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. 2019 Sep 4;2019(9):CD009407. doi: 10.1002/14651858.CD009407.pub3

Summary of findings 2. One type of repeat midurethral tape versus another type of repeat midurethral tape.

One type of repeat midurethral tape compared with another type of repeat midurethral tape for recurrent stress urinary incontinence in women with failed minimally invasive midurethral tape surgery
Patient or population: women with recurrent stress urinary incontinence after failed minimally invasive midurethral tape surgery
Settings: secondary or tertiary urogynaecology centre
Intervention: one type of repeat midurethral tape
Comparison: another type of repeat midurethral tape
Outcomes Illustrative comparative risks* (95% CI) Relative effect
 (95% CI) No of Participants
 (studies) Certainty of the evidence
 (GRADE) Comments
Assumed risk Corresponding risk
Risk with another type of repeat midurethral tape Risk with one type of repeat midurethral tape
Number of women whose incontinence was improved or cured ‐ assessed with validated incontinence questionnaires 46 (1 secondary analysis of RCT) One secondary analysis of an RCT for relevant population identified; no usable data
Objective cure rates in the longer‐term ‐ more than 12 months, assessed with urodynamics No studies identified
General health status measures ‐ e.g. Short‐Form 36
Condition‐specific instruments designed to assess incontinence ‐ e.g. BFLUTS 46 (1 secondary analysis of RCT) One secondary analysis of an RCT for relevant population identified; no usable data
Repeat continence surgery No studies identified
Adverse events 46 (1 secondary analysis of RCT) One secondary analysis of an RCT for relevant population identified, which reported on adverse events narratively within the text. However, there was no usable data
*The basis for the assumed risk (e.g. the median control group risk across studies) is provided in footnotes. The corresponding risk (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI).
 CI: Confidence interval; RCT: randomised controlled trial; BFLUTS: Bristol Female Lower Urinary Tract Symptoms questionnaire
GRADE Working Group grades of evidence
 High certainty: Further research is very unlikely to change our confidence in the estimate of effect.
 Moderate certainty: Further research is likely to have an important impact on our confidence in the estimate of effect and may change the estimate.
 Low certainty: Further research is very likely to have an important impact on our confidence in the estimate of effect and is likely to change the estimate.
 Very low certainty: We are very uncertain about the estimate.