient's history of prior sphincter repair did not have a significant effect on the SNM test (p = 0.425) or final treatment outcome (p = 0.442).

conclusionsResults of our study indicate that a sphincter lesion or previous sphincter repair has no significant effect on the outcome of SNM treatment. Our data suggests that delayed sphincter repair prior to SNM treatment initiation for FI is not necessary.

Indexed as

Electric Stimulation TherapyWound HealingAnal CanalCohort StudiesFecal IncontinenceFemaleFinlandHumansMaleManometryMiddle AgedSacrumTreatment OutcomeAnal sphincter repairEndoanal ultrasoundFaecal incontinenceObstetric anal sphincter injurySacral neuromodulation

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Registered trials

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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.