Evidence map›Paper›PMID 31190233›Full record

ArticleTechniques in coloproctology2019

Sacral neuromodulation for fecal incontinence in Latin America: initial results of a multicenter study.

L Oliveira, G Hagerman, M L Torres, C M Lumi, J A C Siachoque, J C Reyes, J Perez-Aguirre, J C Sanchez-Robles, V H Guerrero-Guerrero, S M Regadas and 7 more

Abstract readEvaluation StudyMulticenter Study
PubMed Publisher
In one paragraph

Article in Techniques in coloproctology, 2019. 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
–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

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

  1. Reprogramming Sacral Neuromodulation for Sub-Optimal Outcomes: Evidence and Recommendations for Clinical Practice.Neuromodulation : journal of the International Neuromodulation Society · 2021
    Pooled it
  2. Observational
  3. Review
  4. Benign Anorectal Disorder Management in Low-Resource Settings.Clinics in colon and rectal surgery · 2022
    Review
  5. [Treatment of Fecal Incontinence: A Surgical Approach].Acta gastroenterologica Latinoamericana
    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

17 authors.

L OliveiraDepartment of Anorectal Physiology of Rio de Janeiro, CEPEMED, Rua Visc.de Pirajá 414/812, Ipanema, Rio de Janeiro, 22410-002, Brazil. draluciaol@gmail.com.
G HagermanColorectal Surgery, Centro Medico ABC Universidad Panamericana, Alvaro Obregon, Mexico City, Mexico.
M L TorresColorectal Clinic of Puerto Rico, San Juan, PR, USA.
C M LumiDepartment of Surgery, Hospital de Gastroenterologia, Buenos Aires, Argentina.
J A C SiachoqueDepartment of Surgery, Fundacion Santa Fe de Bogota, Bogotá, Colombia.
J C ReyesColoproctology Unit, Department of Surgery, Clinical del Country, Bogotá, Colombia.
J Perez-AguirreHospital Militar de Ciudad de Mexico, Mexico City, Mexico.
J C Sanchez-RoblesHospital Central Militar Universidad del Ejercito y Fuerza, Cuauhtémoc, Mexico.
V H Guerrero-GuerreroHospital Central Militar Universidad del Ejercito y Fuerza, Cuauhtémoc, Mexico.
S M RegadasUniversidade Federal do Ceará, Fortaleza, Brazil.
V G FilhoHospital Santa Rita de Maringa, Maringá, Parana, Brazil.
G RosatoColorectal Surgery, Hospital Universitario Austral, Buenos Aires, Argentina.
E VieiraUniversidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.
L MarzanHospital Federal da Lagoa, Rio de Janeiro, Brazil.
D LimaAnorectal Physiology Department, Gastroclínica Cascavel, Cascavel, Parana, Brazil.
E Londoño-SchimmerUniversidad de los Andes, Bogotá, Colombia.
S D WexnerDepartment of Colorectal Surgery, Cleveland Clinic Florida, Weston, FL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSacral neuromodulation (SNM) is a widely used therapeutic option for fecal incontinence (FI). Larger series are mainly from Western countries, while few reports address the results of SNM in less developed or less wealthy countries. The aim of the present study was to evaluate the efficacy of SNM in patients with FI in Latin America.

methodsA retrospective study was conducted on patients with FI who had SNM between 2009 and 2016 at 15 specialized colorectal surgery centers in Latin America. Main outcomes measures were functional outcomes, postoperative complications, requirement of revisional surgery, and requirement of device removal. All patients had failed conservative management and had clinical assessment including recording of the validated Cleveland Clinic Florida Fecal Incontinence Score (CCF-FIS) and, when available, anal manometry and endoanal ultrasound. Patients were followed up for a median of 36.7 (1-84) months.

resultsOne hundred and thirty-one patients [119 females, median age of 62.2 (range 19-87) years] were included. The most common etiology of FI was obstetric injury (n = 60; 45.8%). After successful test lead implantation, the stimulator was permanently placed in 129 patients (98.5%). One patient failed to respond in the test phase and one patient did not proceed to permanent implantation for insurance reasons. Nineteen patients (14.7%) had 19 complications including infection (n = 5, 3.8%), persistent implant site pain (n = 5, 3.8%), generator/lead dislodgment (n = 5, 3.8%), malfunctioning device (n = 3, 2.3%), and hematoma (n = 1, 0.7%). Reimplantation after the first and second stages was necessary in 2 (1.5%) and 3 patients (2.3%), respectively. The device removal rate was 2.2%. At a median follow-up of 36.7 (range 1-84) months, the CCF-FIS significantly improved from a preoperative baseline of 15.9 ± 2.98 to 5.2 ± 3.92 (95%CI: 15.46 vs 4.43; p < 0.0001). Overall, 90% of patients rated their improvement as "significant".

conclusionsSacral nerve stimulation for FI is safe and efficient, even in less wealthy or less developed countries.

Indexed as

AdultAgedAged, 80 and overDevice RemovalElectric Stimulation TherapyElectrodes, ImplantedFecal IncontinenceFemaleHumansLatin AmericaMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesSacrumTreatment OutcomeComplicationsDevice explanationFecal incontinenceLead explantationMigration, InfectionSacral neuromodulation

Identifiers

PMID31190233

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.