ArticleBMJ quality & safety2019
Michigan Appropriate Perioperative (MAP) criteria for urinary catheter use in common general and orthopaedic surgeries: results obtained using the RAND/UCLA Appropriateness Method.
Article in BMJ quality & safety, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
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Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 52 citations in OpenAlex.
- Risk factors for infection in older adults with home care: a mixed methods systematic review with meta-analysis.BMC public health · 2025Pooled it
- Optimal timing of urinary catheter removal following pelvic colorectal surgery: a systematic review and meta-analysis.International journal of colorectal disease · 2019Pooled it
- Transcutaneous Electrical Acupoints Stimulation Improves Spontaneous Voiding Recovery After Laparoscopic Cholecystectomy: A Randomized Clinical Trial.World journal of surgery · 2023Trial
- Exploring the Perception of Urinary Catheter Use in Older Surgical Patients: ADLs Matter.Nursing open · 2026Article
- Postoperative bladder training in patients with mid-low rectal cancer facilitates early removal of the urinary catheter: a prospective, randomized, open-label, blinded-endpoint trial.World journal of surgical oncology · 2025Article
- Impact of Benign Prostatic Hyperplasia on Postoperative Complications and Periprosthetic Joint Infections After Total Joint Arthroplasty: A Systematic Review and Meta-Analysis.Arthroplasty today · 2024Article
- Feasibility and safety of flexible ureteroscopy with intelligent control of renal pelvis pressure without urinary catheter: a retrospective study.BMC urology · 2024Article
- Urinary Retention Evaluation and Catheterization Algorithm for Adult Inpatients.JAMA network open · 2024Article
- Adherence to evidence-based guidelines for prevention of urinary retention in hip surgery patients: a multicentre observational study.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2024Observational
- Incontinence Is an Independent Risk Factor for Total Hip and Knee Arthroplasty.Arthroplasty today · 2024Article
- Validation of measures for perioperative urinary catheter use, urinary retention, and urinary catheter-related trauma in surgical patients.American journal of surgery · 2024Article
- Strategies to prevent catheter-associated urinary tract infections in acute-care hospitals: 2022 Update.Infection control and hospital epidemiology · 2023Article
- A co-created nurse-driven catheterisation protocol can reduce bladder distension in acute hip fracture patients - results from a longitudinal observational study.BMC nursing · 2022Article
- Development and pilot test of criteria defining best practices for organizational sexual assault prevention.Preventive medicine reports · 2022Article
- Preoperative prediction of postoperative urinary retention in lumbar surgery: a comparison of regression to multilayer neural network.Journal of neurosurgery. Spine · 2022Article
- The Role of Intraoperative Urinary Catheters on Postoperative Urinary Retention after Total Joint Arthroplasty: A Multi-Hospital Retrospective Study on 9,580 Patients.The archives of bone and joint surgery · 2021Article
- Management of Infants with Brief Resolved Unexplained Events (BRUE) and Apparent Life-Threatening Events (ALTE): A RAND/UCLA Appropriateness Approach.Life (Basel, Switzerland) · 2021Article
- Choosing the Right Catheter for Pediatric Procedures: Patient Considerations and Preference.Research and reports in urology · 2021Review
- Using appropriateness criteria to identify opportunities to improve perioperative urinary catheter use.American journal of surgery · 2020Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundIndwelling urinary catheters are commonly used for patients undergoing general and orthopaedic surgery. Despite infectious and non-infectious harms of urinary catheters, there is limited guidance available to surgery teams regarding appropriate perioperative catheter use.
objectiveUsing the RAND Corporation/University of California Los Angeles (RAND/UCLA) Appropriateness Method, we assessed the appropriateness of indwelling urinary catheter placement and different timings of catheter removal for routine general and orthopaedic surgery procedures.
methodsTwo multidisciplinary panels consisting of 13 and 11 members (physicians and nurses) for general and orthopaedic surgery, respectively, reviewed the available literature regarding the impact of different perioperative catheter use strategies. Using a standardised, multiround rating process, the panels independently rated clinical scenarios (91 general surgery, 36 orthopaedic surgery) for urinary catheter placement and postoperative duration of use as appropriate (ie, benefits outweigh risks), inappropriate or of uncertain appropriateness.
resultsAppropriateness of catheter use varied by procedure, accounting for procedure-specific risks as well as expected procedure time and intravenous fluids. Procedural appropriateness ratings for catheters were summarised for clinical use into three groups: (1) can perform surgery without catheter; (2) use intraoperatively only, ideally remove before leaving the operating room; and (3) use intraoperatively and keep catheter until postoperative days 1-4. Specific recommendations were provided by procedure, with postoperative day 1 being appropriate for catheter removal for first voiding trial for many procedures.
conclusionWe defined the appropriateness of indwelling urinary catheter use during and after common general and orthopaedic surgical procedures. These ratings may help reduce catheter-associated complications for patients undergoing these procedures.
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Registered trials
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 OpenQuestion graph.