Evidence map›Paper›PMID 39016196›Full record

SynthesisInternational wound journal2024

Prognostic factors for the development of incontinence-associated dermatitis (IAD): A systematic review.

Julie Deprez, Nils Ohde, Alexandra Eilegård Wallin, Carina Bååth, Ami Hommel, Lisa Hultin, Anna Josefson, Jan Kottner, Dimitri Beeckman

Registry-linked trialAbstract readSystematic Review
In one paragraph

Synthesis in International wound journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06978751 (Development of a Risk Assessment Tool for Incontinence-associated Dermatitis), which is not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 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.

NCT06978751 completednot on this mapstarted 2025, after this paper: background citation

Development of a Risk Assessment Tool for Incontinence-associated Dermatitis (IAD): a Cohort Study on the Predictive Performance of Risk Factors for IAD

TypeobservationalSponsorÖrebro University, SwedenRan2025 to 2026Enrolled271ConditionsIncontinence Associated Dermatitis
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. 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

9 authors.

Julie DeprezSwedish Centre for Skin and Wound Research (SCENTR), School of Health Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.ORCID https://orcid.org/0000-0002-8396-6761
Nils OhdeInstitute of Clinical Nursing Science, Charité Universitätsmedizin, Berlin, Germany.ORCID https://orcid.org/0009-0001-5200-1019
Alexandra Eilegård WallinSwedish Centre for Skin and Wound Research (SCENTR), School of Health Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.ORCID https://orcid.org/0000-0002-6133-8975
Carina BååthDepartment of Health Sciences, Faculty of Health, Science and Technology, Karlstad University, Karlstad, Sweden.ORCID https://orcid.org/0000-0002-9608-336X
Ami HommelDepartment of Care Science, Malmö University, Malmö, Sweden.ORCID https://orcid.org/0000-0002-6114-6535
Lisa HultinDepartment of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.ORCID https://orcid.org/0000-0001-8270-8560
Anna JosefsonSchool of Medical Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.ORCID https://orcid.org/0000-0002-7478-056X
Jan KottnerInstitute of Clinical Nursing Science, Charité Universitätsmedizin, Berlin, Germany.ORCID https://orcid.org/0000-0003-0750-3818
Dimitri BeeckmanSwedish Centre for Skin and Wound Research (SCENTR), School of Health Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.ORCID https://orcid.org/0000-0003-3080-8716

Funding

Vetenskapsrådet 2021-02653
6 · The paper itself

Abstract

Incontinence-associated dermatitis (IAD) is an irritant contact dermatitis from prolonged contact with urine or faeces, which can significantly impact patient comfort and quality of life. The identification of prognostic factors for the development of IAD has the potential to enhance management, support preventive measures and guide future research. The objective of this systematic review was to summarize the empirical evidence of prognostic factors for the development of IAD. This study included prospective and retrospective observational studies or clinical trials that described prognostic factors associated with IAD. There were no restrictions on setting, time, language, participants or geographical regions. Exclusion criteria included reviews, editorials, commentaries, methodological articles, letters to the editor, cross-sectional and case-control studies, and case reports. Searches were conducted from inception to April 2024 on MEDLINE, CINAHL, EMBASE and the Cochrane Library. The studies were assessed by two independent reviewers using the QUIPS and the CHARMS-PF for data extraction. A narrative synthesis approach was employed due to study heterogeneity and using the 'vote counting based on direction' method and the sign test. The overall certainty of evidence was assessed using adapted GRADE criteria. The review included 12 studies and identified 15 potential predictors. Moderate-quality evidence suggests that increased stool frequency, limited mobility and friction/shear problems are risk factors for IAD development. Female sex, older age, vasopressor use and loose/liquid stool are risk factors supported by low-quality evidence. Increased stool frequency, limited mobility and friction/shear problems seem to be risk factors for the development of IAD. There is insufficient evidence to support the predictive validity of female sex, older age, loose/liquid stool and vasopressor use. There is substantial methodological variability across studies, making it challenging to make comparisons. Large-scale cohort studies in different settings that incorporate our review findings should be conducted in the future.

Indexed as

Fecal IncontinenceUrinary IncontinenceAdultAgedAged, 80 and overDermatitis, IrritantFemaleHumansMaleMiddle AgedPrognosisQuality of LifeRisk Factorsdermatitisfaecal incontinenceprognosisrisk factorsurinary incontinence

Identifiers

PMID39016196
PMCPMC11253026

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.