Evidence map›Paper›PMID 33185809›Full record

ArticleTechniques in coloproctology2021

Effects of temporary sacral nerve stimulation on gastrointestinal motility and function in patients with chronic refractory slow-transit constipation.

D F Altomare, A Picciariello, A Di Ciaula, M Rinaldi, M De Fazio, P Portincasa

Open access · hybridAbstract read
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Article in Techniques in coloproctology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.5field-weighted citation impact, top 34% 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

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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

6 citing papers in PubMed, 6 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

D F AltomareDepartment of Emergency and Organ Transplantation, University "Aldo Moro", Bari, Italy. donatofrancesco.altomare@uniba.it.ORCID 0000-0001-8980-2752
A PicciarielloDepartment of Emergency and Organ Transplantation, University "Aldo Moro", Bari, Italy.
A Di CiaulaDepartment of Biomedical Sciences and Human Oncology, Clinica Medica "A. Murri", University "Aldo Moro", Bari, Italy.
M RinaldiDepartment of Emergency and Organ Transplantation, University "Aldo Moro", Bari, Italy.
M De FazioDepartment of Emergency and Organ Transplantation, University "Aldo Moro", Bari, Italy.
P PortincasaDepartment of Biomedical Sciences and Human Oncology, Clinica Medica "A. Murri", University "Aldo Moro", Bari, Italy. piero.portincasa@uniba.it.
University of Bari Aldo Moro · ITIstituto Tumori Bari · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe efficacy of sacral nerve stimulation (SNS) on patients with chronic refractory slow-transit constipation is controversial and its mechanism of action on gastrointestinal motility and transit is not fully understood. The aim of this study was to document the effects of temporary SNS on the gastrointestinal and biliary tract motility and on gastrointestinal transit in patients with refractory slow-transit constipation.

methodsThis was a prospective interventional study. Patients with slow-transit chronic constipation, unresponsive to any conservative treatment, were enrolled between January 2013 and December 2018. Patients' quality of life [patient assessment of constipation quality of life (PAC-QOL) questionnaire], constipation scores (Cleveland Clinic Constipation Score) colonic transit time (CTT), orocecal transit time (OCTT), gastric and gallbladder kinetics, together with the assessment of the autonomic nerve function were evaluated before and during temporary SNS.

results14 patients (12 females, median age 38 years, range 24-42 years) had temporary SNS. The Cleveland Clinic Constipation Score did not change compared to baseline (23 ± 3 vs 21.4; p = 070). The PAC-QOL did not improve significantly during the stimulation period. Gallbladder/stomach motility (half-emptying time) did not change significantly before and after SNS. OCTT was delayed at baseline, as compared to standard internal normal values, and did not change during SNS. CTT did not improve significantly, although in two patients it decreased substantially from 97 to 53 h, and from 100 to 65 h.

conclusionsTemporary SNS did not have any effect on upper/lower gastrointestinal motility and transit in patients with severe constipation.

Indexed as

Electric Stimulation TherapyQuality of LifeAdultConstipationFemaleGastrointestinal MotilityGastrointestinal TransitHumansLumbosacral PlexusProspective StudiesTreatment OutcomeYoung AdultAutonomic nerve functionChronic slow-transit constipationGastrointestinal motilitySacral nerve stimulation

Identifiers

PMID33185809
PMCPMC7932968
OpenAlexW3100640660

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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.