The effect of telehealth on incontinence severity given to women with urinary incontinence: A systematic review and meta-analysis of randomized controlled trials Impacto de la telemedicina en la gravedad de la incontinencia urinaria en mujeres: revisión sistemática y metaanálisis de ensayos controlados aleatorizados


Karaahmet A., Bilgiç F. Ş., Kızılkaya Beji N.

Actas Urologicas Espanolas, vol.48, no.5, pp.384-391, 2024 (SCI-Expanded) identifier

  • Publication Type: Article / Article
  • Volume: 48 Issue: 5
  • Publication Date: 2024
  • Doi Number: 10.1016/j.acuro.2024.01.004
  • Journal Name: Actas Urologicas Espanolas
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Gender Studies Database, MEDLINE, DIALNET
  • Page Numbers: pp.384-391
  • Keywords: Meta-analysis, Telecounseling, Telehealth, Urinary incontinence, Women
  • Çanakkale Onsekiz Mart University Affiliated: No

Abstract

Introduction: Although urinary incontinence (UI) does not cause mortality, it is a global health problem that adversely affects the quality of life and health of women. Objective: The aim of this study was to conduct a systematic review and meta-analysis of the studies investigating the effect of telehealth given to women with UI on the severity of incontinence. Method: The literature review for this systematic review was conducted between August-Semptember 2023 using 5 electronic databases. Y-based articles were scanned using MeSH-based keywords. Randomized controlled trials conducted over the last decade were included in the screening. Results: The analysis included 6 studies involving 826 women with UI. After telehealth intervention, there was a significant difference in UI symptom severity (MD: −2.14; 95% CI: −2.67 to −1.62; Z = 8.03; p < 0.00001) and quality of life (SMD: −2.14; 95% CI: −2.67 to 1.62; Z = 8.03; p < 0.00001) compared to the control groups. It had no effect on sexuality (SMD: −4.65; 95% CI: −9.60 to 0.30; Z = 1.84; p = 0.07), and anxiety (SMD: −0.15; 95% CI: −0.38 to 0.08; Z = 1.27; p = 0.21). Conclusion: In this analysis, it was found that telehealth interventions performed on women with UI increased the quality of life while reducing the severity of incontinence in women, but had no effect on sexuality, and anxiety.