Evidence map›Paper›PMID 32830414›Full record

SynthesisNeuromodulation : journal of the International Neuromodulation Society2020

Stimulation Parameters for Sacral Neuromodulation on Lower Urinary Tract and Bowel Dysfunction-Related Clinical Outcome: A Systematic Review.

Roman Assmann, Perla Douven, Jos Kleijnen, Gommert A van Koeveringe, Elbert A Joosten, Jarno Melenhorst, Stephanie O Breukink

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Neuromodulation : journal of the International Neuromodulation Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
2.0field-weighted citation impact, top 14% 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  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. Pooled it
  3. Urogenital dysfunction in neurological diseases.Nature reviews. Neurology · 2026
    Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Control of colonic motility using electrical stimulation to modulate enteric neural activity.American journal of physiology. Gastrointestinal and liver physiology · 2021
    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

7 authors at 2 institutions in 2 countries.

Roman AssmannDepartment of Surgery, Maastricht University Medical Center, Maastricht, The Netherlands.ORCID https://orcid.org/0000-0002-6324-8068
Perla DouvenDepartment of Surgery, Maastricht University Medical Center, Maastricht, The Netherlands.ORCID https://orcid.org/0000-0002-6708-6545
Jos KleijnenKleijnen Systematic Reviews Ltd, York, UK.
Gommert A van KoeveringeDepartment of Translational Neuroscience, School for Mental Health and Neuroscience (MHeNS), University of Maastricht, Maastricht, The Netherlands.
Elbert A JoostenDepartment of Translational Neuroscience, School for Mental Health and Neuroscience (MHeNS), University of Maastricht, Maastricht, The Netherlands.
Jarno MelenhorstDepartment of Surgery, Maastricht University Medical Center, Maastricht, The Netherlands.
Stephanie O BreukinkDepartment of Surgery, Maastricht University Medical Center, Maastricht, The Netherlands.
Maastricht University · NLKleijnen Systematic Reviews (United Kingdom) · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveSacral neuromodulation (SNM) has been used to treat patients with lower urinary tract dysfunction and bowel dysfunction for many years. Success rates vary between 50% and 80%, indicating that there is much room for improvement. Altering stimulation parameters may result in improved outcome. This paper reports a systematic review of the clinical efficacy of nonconventional stimulation parameters on urinary tract and bowel dysfunction. MATERIALS AND

methodsThree databases were used for the literature search: Ovid (Medline, Embase) and PubMed. Papers were screened by two independent reviewers, who also extracted data from these papers. Clinical papers studying SNM stimulation parameters, that is, intermittent stimulation, frequency, pulse width, and amplitude, in urinary tract and bowel dysfunction were included. Quality of included papers was assessed using standardized guidelines.

resultsOut of 5659 screened papers, 17 papers, studying various stimulation parameters, were included. Overall quality of these papers differed greatly, as some showed no risk of bias, whereas others showed high risk of bias. Stimulation parameters included intermittent stimulation, frequency, pulse width, amplitude, and unilateral vs. bilateral stimulation. Especially high frequency SNM and either a narrow or wide pulse width seem to improve efficacy in patients with bowel dysfunction. Additionally, implementation of short cycling intervals is promising to improve quality of life for patients with urinary tract or bowel dysfunction.

conclusionThe results of our systematic review indicate that stimulation parameters may improve efficacy of SNM in treatment of both urinary tract dysfunction and bowel dysfunction.

Indexed as

Electric Stimulation TherapyIntestinal DiseasesIntestine, LargeUrinary TractUrologic DiseasesHumansLumbosacral PlexusQuality of LifeTreatment OutcomeUrinary BladderFecal incontinencesacral nerve stimulationstimulation paradigmvoiding dysfunction

Identifiers

PMID32830414
PMCPMC7818464
OpenAlexW3080939828

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.