Evidence map›Paper›PMID 35831758›Full record

SynthesisArchives of gynecology and obstetrics2023

Efficacy of pelvic floor physiotherapy intervention for stress urinary incontinence in postmenopausal women: systematic review.

Ana Paula Malinauskas, Elaine Fernandes Macedo Bressan, Andrea Maria Zaher Rosa Pereira de Melo, Cristina Aires Brasil, Patricia Lordêlo, Luiza Torelli

Abstract readSystematic ReviewMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Archives of gynecology and obstetrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.2field-weighted citation impact, top 12% 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

5 citing papers in PubMed, 13 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Observational
  5. 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

6 authors at 2 institutions in 1 country.

Ana Paula MalinauskasFaculdade Inspirar, São Paulo, Brazil. anapaulamali@hotmail.com.ORCID 0000-0002-2488-589X
Elaine Fernandes Macedo BressanFaculdade Inspirar, São Paulo, Brazil.
Andrea Maria Zaher Rosa Pereira de MeloFaculdade Inspirar, São Paulo, Brazil.
Cristina Aires BrasilBahiana School of Medicine and Public Health, Salvador, Brazil.
Patricia LordêloBahiana School of Medicine and Public Health, Salvador, Brazil.
Luiza TorelliFaculdade Inspirar, Curitiba, Brazil.
Faculdade Brasil · BREscola Bahiana de Medicina e Saúde Pública · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisOur objective was to evaluate the effectiveness of pelvic floor physiotherapy interventions for stress urinary incontinence (SUI) in postmenopausal women.

methodsSearches were performed in MEDLINE/PubMed, PEDro, Cochrane Library Registry and LILACS databases until October 2021. Only randomized controlled trials (RCTs) which had physiotherapy interventions as primary outcome were included. There were no restrictions on the year of publication or language. Qualitative methodology was evaluated using the PEDro scale.

resultsAfter applying inclusion/exclusion criteria and quality control, 6 randomized controlled trials were included in this systematic review. Methodological quality of trials varied from 5 to 8 (out of 10 possible points in PEDro scale score). Sample consisted of 715 subjects; mean age was between 51.6 and 66.3 years; SUI severity scale ranged from small to severe. Interventions were pelvic floor muscle training (PFMT); vaginal cone (VC); biofeedback (BF); electrical muscle stimulation (EMS); radiofrequency (RF) and electroacupuncture (EA). Pelvic floor physiotherapy was effective in all studies, however, meta-analysis was considered irrelevant due to the heterogeneity of the reported interventions.

conclusionThere is not a literature consensus about the most effective pelvic floor physiotherapy intervention applied to stress urinary incontinence in postmenopausal women. It seems appropriate to state that further randomized controlled clinical trials should be done, due to the limited number of studies and heterogeneity of physiotherapeutic interventions applied to date.

trial registrationThis systematic review is registered in PROSPERO in the trial registration CRD42021255062.

Indexed as

Urinary Incontinence, StressAgedExercise TherapyFemaleHumansMiddle AgedPelvic FloorPhysical Therapy ModalitiesPostmenopauseTreatment OutcomeFemalePelvic floorPhysiotherapyPostmenopausalStress urinary incontinence

Identifiers

PMID35831758
OpenAlexW4285085324

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.