Evidence map›Paper›PMID 34562132›Full record

ArticleInternational urogynecology journal2021

An in-home rehabilitation program for the treatment of urinary incontinence symptoms in endometrial cancer survivors: a single-case experimental design study.

Stéphanie Bernard, Linda McLean, Samantha Boucher, Luc J Hébert, Marie Plante, Jean Grégoire, Alexandra Sebastianelli, Marie-Claude Renaud, Marie-Anne Froment, Hélène Moffet

Open access · hybridAbstract read
In one paragraph

Article in International urogynecology journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
2.6field-weighted citation impact, top 10% 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, 2 syntheses or guidelines pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Female pelvic cancer survivors' experiences of pelvic floor muscle training after pelvic radiotherapy.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Trial
  4. Article
  5. Pelvic floor muscle training delivered via telehealth to treat urinary and/or faecal incontinence after gynaecological cancer surgery: a single cohort feasibility study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Article
  6. Article
  7. Article
  8. 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

10 authors at 3 institutions in 1 country.

Stéphanie BernardRehabilitation Department, Faculty of Medicine, Université Laval, Québec, Québec, Canada.
Linda McLeanSchool of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, Canada.
Samantha BoucherSchool of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, Canada.
Luc J HébertRehabilitation Department, Faculty of Medicine, Université Laval, Québec, Québec, Canada.
Marie PlanteHôtel-Dieu de Québec, Department of Gynecologic Oncology, Centre Hospitalier Universitaire de Québec, Québec, Québec, Canada.
Jean GrégoireHôtel-Dieu de Québec, Department of Gynecologic Oncology, Centre Hospitalier Universitaire de Québec, Québec, Québec, Canada.
Alexandra SebastianelliHôtel-Dieu de Québec, Department of Gynecologic Oncology, Centre Hospitalier Universitaire de Québec, Québec, Québec, Canada.
Marie-Claude RenaudHôtel-Dieu de Québec, Department of Gynecologic Oncology, Centre Hospitalier Universitaire de Québec, Québec, Québec, Canada.
Marie-Anne FromentHôtel-Dieu de Québec, Department of Radiation Oncology, Centre Hospitalier Universitaire de Québec, Québec, Québec, Canada.
Hélène MoffetRehabilitation Department, Faculty of Medicine, Université Laval, Québec, Québec, Canada. helene.moffet@rea.ulaval.ca.ORCID http://orcid.org/0000-0002-9602-0094
Centre hospitalier universitaire de Québec · CAUniversité Laval · CAUniversity of Ottawa · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisThere is a high prevalence of urinary incontinence among endometrial cancer survivors. They are also known to present with pelvic floor muscle alterations. Evidence on the effects of conservative interventions for the management of UI is scarce. This study aims at verifying the effects of an in-home rehabilitation program, including the use of a mobile technology, to reduce UI severity in endometrial cancer survivors.

methodsThis study used a single-case experimental design with replications. Primary outcome for UI severity was the pad test, and secondary outcomes were the ICIQ-UI SF questionnaire and 3-day bladder diary. Pelvic floor muscle function was assessed using 2D-transperineal ultrasound and intravaginal dynamometry. Adherence was documented using mobile technology and an exercise log. Visual and non-parametric analyses of longitudinal data were conducted.

resultsResults show a reduction in UI severity for 87.5% of participants, with a significant relative treatment effect of moderate size (RTE: 0.30). Significant small relative treatment effects were found for the quick contraction and endurance dynamometric tests.

conclusionThis study provides new evidence that endometrial cancer survivors can improve the severity of their UI following an in-home rehabilitation program, including the use of a mobile technology. This mode of delivery has the potential to address a gap in access to pelvic floor physiotherapy services for survivors of EC living in rural and remote communities.

Indexed as

Endometrial NeoplasmsUrinary IncontinenceExercise TherapyFemaleHumansResearch DesignSurvivorsTreatment OutcomeBladder trainingCancer survivorshipGynecological cancerMobile technologyPelvic floor muscle trainingPhysiotherapyUrinary incontinence

Identifiers

PMID34562132
PMCPMC8536558
OpenAlexW3199858133

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.