Evidence map›Paper›PMID 37740820›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2023

Pelvic floor muscle training delivered via telehealth to treat urinary and/or faecal incontinence after gynaecological cancer surgery: a single cohort feasibility study.

Robyn Brennen, Sze-Ee Soh, Linda Denehy, Kuan Yin Lin, Thomas Jobling, Orla M McNally, Simon Hyde, Jenny Kruger, Helena Frawley

Abstract read
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In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Structured pelvic floor physiotherapy rehabilitation for low anterior resection syndrome in colorectal cancer: An Australian feasibility study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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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

9 authors.

Robyn BrennenDepartment of Physiotherapy, The University of Melbourne, Parkville, VIC, 3010, Australia. rbrennen@student.unimelb.edu.au.
Sze-Ee SohSchool of Primary and Allied Health Care, Monash University, Frankston, VIC, 3199, Australia.
Linda DenehySchool of Health Sciences, The University of Melbourne, Parkville, VIC, 3010, Australia.
Kuan Yin LinSchool and Graduate Institute of Physical Therapy, National Taiwan University, Taipei City, 100, Taiwan.
Thomas JoblingMonash Health, Moorabbin, VIC, 3189, Australia.
Orla M McNallyThe Peter MacCallum Cancer Centre, Melbourne, VIC, 3000, Australia.
Simon HydeThe University of Melbourne, Parkville, VIC, 3010, Australia.
Jenny KrugerAuckland Bioengineering Group, University of Auckland, Auckland, New Zealand.
Helena FrawleySchool of Health Sciences, The University of Melbourne, Parkville, VIC, 3010, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess the feasibility and clinical outcomes of telehealth-delivered pelvic floor muscle training (PFMT) for urinary incontinence (UI) and/or faecal incontinence (FI) after gynaecological cancer surgery.

methodsIn this pre-post cohort clinical trial, patients with incontinence after gynaecological cancer surgery underwent a 12-week physiotherapist-supervised telehealth-delivered PFMT program. The intervention involved seven videoconference sessions with real-time feedback from an intra-vaginal biofeedback device and a daily home PFMT program. Feasibility outcomes included recruitment, retention, engagement and adherence rates. Clinical outcomes were assessed at baseline, immediately post-intervention and a 3-month post-intervention using International Consultation on Incontinence questionnaires for UI (ICIQ-UI-SF) and Bowel function (ICIQ-B) and the intra-vaginal biofeedback device. Means and 95%CIs for all time points were analysed using bootstrapping methods.

resultsOf the 63 eligible patients, 39 (62%) consented to the study. Three participants did not complete baseline assessment and were not enrolled in the trial. Of the 36 participants who were enrolled, 32 (89%) received the intervention. Retention was 89% (n=32/36). The majority of participants (n=30, 94%) demonstrated high engagement, attending at least six videoconference sessions. Adherence to the daily PFMT program was moderate, with 24 participants (75%) completing five-to-seven PFMT sessions per week during the intervention. All clinical outcomes improved immediately post-intervention; however, the magnitude of these improvements was small.

conclusionTelehealth-delivered PFMT may be feasible to treat incontinence after gynaecological cancer surgery.

trial registrationClinicalTrials.gov Identifier: ACTRN12621000880842).

Indexed as

Fecal IncontinenceNeoplasmsTelemedicineFeasibility StudiesFemaleHumansPelvic FloorBiofeedbackFaecal incontinenceGynaecological cancerPelvic floor muscle trainingTelehealthUrinary incontinence

Identifiers

PMID37740820
PMCPMC10517895

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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.