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Guideline for the diagnosis and treatment of Faecal Incontinence-A UEG/ESCP/ESNM/ESPCG collaboration
SL. Assmann, D. Keszthelyi, J. Kleijnen, F. Anastasiou, E. Bradshaw, AE. Brannigan, EV. Carrington, G. Chiarioni, LDA. Ebben, MA. Gladman, Y. Maeda, J. Melenhorst, G. Milito, JWM. Muris, J. Orhalmi, D. Pohl, Y. Tillotson, M. Rydningen, S....
Jazyk angličtina Země Velká Británie
Typ dokumentu časopisecké články, směrnice pro lékařskou praxi
NLK
Free Medical Journals
od 2013
PubMed Central
od 2013
Europe PubMed Central
od 2013
ProQuest Central
od 2021-02-01
Health & Medicine (ProQuest)
od 2021-02-01
Wiley-Blackwell Open Access Titles
od 2013
ROAD: Directory of Open Access Scholarly Resources
od 2013
PubMed
35303758
DOI
10.1002/ueg2.12213
Knihovny.cz E-zdroje
- MeSH
- dospělí MeSH
- fekální inkontinence * diagnóza terapie MeSH
- gastroenterologie * MeSH
- lidé MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- směrnice pro lékařskou praxi MeSH
INTRODUCTION: The goal of this project was to create an up-to-date joint European clinical practice guideline for the diagnosis and treatment of faecal incontinence (FI), using the best available evidence. These guidelines are intended to help guide all medical professionals treating adult patients with FI (e.g., general practitioners, surgeons, gastroenterologists, other healthcare workers) and any patients who are interested in information regarding the diagnosis and management of FI. METHODS: These guidelines have been created in cooperation with members from the United European Gastroenterology (UEG), European Society of Coloproctology (ESCP), European Society of Neurogastroenterology and Motility (ESNM) and the European Society for Primary Care Gastroenterology (ESPCG). These members made up the guideline development group (GDG). Additionally, a patient advisory board (PAB) was created to reflect and comment on the draft guidelines from a patient perspective. Relevant review questions were established by the GDG along with a set of outcomes most important for decision making. A systematic literature search was performed using these review questions and outcomes as a framework. For each predefined review question, the study or studies with the highest level of study design were included. If evidence of a higher-level study design was available, no lower level of evidence was sought or included. Data from the studies were extracted by two reviewers for each predefined important outcome within each review question. Where possible, forest plots were created. After summarising the results for each review question, a systematic quality assessment using the GRADE (Grading of Recommendations, Assessment, Development and Evaluations) approach was performed. For each review question, we assessed the quality of evidence for every predetermined important outcome. After evidence review and quality assessment were completed, recommendations could be formulated. The wording used for each recommendation was dependent on the level of quality of evidence. Lower levels of evidence resulted in weaker recommendations and higher levels of evidence resulted in stronger recommendations. Recommendations were discussed within the GDG to reach consensus. RESULTS: These guidelines contain 45 recommendations on the classification, diagnosis and management of FI in adult patients. CONCLUSION: These multidisciplinary European guidelines provide an up-to-date comprehensive evidence-based framework with recommendations on the diagnosis and management of adult patients who suffer from FI.
Charles University Hospital Hradec Kralove Czech Republic
Community Gastroenterology Specialist Nurse Royal Free Hospital London England UK
Department of Gastroenterology and Hepatology University Hospital Zurich Zurich Switzerland
Department of Gastrointestinal Surgery University Hospital of North Norway Tromsø Norway
Department of Surgery and Colorectal Surgery Western General Hospital Edinburgh UK
Division of Gastroenterology of the University of Verona AOUI Verona Verona Italy
Maastricht University Maastricht The Netherlands
Mater Misericordiae University Hospital Dublin 7 Ireland
Norwegian National Advisory Unit on Incontinence and Pelvic Floor Health Tromsø Norway
Patient Advisory Board Representative Maastricht The Netherlands
School for Oncology and Developmental Biology Maastricht University Maastricht The Netherlands
Citace poskytuje Crossref.org
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