Quality appraisal of evidence-based guidelines for the management of female stress urinary incontinence_Chinese Journal of Evidence-Based Medicine

Authors：

CONG Xue ^1,2,3 , XU Yang ⁴ , WANG Dou ^1,2,3 , ZHOU Yajing ^1,2,3 , ZHANG Xiaoyan ^1,2,3 , QU Chang ^1,2,3 , MA Jingya ⁵ , LI Xuejing ^1,2,3 ,  HAO Yufang ^1,2,3

1. School of Nursing, Beijing University of Chinese Medicine, Beijing 102448, P.R.China;
2. Joanna Briggs Institute Center of Excellence, Beijing University of Chinese Medicine, Beijing 102448, P.R.China;
3. Best Practice Spotlight Organization, Registered Nurses’ Association of Ontario, Beijing University of Chinese Medicine, Beijing 102448, P.R.China;
4. Department of Obstetrics, Chinese-Japanese Friendship Hospital, Beijing 100029, P.R.China;
5. School of Nursing, Peking Union Medical College, Beijing 100144, P.R.China;

Corresponding?author：

HAO Yufang, Email: Haoyufang0903@sina.com

Keywords：

Stress urinary incontinence; Management; Evidence-based guideline; Appraisal of Guidelines for Research and Evaluation Ⅱ (AGREE Ⅱ)

DOI：

10.7507/1672-2531.201905129

Video：

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Objectives To evaluate the quality of evidence-based guidelines for the treatment of female stress urinary incontinence, so as to provide evidence for clinical stress urinary incontinence management research.Methods Website of the professional society, clinical practice guide website, Yimaitong website, PubMed, CNKI, WanFang Data and VIP databases were electronically searched to collect stress urinary incontinence management related guidelines from January 1^st, 2014 to January 1^st, 2019. Two reviewers independently screened literature, extracted data and evaluated the quality of included guidelines using Appraisal of Guidelines for Research and Evaluation (AGREE Ⅱ) and the characteristics of each guidelines were analyzed.Results We identified totally 8 relevant evidence-based guidelines in this field. The average standardized scores in the 6 domains of AGREE II were 90.74% (scope and purpose), 78.71% (stakeholder involvement), 74.60% (rigor of development), 93.52% (clarity of presentations), 61.81% (applicability), and 91.67% (independence). The overall standardized scores of 8 guidelines were 77.70%, and the total scores were 5.31 (out of 7). For overall quality, 4 of them were grade A and 4 of them were grade B.Conclusions The overall quality of evidence-based guidelines for stress urinary incontinence is high, and scores in different fields are vary large. Fields of " stakeholder involvement”, " rigor of development” and " applicability” with lower scores still requires strengthening. The current guidelines for female stress urinary incontinence in China still fails to meet the standards of evidence-based guidelines, so the quality of the guidelines should be improved to improve guide clinical practice.

Citation： CONG Xue, XU Yang, WANG Dou, ZHOU Yajing, ZHANG Xiaoyan, QU Chang, MA Jingya, LI Xuejing, HAO Yufang. Quality appraisal of evidence-based guidelines for the management of female stress urinary incontinence. Chinese Journal of Evidence-Based Medicine, 2019, 19(11): 1341-1348. doi: 10.7507/1672-2531.201905129 Copy

