A pelvic floor muscle training program in postmenopausal women: A randomized controlled trial

Alves, Fabiola; Riccetto, Cássio; Adami, D.; Marques, Joseane; Pereira, Larissa; Palma, Paulo; Botelho, Simone

doi:10.1016/j.maturitas.2015.03.006

Cited by 63 publications

(65 citation statements)

References 27 publications

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“…Only women who answered “yes” to the first question were recruited, with those who answered either “yes” to the second question or to both questions excluded. Two studies confirmed the type of UI using the International Consultation on Incontinence Questionnaire Short‐Form (ICIQ‐SF) tool …”

Section: Resultsmentioning

confidence: 98%

Section: Resultsmentioning

confidence: 99%

“…All 12 studies had a low risk of selection bias via random sequence generation, attrition bias (incomplete outcome data), and reporting bias (selective reporting of the outcomes). Seven studies had a low risk of selection bias via allocation concealment; however, five studies did not describe this variable in detail. Six studies had a low risk of detection bias (masking of participants and healthcare personnel), whereas six studies did not report on this aspect of the design.…”

Section: Resultsmentioning

confidence: 99%

“…Seven studies had a low risk of selection bias via allocation concealment; however, five studies did not describe this variable in detail. Six studies had a low risk of detection bias (masking of participants and healthcare personnel), whereas six studies did not report on this aspect of the design. Six studies had a low risk of detection bias (blinding of outcome assessment) and six studies did not include a clear statement on this issue.…”

Section: Resultsmentioning

confidence: 99%

“…Six studies had a low risk of detection bias (masking of participants and healthcare personnel), whereas six studies did not report on this aspect of the design. Six studies had a low risk of detection bias (blinding of outcome assessment) and six studies did not include a clear statement on this issue. Finally, one study had high risk for other biases because it did not describe in detail how to make sure that participants took the PFMT every day at home.…”

Section: Resultsmentioning

confidence: 99%

See 4 more Smart Citations

A meta‐analysis of pelvic floor muscle training for the treatment of urinary incontinence

Nie

Ouyang

Wang

et al. 2017

Intl J Gynecology & Obste

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Section: Resultsmentioning

confidence: 98%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

A meta‐analysis of pelvic floor muscle training for the treatment of urinary incontinence

Nie

Ouyang

Wang

et al. 2017

Intl J Gynecology & Obste

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Effect of Group-Administered Behavioral Treatment on Urinary Incontinence in Older Women

et al. 2018

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IMPORTANCE Urinary incontinence (UI) guidelines recommend behavioral interventions as first-line treatment using individualized approaches. A one-time, group-administered behavioral treatment (GBT) could enhance access to behavioral treatment.OBJECTIVE To compare the effectiveness, cost, and cost-effectiveness of GBT with no treatment for UI in older women. DESIGN, SETTING, AND PARTICIPANTS Multisite randomized clinical trial (the Group LearningAchieves Decreased Incidents of Lower Urinary Symptoms [GLADIOLUS] study), conducted from July 7, 2014, to December 31, 2016. The setting was outpatient practices at 3 academic medical centers. Community-dwelling women 55 years or older with UI were recruited by mail and screened for eligibility, including a score of 3 or higher on the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF), symptoms of at least 3 months' duration, and absence of medical conditions or treatments that could affect continence status. Of 2171 mail respondents, 1125 were invited for clinical screening; 463 were eligible and randomized; 398 completed the 12-month study. INTERVENTIONSThe GBT group received a one-time 2-hour bladder health class, supported by written materials and an audio CD. MAIN OUTCOMES AND MEASURESOutcomes were measured at in-person visits (at 3 and 12 months) and by mail or telephone (at 6 and 9 months). The primary outcome was the change in the ICIQ-SF score. Secondary outcome measures assessed UI severity, quality of life, perceptions of improvement, pelvic floor muscle strength, and costs. Evaluators were masked to group assignment.RESULTS Participants (232 in the GBT group and 231 in the control group) were aged 55 to 91 years (mean [SD] age, 64 [7] years), and 46.2% (214 of 463) were African American. In intent-to-treat analyses, the ICIQ-SF scores for GBT were consistently lower than control across all time points but did not achieve the projected 3-point difference. At 3 months, the difference in differences was 0.96 points (95% CI, −1.51 to −0.41 points), which was statistically significant but clinically modest. The mean (SE) treatment effects at 6, 9, and 12 months were 1.36 (0.32), 2.13 (0.33), and 1.77 (0.31), respectively. Significant group differences were found at all time points in favor of GBT on all secondary outcomes except pelvic floor muscle strength. The incremental cost to achieve a treatment success was $723 at 3 months; GBT dominated at 12 months. CONCLUSIONS AND RELEVANCEThe GLADIOLUS study shows that a novel one-time GBT program is modestly effective and cost-effective for reducing UI frequency, severity, and bother and improving quality of life. Group-administered behavioral treatment is a promising first-line approach to enhancing access to noninvasive behavioral treatment for older women with UI.TRIAL REGISTRATION ClinicalTrials.gov identifier: NCT02001714

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Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women

Dumoulin

Cacciari

Hay‐Smith

2018

Cochrane Database of Systematic Reviews

395

425

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A pelvic floor muscle training program in postmenopausal women: A randomized controlled trial

Cited by 63 publications

References 27 publications

A meta‐analysis of pelvic floor muscle training for the treatment of urinary incontinence

A meta‐analysis of pelvic floor muscle training for the treatment of urinary incontinence

Effect of Group-Administered Behavioral Treatment on Urinary Incontinence in Older Women

Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women

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