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Article ; Online: Prevalence of depression, anxiety, and stress and associated reasons among Iranian primary healthcare workers: a mixed method study.

Kakemam, Edris / Maassoumi, Katayoun / Azimi, Somayeh / Abbasi, Madineh / Tahmasbi, Fateme / Alizadeh, Mahasti

BMC primary care

2024 Volume 25, Issue 1, Page(s) 40

Abstract: Background: Different mental disorders may be associated with many work-related factors to which primary health care workers (PHCWs) are exposed. The current research aims to measure the rates of depression, anxiety, and stress among PHCWs, and their ... ...

Abstract	Background: Different mental disorders may be associated with many work-related factors to which primary health care workers (PHCWs) are exposed. The current research aims to measure the rates of depression, anxiety, and stress among PHCWs, and their associated causes in primary health care (PHC) settings. Methods: An explanatory sequential mixed methods design was employed in this research from January 2021 to January 2022 in Tabriz, Iran's PHC centers. First, this study followed an online-based cross-sectional survey using a self-reported questionnaire. The Depression, Anxiety and Stress Scale-21 Items (DASS-21) and questions on demographic and work-related characteristics were completed by 303 frontline PHCWs during the quantitative phase. In the qualitative phase, a semi-structured interview was held with 12 PHCWs who had the highest level of depression, anxiety, and stress to identify the reasons and sources of mental health prevalence. Quantitative data were analyzed using descriptive statistics via SPSS-26. A content analysis was performed to analyze qualitative data. Results: The results showed that self-reported stress, anxiety, and depression had a prevalence of 40.3%, 42.9%, and 42.6%, respectively. Symptoms of at least one mental disorder were experienced by 54% of respondents, while 28% had all three. Major sources of stress, anxiety, and depression among PHCWs were working environment conditions, organizational policies, job-related reasons, and interpersonal relations. Conclusions: The results of current study indicated that PHCWs experienced high levels of depression, anxiety, and stress. The main factors and reasons that contributed to these mental health issues among PHCWs were work environment conditions, organizational policies, job-related reasons and interpersonal relations. Therefore, interventions should be implemented to promote mental health of PHCWs. This can include measures such as psychological screening, supportive care, workload management, flexible scheduling, and access to mental health resources. Additionally, training programs can be implemented to enhance resilience and coping skills among healthcare professionals.
MeSH term(s)	Humans ; Iran/epidemiology ; Depression/epidemiology ; Prevalence ; Cross-Sectional Studies ; Anxiety/epidemiology ; Anxiety/etiology ; Health Personnel/psychology
Language	English
Publishing date	2024-01-26
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ISSN	2731-4553
ISSN (online)	2731-4553
DOI	10.1186/s12875-024-02268-w
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Effects of saffron (Crocus sativus L.) on anthropometric and cardiometabolic indices in overweight and obese patients: A systematic review and meta-analysis of randomized controlled trials.

Tahmasbi, Fateme / Araj-Khodaei, Mostafa / Mahmoodpoor, Ata / Sanaie, Sarvin

Phytotherapy research : PTR

2022 Volume 36, Issue 9, Page(s) 3394–3414

Abstract: The worldwide prevalence of obesity is approximately tripled between 1975 and 2016 according to World Health Organization; therefore, obesity is now considered a global pandemic that needs academic and clinical focus. In search of antiobesity agents, ... ...

Abstract	The worldwide prevalence of obesity is approximately tripled between 1975 and 2016 according to World Health Organization; therefore, obesity is now considered a global pandemic that needs academic and clinical focus. In search of antiobesity agents, Crocus sativus, known widely as saffron, has been praised for its beneficial effects. Several randomized controlled trials (RCTs) have been conducted to investigate the weight lowering effect of saffron. Following PRISMA guidelines, several medical databases were comprehensively searched for RCTs with a population consisting of obese individuals. A random-effects meta-analysis was used to pool estimates across studies, and standardized mean difference (SMD) was used to synthesize quantitative results. Twenty-five RCTs met the inclusion criteria. Meta-analysis showed a nonsignificant decrease for weight (-0.32 kg; CI: -3.15, 2.51; p = 0.82), BMI (-0.06 kg/m
MeSH term(s)	Cardiovascular Diseases ; Crocus ; Dietary Supplements ; Humans ; Obesity/drug therapy ; Overweight/drug therapy ; Randomized Controlled Trials as Topic
Language	English
Publishing date	2022-07-22
Publishing country	England
Document type	Journal Article ; Meta-Analysis ; Review ; Systematic Review
ZDB-ID	639136-9
ISSN	1099-1573 ; 0951-418X
ISSN (online)	1099-1573
ISSN	0951-418X
DOI	10.1002/ptr.7530
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Article ; Online: Efficacy of Tibial Nerve Stimulation in Neurogenic Lower Urinary Tract Dysfunction Among Patients with Multiple Sclerosis: A Systematic Review and Meta-analysis.