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2.	Zhang L, Zhu L, Xu T, et al. A population-based survey of the prevalence, potential risk factors, and symptom-specific bother of lower urinary tract symptoms in adult Chinese women. Eur Urol, 2015, 68(1): 97-112.
3.	Milsom I, Coyne KS, Nicholson S, et al. Global prevalence and economic burden of urgency urinary incontinence: a systematic review. Eur Urol, 2014, 65(1): 79-95.
4.	王小娟, 李靜靜, 萬小娟, 等. 社區女性尿失禁患者求醫意向及影響因素研究. 中華護理雜志, 2014, 49(04): 492-498.
5.	Minassian VA, Yan X, Lichtenfeld MJ, et al. The iceberg of health care utilization in women with urinary incontinence. Int Urogynecol J, 2012, 23(8): 1087-1093.
6.	令娟, 王明霞, 王琪, 等. 2015 年中國臨床實踐指南的報告質量分析. 中國循證醫學雜志, 2018, 18(07): 721-728.
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11.	余紅梅, 羅艷虹, 薩建, 等. 組內相關系數及其軟件實現. 中國衛生統計, 2011, 28(5): 497-500.
12.	Qaseem A, Dallas P, Forciea MA, et al. Nonsurgical management of urinary incontinence in women: a clinical practice guideline from the American College of Physicians. Ann Intern Med, 2014, 161(6): 429-440.
13.	Committee on Practice Bulletins—Gynecology and the American Urogynecologic Society. ACOG Practice Bulletin No. ACOG Practice Bulletin No. 155: Urinary incontinence in women. Obstet Gynecol, 2015, 126(5): e66-e81.
14.	European Association of Urology. Guidelines on urinary incontinence. Available at: https://uroweb.org/guideline/urinary-incontinence/.
15.	NICE. Urinary incontinence in women: management. Available at: https://www.nice.org.uk/guidance/cg171.
16.	AUA. Surgical treatment of female stress urinary incontinence: AUA/SUFU guideline (2017). Available at: https://www.auanet.org/guidelines/stress-urinary-incontinence-(sui)-guideline.
17.	European Association of Urology. EAU guidelines on urinary incontinence in adults. Available at: https://uroweb.org/wp-content/uploads/EAU-Guidelines-Urinary-Incontinence-2016.pdf.
18.	O'Reilly N, Nelson HD, Conry JM, et al. Screening for urinary incontinence in women: a recommendation from the women's preventive services initiative. Ann Intern Med, 2018, 169(5): 320-328.
19.	Nambiar AK, Bosch R, Cruz F, et al. EAU guidelines on assessment and nonsurgical management of urinary incontinence. Eur Urol, 2018, 73(4): 596-609.
20.	朱蘭. 婦科泌尿手術內鏡應用的歷史發展和現狀. 中華腔鏡外科雜志(電子版), 2016, 9(2): 70-72.
21.	《女性壓力性尿失禁診斷和治療指南(2017)》發布. 《女性壓力性尿失禁診斷和治療指南(2017)》發布. 中華醫學信息導報, 2017, 32(11): 9.
22.	Shekelle PG. Clinical practice guidelines: what’s next? JAMA, 2018, 320(8): 757-758.
23.	AGREE History. Available at: http://www.Agreetrust.org/about-agree/agree-history/.
24.	王雪格, 劉會范, 張道秀, 等. 女性壓力性尿失禁患者盆底肌鍛煉方案的構建與實證研究. 護理學雜志, 2016, 31(18): 30-32.
25.	Herderschee R, Hay-Smith EJ, Herbison GP, et al. Feedback or biofeedback to augment pelvic floor muscle training for urinary incontinence in women. Cochrane Database Syst Rev, 2011, (7): CD009252.
26.	劉景超, 朱蘭. 盆底肌肉鍛煉 (PFMT) 在女性壓力性尿失禁中的應用進展. 現代婦產科進展, 2018, 27(1): 68-71.

