We will discuss “Twelve-year follow-up of conservative management of postnatal urinary and faecal incontinence and prolapse outcomes: randomised controlled trial” by Glazener and co-workers (The ProLong Study Group) from 26 March 2014. The paper will be made free-to-view for four weeks in mid-March.
Hosted discussion sessions:
- 26 March 2014 (Wednesday)- UK Time (GMT+1) 1900
- 28 March 2014 (Friday) at the RCOG World Congress 2014- India Time (IST) 1310; Australia (AEDT) 1940; UK Time (GMT+1) 0740
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The discussion points are attached below (quoted from the published manuscript):
At your urogynaecology clinic, a patient presented with postpartum urinary incontinence 3 months after the delivery of her first baby. She asked, ‘am I going to have incontinence for the rest of my life? Is there anything that would help?’
Description of research
Primary outcome: The prevalence of urinary incontinence at 12 years after randomisation.
Secondary outcomes: Practice of PFMT, faecal incontinence, the Pelvic Organ Prolapse Symptom Score (POP-SS), Prolapse Organ Prolapse Quantification (POP–Q).
- Was the intervention (e.g. intensity and duration) in this clinical trial the same as in other similar studies?
- What is the purpose of stratification at randomisation in this clinical trial?
- Was it necessary to stratify for mode of delivery and centre of care?
- Was the primary outcome in this study appropriate? Would you select different outcome measures?
- Was compliance satisfactory? How could this have affected the results?
- Can you suggest any strategy to improve the response rate of a similar study in the future?
- Take-home message: can you briefly summarise the results of this study? Has this study changed your practice?
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