Evidence map›Paper›PMID 40930419›Full record

SynthesisBiomedical journal2026

Multidisciplinary team approach to pelvic floor disorders: A systematic review.

Tzong-Yun Tsai, Shu-Huan Huang, Chun-Kai Liao, Kun-Yu Tsai, Pao-Shiu Hsieh, Sum-Fu Chiang, Osamu Hiraike

Abstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Biomedical journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. The Odyssey of macrophages.Biomedical journal · 2026
    Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Tzong-Yun TsaiDivision of Colon and Rectal Surgery, Department of Surgery, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan; College of Medicine, Chang Gung University, Taoyuan, Taiwan.
Shu-Huan HuangDivision of Colon and Rectal Surgery, Department of Surgery, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan; College of Medicine, Chang Gung University, Taoyuan, Taiwan.
Chun-Kai LiaoDivision of Colon and Rectal Surgery, Department of Surgery, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan; College of Medicine, Chang Gung University, Taoyuan, Taiwan.
Kun-Yu TsaiDivision of Colon and Rectal Surgery, Department of Surgery, New Taipei Municipal Tucheng Hospital (Built and Operated by CGMF), New Taipei, Taiwan; College of Medicine, Chang Gung University, Taoyuan, Taiwan.
Pao-Shiu HsiehDivision of Colon and Rectal Surgery, Department of Surgery, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan; College of Medicine, Chang Gung University, Taoyuan, Taiwan.
Sum-Fu ChiangDivision of Colon and Rectal Surgery, Department of Surgery, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan; College of Medicine, Chang Gung University, Taoyuan, Taiwan.
Osamu HiraikeDepartment of Obstetrics and Gynecology, The University of Tokyo, Tokyo, Japan. Electronic address: osamuwh-tky@umin.ac.jp.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPelvic floor disorders (PFDs) severely and negatively impact on quality of life, affecting physical, psychological, and social well-being. Historically, PFDs have been managed within single-specialty frameworks, yet the complexity of these conditions often necessitates a comprehensive, multidisciplinary team (MDT) approach. This systematic review assesses the effectiveness of MDT strategies in improving outcomes for individuals with PFDs, aiming to identify the benefits and potential advantages of integrated, multi-specialty care for these complex conditions.

methodsFollowing PRISMA guidelines, a systematic search of PubMed, EMBASE, and Cochrane CENTRAL was conducted through September 25, 2024. Inclusion criteria were studies of adult patients with PFDs in which MDT protocols were integrated for diagnosis, treatment, or rehabilitation. Eligible studies included comparisons between MDT and non-MDT care, as well as studies without a comparison group. Outcomes of interest were patient-reported outcomes, therapy adherence, complication rates, and recurrence rates. Three independent reviewers screened titles and abstracts for eligibility, with discrepancies resolved through discussion to reach a consensus. Data extraction was independently performed by two reviewers, and any discrepancies were adjudicated by a third reviewer.

resultsIn total, 24 studies conducted across various countries were included, comprising 21 retrospective cohort studies, 2 prospective cohort studies, and 1 randomized controlled trial (RCT), with sample sizes ranging from 36 to 3600 patients. The findings generally indicate favorable outcomes with an MDT approach, including enhanced surgical results, greater symptom relief, reduced recurrence and complication rates following surgical interventions, improved treatment adherence, and high patient satisfaction.

conclusionsAn MDT approach offers benefits for PFD management, improving patient-reported outcomes, treatment adherence, and quality of life. This review supports the broader adoption of MDT approaches for comprehensive PFD management. Further research is warranted to confirm long-term effectiveness and standardize MDT protocols.

Indexed as

Patient Care TeamPelvic Floor DisordersFemaleHumansQuality of LifeMulticompartment reconstructionMultidisciplinary conferenceMultidisciplinary pelvic floor programMultidisciplinary team (MDT)Pelvic floor disorders (PFDs)Pelvic organ prolapse (POP)

Identifiers

PMID40930419
PMCPMC13084810

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.