Información del artículo
Resumen
Contexto
Se ha vuelto a escribir la guía clínica de la Asociación Europea de Urología (EAU) sobre la incontinencia urinaria publicada en marzo de 2012, basándose en una revisión sistemática independiente llevada a cabo por el panel de guías clínicas de la EAU utilizando una metodología sostenible.
ObjetivoPresentamos una versión resumida de la guía clínica completa sobre el tratamiento quirúrgico de pacientes con incontinencia urinaria, con el objetivo de difundirla a un público más amplio.
Adquisición de la evidenciaLa valoración de la evidencia incluyó una revisión pragmática de las revisiones sistemáticas existentes y nuevas búsquedas bibliográficas independientes, basadas en cuestiones sobre población, intervención, comparador, resultados (PICO). La evaluación de los trabajos fue realizada por un panel internacional de expertos, quienes también colaboraron en una serie de debates de consenso, para desarrollar breves resúmenes de evidencia estructurada y recomendaciones basadas en la acción utilizando un sistema modificado de Oxford.
Resumen de la evidenciaLa versión completa de la guía clínica está disponible online (http://www.uroweb.org/guidelines/online-guidelines/). La guía clínica incluye algoritmos que remiten de nuevo al lector a la evidencia de apoyo, y son más inmediatamente utilizables en la práctica clínica diaria. Se llevaron a cabo 2 metaanálisis específicamente para esta guía clínica que se incluye en este informe.
ConclusionesEsta nueva guía clínica presenta un resumen actualizado de la evidencia disponible, junto con claros algoritmos clínicos y recomendaciones basadas en la acción fundamentadas en la mejor evidencia disponible. Cuando dicha evidencia no existe, presentan un consenso de opiniones de expertos.
Palabras clave:
Incontinencia urinaria mixta
Incontinencia urinaria de esfuerzo
Incontinencia urinaria de urgencia
Toxina botulínica A
Estimulación del nervio sacro
Agentes aumentadores
Incontinencia urinaria
Basado en la práctica
Tratamiento quirúrgico
Colposuspensión
Cabestrillos
Dispositivos de compresión
Cistoplastia
Guías clínicas de la Asociación Europea de Urología
Abstract
Context
The European Association of Urology (EAU) guidelines on urinary incontinence published in March 2012 have been rewritten based on an independent systematic review carried out by the EAU guidelines panel using a sustainable methodology.
ObjectiveWe present a short version here of the full guidelines on the surgical treatment of patients with urinary incontinence, with the aim of dissemination to a wider audience.
Evidence acquisitionEvidence appraisal included a pragmatic review of existing systematic reviews and independent new literature searches based on Population, Intervention, Comparator, Outcome (PICO) questions. The appraisal of papers was carried out by an international panel of experts, who also collaborated in a series of consensus discussions, to develop concise structured evidence summaries and action-based recommendations using a modified Oxford system.
Evidence summaryThe full version of the guidance is available online (www.uroweb.org/guidelines/online-guidelines/). The guidance includes algorithms that refer the reader back to the supporting evidence and have greater accessibility in daily clinical practice. Two original meta-analyses were carried out specifically for these guidelines and are included in this report.
ConclusionsThese new guidelines present an up-to-date summary of the available evidence, together with clear clinical algorithms and action-based recommendations based on the best available evidence. Where high-level evidence is lacking, they present a consensus of expert panel opinion.
Keywords:
Mixed urinary incontinence
Stress urinary incontinence
Urge urinary incontinence
Botulinum toxin A
Sacral nerve stimulation
Bulking agents
Urinary incontinence
Practice-based
Surgical treatment
Colposuspension
Slings
Compression devices
Cystoplasty
European Association of Urology guidelines
Artículo
Opciones para acceder a los textos completos de la publicación Actas Urológicas Españolas
Suscriptor
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