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

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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

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, 李静静, 万小娟, 等. 社区女性尿失禁患者求医意向及影响因素研究. 中华护理杂志, 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 年中国临床实践指南的报告质量分析. 中国循证医学杂志, 2018, 18(07): 721-728.
7.	Hoffmann-Eßer 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.	韦当, 王聪尧, 肖晓娟, 等. 指南研究与评价(AGREEII)工具实例解读. 中国循证儿科杂志, 2013, 8(4): 316-319.
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10.	周芬, 郝玉芳, 丛雪. 指南研究与评价工具 AGREE 价及各领域分值的补充解释及思考. 护理学报, 2018, 25(18): 56-58.
11.	余红梅, 罗艳虹, 萨建, 等. 组内相关系数及其软件实现. 中国卫生统计, 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.	朱兰. 妇科泌尿手术内镜应用的历史发展和现状. 中华腔镜外科杂志(电子版), 2016, 9(2): 70-72.
21.	《女性压力性尿失禁诊断和治疗指南(2017)》发布. 《女性压力性尿失禁诊断和治疗指南(2017)》发布. 中华医学信息导报, 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, 刘会范, 张道秀, 等. 女性压力性尿失禁患者盆底肌锻炼方案的构建与实证研究. 护理学杂志, 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.	刘景超, 朱兰. 盆底肌肉锻炼 (PFMT) 在女性压力性尿失禁中的应用进展. 现代妇产科进展, 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, 李静静, 万小娟, 等. 社区女性尿失禁患者求医意向及影响因素研究. 中华护理杂志, 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 年中国临床实践指南的报告质量分析. 中国循证医学杂志, 2018, 18(07): 721-728.
7. Hoffmann-Eßer 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. 韦当, 王聪尧, 肖晓娟, 等. 指南研究与评价(AGREEII)工具实例解读. 中国循证儿科杂志, 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, 丛雪. 指南研究与评价工具 AGREE 价及各领域分值的补充解释及思考. 护理学报, 2018, 25(18): 56-58.
11. 余红梅, 罗艳虹, 萨建, 等. 组内相关系数及其软件实现. 中国卫生统计, 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. 朱兰. 妇科泌尿手术内镜应用的历史发展和现状. 中华腔镜外科杂志(电子版), 2016, 9(2): 70-72.
21. 《女性压力性尿失禁诊断和治疗指南(2017)》发布. 《女性压力性尿失禁诊断和治疗指南(2017)》发布. 中华医学信息导报, 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, 刘会范, 张道秀, 等. 女性压力性尿失禁患者盆底肌锻炼方案的构建与实证研究. 护理学杂志, 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. 刘景超, 朱兰. 盆底肌肉锻炼 (PFMT) 在女性压力性尿失禁中的应用进展. 现代妇产科进展, 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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