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撒哈拉以南非洲地区女性盆底功能障碍及其相关因素:一项系统评价和荟萃分析方案

Pelvic floor disorders and associated factors among women in sub-Saharan Africa: A systematic review and meta-analysis protocol.

作者信息

Negera Atoma, Sento Midekso, Nenko Geleta, Firdisa Gamachis, Waqoya Jira, Negera Samuel, Tefera Bilisumamulifna

机构信息

Public health course unit, Nursing Department, College of Health Science, Mattu University, Mattu town, Southwest Ethiopia.

Anatomy course unit, Biomedical Department, Adama Hospital Medical College, Adama town, Eastern Ethiopia.

出版信息

PLoS One. 2025 Mar 19;20(3):e0319972. doi: 10.1371/journal.pone.0319972. eCollection 2025.

Abstract

BACKGROUND

Pelvic floor disorders (PFDs) are a group of conditions caused by injured or weakened pelvic muscles, ligaments, connective tissues, and nerves that support or hold pelvic organs in place so they can function correctly. Common PFDs are pelvic organ prolapse (POP), urinary incontinence (UI), and faecal incontinence (FI). A preliminary search on the subject within the last decade identified no review protocol or systematic review, despite a significant percentage of women in SSA suffering from it.

METHODS AND ANALYSIS

A comprehensive literature search will be gathered from electronic databases such as PubMed, Embase, Hinari, Cochrane Library, African Journals Online (AJOL), and Google Scholar. The protocol followed the Preferred Reporting Items for Systematic Reviews and Meta-analyses for Protocol (PRISMA-P) guideline. All studies conducted in sub-Saharan African countries will be included regardless of their study design as long as these studies report the magnitude of the problem under study. Joanna Briggs Institute's (JBI) appraisal checklist will be used to assess the quality of individual studies. Heterogeneity will be checked using Cochrane Q test statistics and I2 test statistics, and a random-effects model will be employed to estimate the pooled prevalence of PFDs and its associated factors.

RESULTS

The present study will estimate the pooled prevalence of pelvic floor disorders and their associated factors in sub-Saharan Africa countries.

SYSTEMATIC REVIEW REGISTRATION

This review was registered on PROSPERO with registration number CRD42024578550.

摘要

背景

盆底功能障碍(PFDs)是一组由支撑或固定盆腔器官使其正常运作的盆腔肌肉、韧带、结缔组织和神经受损或减弱所引起的病症。常见的盆底功能障碍包括盆腔器官脱垂(POP)、尿失禁(UI)和大便失禁(FI)。尽管撒哈拉以南非洲地区有很大比例的女性患有此病,但在过去十年里对该主题的初步搜索未发现任何综述方案或系统评价。

方法与分析

将从电子数据库如PubMed、Embase、Hinari、Cochrane图书馆、非洲期刊在线(AJOL)和谷歌学术中收集全面的文献搜索结果。该方案遵循系统评价和Meta分析方案的首选报告项目(PRISMA-P)指南。只要在撒哈拉以南非洲国家进行的研究报告了所研究问题的严重程度,无论其研究设计如何,都将被纳入。将使用乔安娜·布里格斯研究所(JBI)的评估清单来评估个体研究的质量。将使用Cochrane Q检验统计量和I²检验统计量检查异质性,并采用随机效应模型来估计盆底功能障碍及其相关因素的合并患病率。

结果

本研究将估计撒哈拉以南非洲国家盆底功能障碍及其相关因素的合并患病率。

系统评价注册

本综述已在PROSPERO上注册,注册号为CRD42024578550。

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本文引用的文献

9
Pelvic organ prolapse: don't forget developing countries.盆腔器官脱垂:不要忘记发展中国家。
Lancet. 2007 May 26;369(9575):1789-1790. doi: 10.1016/S0140-6736(07)60814-9.

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