Evidence map›Paper›PMID 34453550›Full record

SynthesisInternational urogynecology journal2022

The effectiveness of group-based pelvic floor muscle training in preventing and treating urinary incontinence for antenatal and postnatal women: a systematic review.

Xiaowei Yang, Aixia Zhang, Lynn Sayer, Sam Bassett, Sue Woodward

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in International urogynecology journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.0field-weighted citation impact, top 23% 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

8 citing papers in PubMed, 12 citations in OpenAlex.

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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

5 authors at 2 institutions in 2 countries.

Xiaowei YangKing's College London, Department of Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, London, UK. xiaowei.yang@kcl.ac.uk.ORCID 0000-0002-1774-9400
Aixia ZhangNanjing Maternity and Child Health Care Hospital, Nursing Department, Nanjing, China.
Lynn SayerKing's College London, Department of Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, London, UK.
Sam BassettKing's College London, Department of Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, London, UK.
Sue WoodwardKing's College London, Department of Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, London, UK.
King's College London · GBNanjing Maternity and Child Health Care Hospital · CN

Funding

Jiangsu Provincial Commission of Health WJZ202014
6 · The paper itself

Abstract

introduction and hypothesisUrinary incontinence (UI) is prevalent in antenatal and postnatal women. Pelvic floor muscle training (PFMT) is the first-line treatment for UI. Group-based PFMT provides a way for professionals to deliver this intervention to more women who need to prevent and/or treat UI. This review aims to (1) assess the effectiveness of group-based PFMT in preventing and treating UI in antenatal and postnatal women and (2) explore the characteristics of group-based intervention and factors which had an impact on the success of group-based PFMT.

methodsRandomized controlled trials (RCTs) were included in this review. A comprehensive search was conducted in PubMed, Embase, Medline, PsycINFO, Maternity and Infant Care Database, CINAHL, Chinese Biomedical Literature Database, China National Knowledge Infrastructure, VIP Database and Wanfang Database. The overall quality was assessed using Grading of Recommendations, Assessment, Development and Evaluations (GRADE). RCTs which included pregnant and/or postnatal women with or without UI investigating the effectiveness of group-based PFMT were included.

resultsFive RCTs were included in this review. The overall quality of the results of the included studies was low. Delivering group-based PFMT during pregnancy significantly reduced the prevalence of UI in both the pregnant period [risk ratio (RR) = 0.67, 95% confidence interval (CI) 0.57 to 0.80, P < 0.00001] and the postnatal period [RR = 0.66, 95% CI 0.52 to 0.84, P = 0.0008]. Only one RCT delivered group-based PFMT during the postnatal period.

conclusionEvidence of weak quality supports the effectiveness of undertaking group-based PFMT in pregnancy to prevent UI during pregnancy and the postnatal period. No evidence showed the effectiveness of undertaking group-based PFMT in the postnatal period.

Indexed as

Pelvic FloorUrinary IncontinenceChinaExercise TherapyFemaleHumansPregnancyTreatment OutcomeAntenatalGroup-based interventionPlevic floor muscle trainingPostnatalUrinary incontinence

Identifiers

PMID34453550
PMCPMC9206632
OpenAlexW3195725593

What OpenQuestion holds

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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.