1. Abrams P, Cardozo L, Fall M, et al. The standardization of terminology of lower urinary tract function: report from the standardization sub-committee of the International Continence Society. Neurourol Urodyn, 2002, 21(2): 167-178.
2. Zhang L, Zhu L, Xu T, et al. A population-based survey of the prevalence, potential risk factors, and symptom-specific bother of lower urinary tract symptoms in adult Chinese women. Eur Urol, 2015, 68(1): 97-112.
3. Milsom I, Coyne KS, Nicholson S, et al. Global prevalence and economic burden of urgency urinary incontinence: a systematic review. Eur Urol, 2014, 65(1): 79-95.
4. 王小娟, 李靜靜, 萬小娟, 等. 社區女性尿失禁患者求醫意向及影響因素研究. 中華護理雜志, 2014, 49(04): 492-498.
5. Minassian VA, Yan X, Lichtenfeld MJ, et al. The iceberg of health care utilization in women with urinary incontinence. Int Urogynecol J, 2012, 23(8): 1087-1093.
6. 令娟, 王明霞, 王琪, 等. 2015 年中國臨床實踐指南的報告質量分析. 中國循證醫學雜志, 2018, 18(07): 721-728.
7. Hoffmann-E?er W, Siering U, Neugebauer EAM, et al. Systematic review of current guideline appraisals performed with the Appraisal of Guidelines for Research & Evaluation II instrument-a third of AGREE II users apply a cut-off for guideline quality. J Clin Epidemiol, 2018, 95: 120-127.
8. 韋當, 王聰堯, 肖曉娟, 等. 指南研究與評價(AGREEII)工具實例解讀. 中國循證兒科雜志, 2013, 8(4): 316-319.
9. Appraisal of guidelines for research & evaluation Ⅱ instrument. Available at: https://www.agreetrust.org/wp-content/uploads/2017/12/AGREE-Ⅱ-Users-Manual-and-23-itemInstrument-2009-Update-2017.pdf.
10. 周芬, 郝玉芳, 叢雪. 指南研究與評價工具 AGREE 價及各領域分值的補充解釋及思考. 護理學報, 2018, 25(18): 56-58.
11. 余紅梅, 羅艷虹, 薩建, 等. 組內相關系數及其軟件實現. 中國衛生統計, 2011, 28(5): 497-500.
12. Qaseem A, Dallas P, Forciea MA, et al. Nonsurgical management of urinary incontinence in women: a clinical practice guideline from the American College of Physicians. Ann Intern Med, 2014, 161(6): 429-440.
13. Committee on Practice Bulletins—Gynecology and the American Urogynecologic Society. ACOG Practice Bulletin No. ACOG Practice Bulletin No. 155: Urinary incontinence in women. Obstet Gynecol, 2015, 126(5): e66-e81.
14. European Association of Urology. Guidelines on urinary incontinence. Available at: https://uroweb.org/guideline/urinary-incontinence/.
15. NICE. Urinary incontinence in women: management. Available at: https://www.nice.org.uk/guidance/cg171.
16. AUA. Surgical treatment of female stress urinary incontinence: AUA/SUFU guideline (2017). Available at: https://www.auanet.org/guidelines/stress-urinary-incontinence-(sui)-guideline.
17. European Association of Urology. EAU guidelines on urinary incontinence in adults. Available at: https://uroweb.org/wp-content/uploads/EAU-Guidelines-Urinary-Incontinence-2016.pdf.
18. O'Reilly N, Nelson HD, Conry JM, et al. Screening for urinary incontinence in women: a recommendation from the women's preventive services initiative. Ann Intern Med, 2018, 169(5): 320-328.
19. Nambiar AK, Bosch R, Cruz F, et al. EAU guidelines on assessment and nonsurgical management of urinary incontinence. Eur Urol, 2018, 73(4): 596-609.
20. 朱蘭. 婦科泌尿手術內鏡應用的歷史發展和現狀. 中華腔鏡外科雜志(電子版), 2016, 9(2): 70-72.
21. 《女性壓力性尿失禁診斷和治療指南(2017)》發布. 《女性壓力性尿失禁診斷和治療指南(2017)》發布. 中華醫學信息導報, 2017, 32(11): 9.
22. Shekelle PG. Clinical practice guidelines: what’s next? JAMA, 2018, 320(8): 757-758.
23. AGREE History. Available at: http://www.Agreetrust.org/about-agree/agree-history/.
24. 王雪格, 劉會范, 張道秀, 等. 女性壓力性尿失禁患者盆底肌鍛煉方案的構建與實證研究. 護理學雜志, 2016, 31(18): 30-32.
25. Herderschee R, Hay-Smith EJ, Herbison GP, et al. Feedback or biofeedback to augment pelvic floor muscle training for urinary incontinence in women. Cochrane Database Syst Rev, 2011, (7): CD009252.
26. 劉景超, 朱蘭. 盆底肌肉鍛煉 (PFMT) 在女性壓力性尿失禁中的應用進展. 現代婦產科進展, 2018, 27(1): 68-71.

Chinese Journal of Evidence-Based Medicine

Quality appraisal of evidence-based guidelines for the management of female stress urinary incontinence

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