Tahmasbi, Fateme / Hosseini, Samaneh / Hajebrahimi, Sakineh / Heris, Reza Mosaddeghi / Salehi-Pourmehr, Hanieh

Urology research & practice

2023 Volume 49, Issue 2, Page(s) 100–111

Abstract: Objective: This study was performed to systematically review the current literature on the effects of transcutaneous tibial nerve stimulation and percutaneous tibial nerve stimulation on multiple sclerosis-induced neurogenic lower urinary tract ... ...

Abstract	Objective: This study was performed to systematically review the current literature on the effects of transcutaneous tibial nerve stimulation and percutaneous tibial nerve stimulation on multiple sclerosis-induced neurogenic lower urinary tract dysfunction. Materials and methods: Medical databases including PubMed, Scopus, Embase, and Web of Science were systematically searched from inception to September 2022. Metaanalysis was carried out using the comprehensive meta-analysis tool. Results: Our inclusion criteria were met by 12 studies evaluating the effects of percutaneous tibial nerve stimulation/transcutaneous tibial nerve stimulation on multiple sclerosis-induced neurogenic lower urinary tract dysfunction. Comparing the postintervention results to the baseline showed that the rate of frequency was decreased in both percutaneous tibial nerve stimulation and transcutaneous tibial nerve stimulation groups after intervention. The overall mean change of tibial nerve stimulation on frequency was -2.623 (95% CI: -3.58, -1.66; P < .001, I 2 : 87.04) among 6 eligible studies. The post-void residual was decreased after treatment in both methods of tibial nerve stimulation, with an overall mean difference of -31.13 mL (95% CI: -50.62, -11.63; P=.002, I 2 : 71.81). The other urinary parameters, including urgency (mean difference: -4.69; 95% CI: -7.64, -1.74; P < .001, I 2 : 92.16), maximum cystometric capacity (mean difference: 70.95; 95% CI: 44.69, 97.21; P < .001, I 2 : 89.04), and nocturia (mean difference: -1.41; 95% CI: -2.22, 0.60; P < .001, I 2 : 95.15), were improved after intervention, too. However, the results of subgroup analysis showed no effect of transcutaneous tibial nerve stimulation on urinary incontinence (mean difference: -2.00; 95% CI: -4.06, 0.06; P=.057, I 2 : 95.22) and nocturia (mean difference: -0.39; 95% CI: -1.15, 0.37; P=.315, I 2 : 84.01). In terms of mean voided volume, the evidence was related to only percutaneous tibial nerve stimulation with a mean change of 75.01 mL (95% CI: -39.40, 110.61; P < .001, I 2 : 85.04). Conclusion: Although the current literature suggests that tibial nerve electrostimulation might be an effective method for treating neurogenic lower urinary tract dysfunction, the evidence base is poor and derived from small, mostly nonrandomized trials with a high risk of bias and confounding.
Language	English
Publishing date	2023-10-25
Publishing country	Turkey
Document type	Journal Article
ISSN	2980-1478
ISSN (online)	2980-1478
DOI	10.5152/tud.2023.22241
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Article ; Online: Effects of continuous use of Tadalafil on male sexual function after posterior urethroplasty: A clinical trial.

Nourian Kafshgari, Hamedreza / Farhadi, Danial / Kohandel Gargari, Morad / Pourasghary, Sajjad / Tahmasbi, Fateme / Soleimanzadeh, Farzin

Urologia

2023 Volume 90, Issue 4, Page(s) 735–740

Abstract: Introduction: Posterior urethral injuries in men commonly occur following pelvic and perineal trauma. Erectile dysfunction (ED), whether brought on by the severity of the initial trauma or the surgery itself, is one of the complications in these ... ...

Abstract	Introduction: Posterior urethral injuries in men commonly occur following pelvic and perineal trauma. Erectile dysfunction (ED), whether brought on by the severity of the initial trauma or the surgery itself, is one of the complications in these patients. Materials and methods: In this study, we divided candidates of posterior urethroplasty due to traumatic urethral injury into intervention and placebo groups; the former received continuous treatment with tadalafil (10 mg daily), and the latter received a placebo. Other services were provided equally to both groups. Before and after the intervention, both groups completed the International Index of Erectile Function version 5 (IIEF-5) questionnaire, and the findings were analyzed. Results: Forty patients were studied in groups of 20 with a mean age of 43.87 ± 15.70 years. The patient's most common cause of urethral injury was a pelvic fracture. Before the intervention, the mean scores of IIEF for patients in the intervention group and placebo group were 14.85 ± 7.39 and 14.77 ± 6.48, respectively with no statistical significance ( Conclusion: The findings of this study suggest that tadalafil, in a 3-month treatment course, may improve erectile function in individuals with mild-to-moderate ED, significantly more than placebo. However, more studies, specifically with longer duration of follow-up and larger populations, are necessary for generalizing the current findings.
MeSH term(s)	Male ; Humans ; Adult ; Middle Aged ; Tadalafil/therapeutic use ; Erectile Dysfunction/drug therapy ; Erectile Dysfunction/etiology ; Phosphodiesterase 5 Inhibitors ; Carbolines/adverse effects ; Penile Erection ; Treatment Outcome
Chemical Substances	Tadalafil (742SXX0ICT) ; Phosphodiesterase 5 Inhibitors ; Carbolines
Language	English
Publishing date	2023-06-12
Publishing country	United States
Document type	Journal Article
ZDB-ID	204043-8
ISSN	1724-6075 ; 0376-0057 ; 0391-5603
ISSN (online)	1724-6075
ISSN	0376-0057 ; 0391-5603
DOI	10.1177/03915603231179533
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Article ; Online: The optimum cut-off value of contralateral testis size in the prediction of monorchidism in children with nonpalpable testis: A systematic review.

Tahmasbi, Fateme / Salehi-Pourmehr, Hanieh / Soleimanzadeh, Farzin / Pashazadeh, Fariba / Lotfi, Behzad

Journal of pediatric urology

2023 Volume 19, Issue 4, Page(s) 436–449

Abstract: Background: Contralateral Testis Hypertrophy (CTH) is a clinical marker that could be used to guide the choice of the main surgical strategy. In patients with a Non-palpable Testis (NPT), the degree of CTH as measured by testicular length or volume has ... ...

Abstract	Background: Contralateral Testis Hypertrophy (CTH) is a clinical marker that could be used to guide the choice of the main surgical strategy. In patients with a Non-palpable Testis (NPT), the degree of CTH as measured by testicular length or volume has been shown to be able to predict whether the undescended testis will survive. Objective: The purpose of this study was to establish the proper cut-off for identifying non-viable testes based on the current literature. Design: We systematically searched several medical databases as well as Google Scholar search engines for references and citations. All the studies that reported CTH as a result of NPT in prepubertal boys were included. Data from the included articles was gathered by two independent reviewers. The checklist developed by the Joanna Briggs Institute (JBI) was used to evaluate the methodological quality of the studies that were included. Due to the incredibly high degree of heterogeneity among the studies, no meta-analysis was done. Results: The current systematic review included 17 studies that assessed the cut-off point to detect non-viable testis. The size and length of the testes were taken into consideration based on our findings. We found that different studies reported various ideal cut-off values for predicting non-viable testes, which can be brought on by various measuring techniques, evaluation ages, and patient groupings. The difference in testis volume was greater than the difference in its length, which can be attributable to the fact that some studies used an orchidometer to measure the testis's length directly or indirectly. Conclusion: According to the results of our study, it seems that defining a cut point for diagnosis of CTH based on the size of the testis, cannot demonstrate the absence of a non-palpable testis.
MeSH term(s)	Male ; Humans ; Child ; Infant ; Testis/surgery ; Cryptorchidism/diagnosis ; Cryptorchidism/surgery ; Hypertrophy ; Laparoscopy ; Organ Size
Language	English
Publishing date	2023-03-13
Publishing country	England
Document type	Systematic Review ; Journal Article ; Review
ZDB-ID	2237683-5
ISSN	1873-4898 ; 1477-5131
ISSN (online)	1873-4898
ISSN	1477-5131
DOI	10.1016/j.jpurol.2023.03.011
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Article: Effects of saffron (Crocus sativus L.) on anthropometric and cardiometabolic indices in overweight and obese patients: A systematic review and meta‐analysis of randomized controlled trials

Tahmasbi, Fateme / Araj‐Khodaei, Mostafa / Mahmoodpoor, Ata / Sanaie, Sarvin

Phytotherapy research. 2022 Sept., v. 36, no. 9

2022

Abstract	The worldwide prevalence of obesity is approximately tripled between 1975 and 2016 according to World Health Organization; therefore, obesity is now considered a global pandemic that needs academic and clinical focus. In search of antiobesity agents, Crocus sativus, known widely as saffron, has been praised for its beneficial effects. Several randomized controlled trials (RCTs) have been conducted to investigate the weight lowering effect of saffron. Following PRISMA guidelines, several medical databases were comprehensively searched for RCTs with a population consisting of obese individuals. A random‐effects meta‐analysis was used to pool estimates across studies, and standardized mean difference (SMD) was used to synthesize quantitative results. Twenty‐five RCTs met the inclusion criteria. Meta‐analysis showed a nonsignificant decrease for weight (−0.32 kg; CI: −3.15, 2.51; p = 0.82), BMI (−0.06 kg/m²;CI:‐1.04,0.93; p = .91), waist circumference (−1.23 cm; CI: −4.14, 1.68; p = .41), and hip circumference (−0.38 cm; CI: −5.99, 5.23; p = .89) and a significant decrease of waist‐to‐hip ratio (SMD = −0.41; CI: −0.73, −0.09; p = .01; I² = 0%). The mean difference in fasting blood sugar showed a significant reduction in patients with metabolic syndrome (SMD = −0.30; 95% CI: −0.63, 0.03; p = .07; I² = 0.37%) but a nonsignificant change in the HbA1C level (WMD = 0.05; 95% CI: 0.32, 0.41; p = .79). Despite bearing several limitations, mainly as a result of heterogeneity among included studies, the available evidence indicates saffron supplementation shows promising effects on some cardiometabolic factors among overweight to obese patients; however, further investigations and high‐quality evidence are required for more generalizable and comprehensive results.
Keywords	Crocus sativus ; World Health Organization ; blood glucose ; hip circumference ; meta-analysis ; metabolic syndrome ; obesity ; pandemic ; phytotherapy ; research ; saffron ; systematic review ; waist circumference ; waist-to-hip ratio
Language	English
Dates of publication	2022-09
Size	p. 3394-3414.
Publishing place	John Wiley & Sons, Ltd.
Document type	Article
Note	REVIEW
ZDB-ID	639136-9
ISSN	1099-1573 ; 0951-418X
ISSN (online)	1099-1573
ISSN	0951-418X
DOI	10.1002/ptr.7530
Database	NAL-Catalogue (AGRICOLA)

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Article ; Online: Effects of probiotic supplementation on cognitive function in elderly: A systematic review and Meta-analysis.

Tahmasbi, Fateme / Mirghafourvand, Mojgan / Shamekh, Ali / Mahmoodpoor, Ata / Sanaie, Sarvin

Aging & mental health

2021 Volume 26, Issue 9, Page(s) 1778–1786

Abstract: Objectives: Probiotic supplementation has been linked to changes in cognitive function via the gut-brain axis (GBA). However, the current literature lacks a comprehensive review regarding this matter in the elderly population.: Method: Electronic ... ...

Abstract	Objectives: Probiotic supplementation has been linked to changes in cognitive function via the gut-brain axis (GBA). However, the current literature lacks a comprehensive review regarding this matter in the elderly population. Method: Electronic databases including Medline (PubMed), Scopus, Embase, Web of Science, and Google Scholar were comprehensively searched for identifying studies that assessed the effects of probiotics on the cognitive function of the elderly published until July 2020. Articles were critically reviewed and if met the inclusion criteria, entered the study. Results: Among a total of 1374 studies, 10 were eligible for meta-analysis. No significant alteration was found in the cognition of the elderly (SMD=-0.04; 95% CI [- 1.07,0.98]; Conclusion: Our study did not support the hypothesis of the positive effect of probiotics on cognitive function in the elderly population; which might be due to the heterogeneity across the studies.
MeSH term(s)	Aged ; Cognition ; Dietary Supplements ; Humans ; Probiotics/pharmacology ; Probiotics/therapeutic use
Language	English
Publishing date	2021-08-25
Publishing country	England
Document type	Journal Article ; Meta-Analysis ; Systematic Review ; Research Support, Non-U.S. Gov't
ZDB-ID	1474804-6
ISSN	1364-6915 ; 1360-7863
ISSN (online)	1364-6915
ISSN	1360-7863
DOI	10.1080/13607863.2021.1966743
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Zs.A 5081: Show issues

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Article ; Online: Chronological perspective of substitute materials used for the surgical treatment of Peyronie's disease: A scoping review of literature.

Tahmasbi, Fateme / Soleimanzadeh, Farzin / ZehiSaadat, Mahsa / Lotfi, Behzad / Moghadam, Soroush Sharifi

Urologia

2022 Volume 90, Issue 2, Page(s) 301–307

Abstract: This comprehensive scoping review aimed to identify all up-to-date original publications relating to substitute materials used for the surgical treatment of Peyronie's disease (PD), and characterize what material in which chronological trends were ... ...

Abstract	This comprehensive scoping review aimed to identify all up-to-date original publications relating to substitute materials used for the surgical treatment of Peyronie's disease (PD), and characterize what material in which chronological trends were published in the current literature. Using the PCC framework (P: population, C: concept, and C: context), a search strategy was developed and used in four electronic databases, in addition to the Google scholar. All current published, in-press, and pre-print manuscripts with available English full-text were included. Eligible studies were required to be original research articles of any study design, reporting the usage of grafts on surgical treatment of PD. Included studies were reported in a narrative synthesis format. A total of 3379 articles were identified via an electronic search of databases and a total of 171 articles entered this scoping review. Most studies originated from Europe (
MeSH term(s)	Male ; Humans ; Penile Induration/surgery ; Europe
Language	English
Publishing date	2022-11-24
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	204043-8
ISSN	1724-6075 ; 0376-0057 ; 0391-5603
ISSN (online)	1724-6075
ISSN	0376-0057 ; 0391-5603
DOI	10.1177/03915603221137947
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Zs.B 891: Show issues

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Article ; Online: Effects of posterior tibial nerve stimulation (PTNS) on lower urinary tract dysfunction: An umbrella review.

Tahmasbi, Fateme / Salehi-Pourmehr, Hanieh / Naseri, Amirreza / Ghaderi, Salar / Javadi-Farid, Fatemeh / Hajebrahimi, Sakineh / Sedigh, Omid / Soleimanzadeh, Farzin

Neurourology and urodynamics

2023 Volume 43, Issue 2, Page(s) 494–515

Abstract: Background: Lower urinary tract dysfunction (LUTD) is a common, troublesome condition that often negatively affects patients' quality of life. Current literature has long been interested in how posterior tibial nerve stimulation (PTNS) can affect this ... ...

