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Study Title and Description

Is home-based pelvic floor muscle training effective in treatment of urinary incontinence after birth in primiparous women? A randomized controlled trial.



Key Questions Addressed
1 KQ 1: What are the benefits and harms of nonpharmacological treatments of UI in women, and how do they compare with each other? KQ 2: What are the benefits and harms of pharmacological treatments of UI in women, and how do they compare with each other? KQ 3: What are the comparative benefits and harms of nonpharmacological versus pharmacological treatments of UI in women? KQ 4: What are the benefits and harms of combined nonpharmacological and pharmacological treatment of UI in women?
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Primary Publication Information
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TitleData
Title Is home-based pelvic floor muscle training effective in treatment of urinary incontinence after birth in primiparous women? A randomized controlled trial.
Author Ahlund S., Nordgren B., Wilander EL., Wiklund I., Fridén C.
Country Department of Clinical Sciences, Danderyds Hospital, Karolinska Institute, Stockholm, Sweden.
Year 2013
Numbers Pubmed ID: 23672520

Secondary Publication Information
There are currently no secondary publications defined for this study.


Extraction Form: All studies
Arms
Number Title Description Comments
1 pelvic floor muscle training
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2 control
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Design Details
Question... Follow Up Answer Follow-up Answer
Study type RCT
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Country/countries Sweden
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Funding source Not reported
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Inclusion criteria Normal term singleton vaginal delivery and having problem with SUI
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Exclusion criteria Neurological bladder dysfunction or tumors in the genital area
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UI type
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100
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Age 33
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mean
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3.6
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nd
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Men included 0
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Special populations 100
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100
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Race 100
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100
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Notes
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Did participants fail previous treatment? Not reported/unclear
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Study years nd
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Trial name (if given)
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Does this paper cite a previous paper from the same study?
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Baseline Characteristics
Question pelvic floor muscle training control Total Comments
AnswerFollow-up AnswerFollow-up AnswerFollow-up
Participant flow 49 49 98
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40 42 82
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9 7 16
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Resettled, child illness Pregnancy Resettled, child illness, pregnancy
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Notes No data entered.



Results & Comparisons


Results Data
Outcome: Bladder control, subjective      Population: All Participants
Time Point Measure pelvic floor muscle training control


6 months

N Analyzed 40 42
Median 2 3
Max 9 7
Min 0 0
Outcome: Bladder control, subjective      Population: All Participants
Time Point Measure pelvic floor muscle training control


6 months

N Analyzed 40 42
Median 1 0
Max 5 8
Min 0 0
Outcome: Bladder control, subjective      Population: All Participants
Time Point Measure pelvic floor muscle training control


6 months

N Analyzed 40 42
Median 4 4
Max 15 12
Min 0 0


Quality Dimensions
Dimension Value Notes Comments
RCT:.....Adequate generation of a randomized sequence Low RoB
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RCT:.....Allocation concealment High RoB
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RCT:.....Blinding of PATIENTS High RoB
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RCT.....Intention-to-treat-analysis Low RoB
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ALL.....Blinding of OUTCOME ASSESSORS (or "DOUBLE BLIND") High RoB
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ALL.....Incomplete results data (attrition bias) Low RoB
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ALL....Group similarity at baseline (selection bias) Low RoB
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ALL.....Compliance with interventions Low RoB
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NRCS.....Patients in different intervention groups selected in an equivalent manner
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NRCS....Baseline differences between groups accounted for (Adjusted analysis)?
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ALL.....Other issues No
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ALL....Were interventions adequately described? Yes
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Quality Rating
No quality rating data was found.