Cochrane · systematic review · CD011627

Interventions for preventing and treating incontinence‐associated dermatitis in adults

Beeckman, D, Van Damme, N, Schoonhoven, L, et al. · Cochrane Database of Systematic Reviews · 2016 · Cochrane Library

IncontinenceAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
31
current version
GRADE rated
7
No studies
24
Included studies
NR
No studies 24 · 77.4%Ungraded 0 · 0%Very low 2 · 6.5%Low 3 · 9.7%Moderate 2 · 6.5%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Any topical skin care product versus another topical skin care product

Population: adults with incontinence
10 questions
OutcomeEffectEvidenceStatus / GRADE
Number of participants with IAD (residual, i.e. not healed) (1) No‐rinse skin cleanser and skin cream (A) versus soap and water and lotion (B)
Any topical skin care product vs another topical skin care product
RR 0.36 [0.08, 1.68]1 study · 31 participantsVery low
Number of participants with IAD (residual, i.e. not healed) (2) Desitin (A) versus Calmoseptine (B)
Any topical skin care product vs another topical skin care product
RR 1.16 [1, 1.34]1 study · 142 participantsModerate
Number of participants with IAD (new) (1) Skin cleanser (A) versus soap and water (B)
Any topical skin care product vs another topical skin care product
RR 0.39 [0.17, 0.87]1 study · 65 participantsLow
Number of participants with IAD (new) (2) Sudocrem (A) versus zinc oxide cream (B)
Any topical skin care product vs another topical skin care product
RR 1.03 [0.2, 5.19]1 study · 27 participantsLow
Number of participants with IAD (new) (3) No‐rinse skin cleanser/moisturiser and a film‐forming skin product (A) versus cleansing/moisturising/skin protecting washcloth (B)
Any topical skin care product vs another topical skin care product
RR 0.83 [0.35, 1.95]1 study · 64 participantsLow
Number of participants not satisfied with treatment
Any topical skin care product vs another topical skin care product
no estimate extractedNRNo studies
Number of participants with pain due to IAD
Any topical skin care product vs another topical skin care product
no estimate extractedNRNo studies
Number of participants with pain due to skin care product or procedure
Any topical skin care product vs another topical skin care product
no estimate extractedNRNo studies
Adverse reaction due to the skin care product or procedure, e.g. skin irritation, rash, itching, allergic reaction
Any topical skin care product vs another topical skin care product
no estimate extractedNRNo studies
Incremental cost‐effectiveness Zinc oxide oil (A) versus film‐forming skin product (B)
Any topical skin care product vs another topical skin care product
no estimate extracted1 study · 39 participantsVery low

Any skin care procedure (method or frequency of application) versus any unstructured skin care procedure

Population: adults with incontinence
7 questions
OutcomeEffectEvidenceStatus / GRADE
Number of participants with IAD (residual, i.e. not healed) (1) Washcloth with cleansing, moisturising, and protecting properties (A) versus water and pH neutral soap (B)
Any skin care procedure (method or frequency of application) vs any unstructured skin care procedure
RR 0.31 [0.12, 0.79]1 study · 121 participantsModerate
Number of participants with IAD (new)
Any skin care procedure (method or frequency of application) vs any unstructured skin care procedure
no estimate extractedNRNo studies
Number of participants not satisfied with treatment
Any skin care procedure (method or frequency of application) vs any unstructured skin care procedure
no estimate extractedNRNo studies
Number of participants with pain due to IAD
Any skin care procedure (method or frequency of application) vs any unstructured skin care procedure
no estimate extractedNRNo studies
Number of participants with pain due to skin care product or procedure
Any skin care procedure (method or frequency of application) vs any unstructured skin care procedure
no estimate extractedNRNo studies
Adverse reaction due to the skin care product or procedure, e.g. skin irritation, rash, itching, allergic reaction
Any skin care procedure (method or frequency of application) vs any unstructured skin care procedure
no estimate extractedNRNo studies
Incremental cost‐effectiveness
Any skin care procedure (method or frequency of application) vs any unstructured skin care procedure
no estimate extractedNRNo studies

Any method of application of a topical skin care product versus another method of application of the topical skin care product

Population: adults with incontinence
7 questions
OutcomeEffectEvidenceStatus / GRADE
Number of participants with IAD (residual, i.e. not healed)
Any method of application of a topical skin care product vs another method of application of the topical skin care product
no estimate extractedNRNo studies
Number of participants with IAD (new)
Any method of application of a topical skin care product vs another method of application of the topical skin care product
no estimate extractedNRNo studies
Number of participants not satisfied with treatment
Any method of application of a topical skin care product vs another method of application of the topical skin care product
no estimate extractedNRNo studies
Number of participants with pain due to IAD
Any method of application of a topical skin care product vs another method of application of the topical skin care product
no estimate extractedNRNo studies
Number of participants with pain due to skin care product or procedure
Any method of application of a topical skin care product vs another method of application of the topical skin care product
no estimate extractedNRNo studies
Adverse reaction due to the skin care product or procedure, e.g. skin irritation, rash, itching, allergic reaction
Any method of application of a topical skin care product vs another method of application of the topical skin care product
no estimate extractedNRNo studies
Incremental cost‐effectiveness
Any method of application of a topical skin care product vs another method of application of the topical skin care product
no estimate extractedNRNo studies

Any frequency of application of a topical skin care product versus another frequency of application of the topical skin care product

Population: adults with incontinence
7 questions
OutcomeEffectEvidenceStatus / GRADE
Number of participants with IAD (residual, i.e. not healed)
Any frequency of application of a topical skin care product vs another frequency of application of the topical skin care product
no estimate extractedNRNo studies
Number of participants with IAD (new)
Any frequency of application of a topical skin care product vs another frequency of application of the topical skin care product
no estimate extractedNRNo studies
Number of participants not satisfied with treatment
Any frequency of application of a topical skin care product vs another frequency of application of the topical skin care product
no estimate extractedNRNo studies
Number of participants with pain due to IAD
Any frequency of application of a topical skin care product vs another frequency of application of the topical skin care product
no estimate extractedNRNo studies
Number of participants with pain due to skin care product or procedure
Any frequency of application of a topical skin care product vs another frequency of application of the topical skin care product
no estimate extractedNRNo studies
Adverse reaction due to the skin care product or procedure, e.g. skin irritation, rash, itching, allergic reaction
Any frequency of application of a topical skin care product vs another frequency of application of the topical skin care product
no estimate extractedNRNo studies
Incremental cost‐effectiveness
Any frequency of application of a topical skin care product vs another frequency of application of the topical skin care product
no estimate extractedNRNo studies