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Table 1 Inclusion criteria based on the PICOS (Population, Intervention, Control, Outcomes, Study design) tool [25]: clinical effectiveness and safety for implantable bulking agents for faecal incontinence

From: Clinical effectiveness and safety of self-expandable implantable bulking agents for faecal incontinence: a systematic review

Population

Adult patients (≥ 18 yrs) with faecal incontinence (FI) in who conservative treatment interventions failed

ICD-10 codes: Faecal incontinence (R15), Other specified diseases of anus and rectum (K62.8)

Intervention

Bulking agents—self-expandable implantations (= products Gatekeeper™ and Sphinkeeper™) as second-line therapy

Control

Bulking agents—non-self-expandable injections

Outcomes

 

 Clinical effectiveness

FI severity (Scores: Wexner Cleveland Clinic Faecal Incontinence Score [CCFIS], Vaizey score)

Disease-related quality of life (Scores: Faecal Incontinence Quality of Life Scale [FIQL], American Medical Systems score [AMS])

Sustainability of interventions: Durability of effectiveness > 6 months

 Safety

Procedure-related adverse events

Device-related adverse events

Study design

Randomised controlled trials

Prospective non-randomised controlled trials

Prospective uncontrolled trials

Publication period

2015–2020

Languages

English, German