[Sacral nerve stimulation/neuromodulation in bladder and/or bowel incontinence]
Virgilio S, Donato M, Klappenbach R, Pichon-Riviere A, Augustovski F, García Martí S, Alcaraz A, Bardach A, Ciapponi A.
Record ID 32018001559
Spanish
Original Title:
Neuroestimulación/neuromodulación sacra en incontinencia fecal y/o urinaria
Authors' recommendations:
Moderate quality evidence suggests that sacral nerve stimulation, when compared with other therapeutic alternatives, might reduce the number of urinary incontinence events and improve the quality of life of adults who have failed with other conventional lines of treatment. These results have been observed at short and mid-term.
Moderate-quality evidence suggests that sacral nerve stimulation, when compared with posterior tibial stimulation, might reduce the number of fecal incontinence events in adults who have failed with other conventional lines of therapy. These results were observed at short and mid-term. Very low-quality evidence does not allow to assess the efficacy and safety of sacral nerve stimulation in pediatric patients with fecal incontinence. Very low-quality evidence, from two case series, do not allow to draw conclusions on the efficacy and safety of sacral nerve stimulation in adult patients with fecal and urinary incontinence.
The clinical practice guidelines consulted on fecal and urinary incontinence consider sacral nerve stimulation as a therapeutic alternative as third line treatment.
The coverage policies consulted in Latin America do not mention covering this technology. Public funders from France, Australia, United States, United Kingdom and private funders from the United States consulted cover this technology for the two indications assessed.
No economic studies carried out in Argentina, which allow determining the cost-effectiveness and/or budget impact of this technology have been found.
Details
Project Status:
Completed
Year Published:
2019
URL for published report:
https://www.iecs.org.ar/home-ets/
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
Argentina
MeSH Terms
- Urinary Incontinence
- Fecal Incontinence
- Electric Stimulation Therapy
- Sacrum
Contact
Organisation Name:
Institute for Clinical Effectiveness and Health Policy
Contact Address:
Dr. Emilio Ravignani 2024, Buenos Aires - Argentina, C1414 CABA
Contact Name:
info@iecs.org.ar
Contact Email:
info@iecs.org.ar
Copyright:
Institute for Clinical Effectiveness and Health Policy (IECS)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.