Evidence map›Paper›PMID 30374534›Full record

SynthesisInternational urogynecology journal2019

The incidence of urinary tract infection of different routes of catheterization following gynecologic surgery: a systematic review and meta-analysis of randomized controlled trials.

Meixuan Li, Liang Yao, Caiwen Han, Huijuan Li, Yangqin Xun, Peijing Yan, Meng Wang, Wenbo He, Cuncun Lu, Kehu Yang

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in International urogynecology journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
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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

10 authors.

Meixuan LiSchool of Public Health, Lanzhou University, 199 Donggang West Road, Lanzhou, China.
Liang YaoChinese Medicine Faculty of Hong Kong Baptist University, Hong Kong, 999077, People's Republic of China.
Caiwen HanInstitution of Clinical Research and Evidence Based Medicine, The Gansu Provincial Hospital, Lanzhou, 730000, People's Republic of China.
Huijuan LiSchool of Public Health, Lanzhou University, 199 Donggang West Road, Lanzhou, China.
Yangqin XunSchool of Public Health, