Systematic review of shorter versus longer duration of bladder catheterization after surgical repair of urinary obstetric fistula

Torloni, Maria Regina; Riera, Rachel; Rogozińska, Ewelina; Tunçalp, Özge; Gülmezoglu, A Metin; Widmer, Mariana

doi:10.1002/ijgo.12462

Cited by 5 publications

(3 citation statements)

References 26 publications

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“…Heat maps of risk of bias assessments across study types are contained within S9 Table . In brief, there were concerns about blinding of participants and personnel in RCTs [35,51,52], as well as a lack of accounting for confounders within cohort studies and the case-control study [31-33, 36, 40-44, 47, 49, 50]. The one included systematic review was deemed to be of moderate quality when assessed using AMSTAR-2 [26,57]. Evidence map results.…”

Section: Plos Global Public Healthmentioning

confidence: 99%

“…However, only one study examined psychological interventions [51], four examined catheterisation [33,35,52,57], and one exclusively assessed the effects of physical therapy [45]. One study assessed the effects of bladder catheterisation, muscle training and surgery but as the method of surgery was not adequately described, only bladder catheterisation and muscle training could be included [50].…”

Section: Plos Global Public Healthmentioning

confidence: 99%

See 1 more Smart Citation

Interventions for treating obstetric fistula: An evidence gap map

Johnson

O’Connor²,

Hilton³

et al. 2023

PLOS Glob Public Health

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Obstetric fistula is prevalent in low- and middle-income countries, with between 50,000 and 100,000 new cases each year. The World Health Organization aims to eradicate it by 2030 but a clear idea of the extant evidence is unavailable. This evidence map compiled evidence on treatments for obstetric fistula to identify potential knowledge gaps. The protocol for this work was published on the Open Science Framework (DOI: 10.17605/OSF.IO/H7J35). A survey was developed, piloted and distributed online through organisations with an interest in obstetric fistula and snowballing. Results informed the evidence map framework. Searches were run on MEDLINE, Embase, CENTRAL, Global Index Medicus and ScanMedicine on 16 February 2022 to identify potentially eligible systematic reviews, randomised controlled trials, cohort studies and case-control studies. Forward and backward citation chaining was undertaken on relevant systematic reviews and included studies. Studies were screened, coded and assessed for risk of bias by a single reviewer, with a second checking a proportion. The evidence map results were compared to survey results. Thirty-nine people responded to the survey, half of which were clinicians. Of 9796 records identified, 37 reports of 28 studies were included in the evidence map. Many included studies were at some risk of bias; for observational studies, this was predominantly due to lack of controlling for confounders. Most studies (71%) assessed surgical interventions alone. Reporting on other intervention types was limited. Regarding outcome measures most important to survey respondents, 24 studies reported on cure/improvement in obstetric fistula and 20 on cure/improvement in urinary incontinence. Reporting on quality of life, faecal incontinence and sexual function was limited. There is currently little robust evidence to guide patients and practitioners on the most effective treatment option for obstetric fistula. Further research is required to address evidence gaps identified.

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Section: Plos Global Public Healthmentioning

confidence: 99%

Section: Plos Global Public Healthmentioning

confidence: 99%

Interventions for treating obstetric fistula: An evidence gap map

Johnson

O’Connor²,

Hilton³

et al. 2023

PLOS Glob Public Health

View full text Add to dashboard Cite

show abstract

“…On 11 January 2018, the World Health Organization (WHO) released new guidance on duration of bladder catheterisation after the surgical repair of simple obstetric urinary fistula . In line with WHO guideline development processes, a systematic review was conducted to identify, critically appraise and synthesise the data on duration of bladder catheterisation after the surgical repair of simple obstetric urinary fistula and identified only two randomised trials involving a total of approximately 700 women. Both studies were open label, controlled, non‐inferiority, randomised trials conducted in eight African countries.…”

Section: Disclosure Of Interestsmentioning

confidence: 99%