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      Acupuncture for fecal incontinence : Protocol for a systematic review and data mining

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          Abstract

          Background:

          Fecal incontinence is a socially and emotionally destructive condition that has a negative impact on personal image, self-confidence, and quality of life. Acupuncture is commonly used to treat chronic conditions, including fecal incontinence. However, no relevant systematic review or meta-analysis has been designed to evaluate the effects of acupuncture on fecal incontinence.

          Methods:

          We will identify relevant randomized controlled trials (RCTs) from the Cochrane Library, Medline, Embase, PubMed, Springer, Web of Science, China National Knowledge Infrastructure, VIP Chinese Science and Technology Journals Database, Wanfang database, and clinical trial registration center from their inception to February 28, 2019. The primary outcome measures will be clinical effective rate, functional outcomes, and quality of life. Data that meets the inclusion criteria will be extracted and analyzed using RevMan V.5.3 software. Two reviewers will evaluate the studies using the Cochrane Collaboration risk of bias tool. Publication bias will be assessed by funnel plots, Egger test, and Begg test using the Stata software. Acupoints characteristics will be analyzed by Traditional Chinese Medicine inheritance support system.

          Results:

          This study will analyze the clinical effective rate, functional outcomes, quality of life, daily average number of fecal incontinence, and effective prescriptions of acupuncture for patients with fecal incontinence.

          Conclusion:

          Our findings will provide evidence for the effectiveness and potential treatment prescriptions of acupuncture for patients with fecal incontinence.

          PROSPERO registration number:

          PROSPERO CRD42019119680.

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          Most cited references26

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          Prevalence, trends, and risk factors for fecal incontinence in United States adults, 2005-2010.

          We investigated the prevalence of and trends and risk factors for fecal incontinence (FI) in the United States among non-institutionalized adults from 2005 to 2010.
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            • Article: not found

            Muscle-derived cell injection to treat anal incontinence due to obstetric trauma: pilot study with 1 year follow-up.

            To treat anal incontinence due to obstetric external anal sphincter disruption via injection of autologous myoblast cells.
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              Impact of fecal incontinence on quality of life.

              To explore the impact of fecal incontinence (FI) on quality of life (QOL) of patients attending urogynecology and colorectal clinics (CCs). Cross-sectional study of 154 patients (27 male) with FI, who attended the clinics at a regional hospital in North Queensland, Australia in 2003 and 2004, and completed the Fecal Incontinence Quality of Life Scale (FIQL: 1 = very affected; 4 = not affected). More than 22% of patients had their QOL affected severely by FI. Patients reported that they had not previously been asked about FI by a medical practitioner nor did they voluntarily disclose its presence. The median FIQL scores for all participants were: lifestyle = 3.24; coping = 2.23; depression = 2.42; and embarrassment = 2.33. Increasing frequency of soiling had a negative effect on all four FIQL scales (P < 0.001) as did the quantity of soiling (P < 0.01). Female CC patients had poorer FIQL scores than urogynecology clinic patients for lifestyle (P = 0.015), coping (P = 0.004) and embarrassment (P = 0.009), but not depression (P = 0.062), despite having experienced FI for a shorter period. Failure to seek treatment for FI degrades the quality of patients' lives over time. FI assessment tools should incorporate the quantity of fecal loss.
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                Author and article information

                Journal
                Medicine (Baltimore)
                Medicine (Baltimore)
                MEDI
                Medicine
                Wolters Kluwer Health
                0025-7974
                1536-5964
                February 2019
                15 February 2019
                : 98
                : 7
                : e14482
                Affiliations
                [a ]The First School of Clinical Medicine
                [b ]South China Research Center for Acupuncture and Moxibustion
                [c ]Medical School of Acu-Moxi and Rehabilitation, Guangzhou University of Chinese Medicine, Guangzhou
                [d ]School of Foreign Languages, Xinhua College of Sun Yat-sen University, Dongguan, People's Republic of China.
                Author notes
                []Correspondence: Yongjun Chen, South China Research Center for Acupuncture and Moxibustion, Medical School of Acu-Moxi and Rehabilitation, Guangzhou University of Chinese Medicine, No. 232 Waihuan Dong Road, Guangzhou Higher Education Mega Center, Guangzhou 510006, People's Republic of China (e-mail: ychen@ 123456gzucm.edu.cn ).
                Article
                MD-D-19-00332 14482
                10.1097/MD.0000000000014482
                6408071
                30762773
                1d58591e-40ff-43b4-8c0b-d22fed2d12e3
                Copyright © 2019 the Author(s). Published by Wolters Kluwer Health, Inc.

                This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0

                History
                : 17 January 2019
                : 21 January 2019
                Categories
                3800
                Research Article
                Study Protocol Systematic Review
                Custom metadata
                TRUE

                acupuncture,complementary and alternative therapy,electroacupuncture,fecal incontinence,laser acupuncture,protocol,systematic review

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