Abstract	Background: Lower urinary tract dysfunction (LUTD) is a common, troublesome condition that often negatively affects patients' quality of life. Current literature has long been interested in how posterior tibial nerve stimulation (PTNS) can affect this condition. Aim: To extensively and systematically explore how PTNS affects LUTD based on the most recent systematic reviews. Methods: A systematic search was conducted in PubMed, Scopus, Web of Science, and Embase according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. All the systematic reviews, with or without meta-analysis that assessed the effects of PTNS on LUTD were retrieved. The quality of the included studies was assessed using the Joanna Briggs Institute tool, and analysis was conducted using the Comprehensive Meta-Analysis version 3 tool. Results: From a total of 3077 citations, 20 systematic reviews entered this study, and 13 of them included meta-analysis. The population of studies varied vastly, for instance, some studies included only children or women while other focused on a specific pathology like multiple sclerosis-induced neurogenic LUTD. The majority of included studies reported an overall improvement in LUTD following percutaneous PTNS, although admitting that these results were derived from moderate to low-quality evidence. Conclusion: The findings of this thorough umbrella review showed that the positive benefits of PTNS in treating LUTD are currently supported by low-quality evidence, and it is crucial to interpret them with great care.
MeSH term(s)	Child ; Female ; Humans ; Quality of Life ; Tibial Nerve ; Transcutaneous Electric Nerve Stimulation ; Treatment Outcome ; Urinary Bladder ; Urinary Bladder, Overactive ; Systematic Reviews as Topic
Language	English
Publishing date	2023-12-28
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	604904-7
ISSN	1520-6777 ; 0733-2467
ISSN (online)	1520-6777
ISSN	0733-2467
DOI	10.1002/nau.25343
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Article ; Online: Effects of Posterior Tibial Nerve Stimulation on Fecal Incontinence: An Umbrella Review.

Tahmasbi, Fateme / Mosaddeghi-Heris, Reza / Soleimanzadeh, Farzin / Ghaderpanah, Rezvan / Sadrian, SeyedHassan / Hajebrahimi, Sakineh / Salehi-Pourmehr, Hanieh

Neuromodulation : journal of the International Neuromodulation Society

2023 Volume 27, Issue 2, Page(s) 229–242

Abstract: Purpose: This study aimed to summarize relevant data from previous systematic reviews (SRs) and conduct comprehensive research on the clinical effects of posterior tibial nerve stimulation (PTNS), via the transcutaneous posterior tibial nerve ... ...

Abstract	Purpose: This study aimed to summarize relevant data from previous systematic reviews (SRs) and conduct comprehensive research on the clinical effects of posterior tibial nerve stimulation (PTNS), via the transcutaneous posterior tibial nerve stimulation (TPTNS) or percutaneous posterior tibial nerve stimulation (PPTNS) method on fecal incontinence (FI). Materials and methods: In adherence to the Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines, a systematic search was conducted on PubMed, Embase, Scopus, and Web of Science databases. We included English-language, full-text SRs reporting outcomes for FI following either PPTNS or TPTNS. The quality of included studies was assessed using the Joanna Briggs Institute checklist. In addition, reanalyzing the meta-analyses was conducted using Comprehensive Meta-Analysis (CMA) software version 3.0 to achieve effect sizes and the level of statistical significance was set at p ≤ 0.05. Results: From a total of 835 citations, 14 SRs met our inclusion criteria. Four of these also conducted a meta-analysis. Most SRs reported an overall improvement in different study parameters, including bowel habits and quality of life. However, there were major inconsistencies across the results. The most studied outcome was FI episodes, followed by incontinence score. The summary outcomes showed no statistically significant changes in comparing PTNS with sham or sacral nerve stimulation (SNS) for FI (p > 0.05). However, the results of subgroup analysis based on the type of intervention in the control group revealed that FI episodes were significantly fewer than in the PTNS arm, whereas PTNS led to fewer episodes of FI than did the sham. In terms of incontinence score, the results showed that PTNS compared with sham did not change the incontinence score; however, SNS improved the score significantly in one eligible study for reanalysis when compared with PTNS (p < 0.001). Conclusions: The findings of the current umbrella review suggest that PTNS can potentially benefit patients with FI. However, this is concluded from studies with a limited population, disregarding the etiology of FI and with limited follow-up duration. Therefore, caution must be taken in contemplating the results.
MeSH term(s)	Humans ; Fecal Incontinence/therapy ; Transcutaneous Electric Nerve Stimulation/methods ; Quality of Life ; Treatment Outcome ; Tibial Nerve/physiology
Language	English
Publishing date	2023-07-16
Publishing country	United States
Document type	Meta-Analysis ; Journal Article ; Review
ZDB-ID	1500372-3
ISSN	1525-1403 ; 1094-7159
ISSN (online)	1525-1403
ISSN	1094-7159
DOI	10.1016/j.neurom.2023.06.004
Database	MEDical Literature Analysis and Retrieval System OnLINE

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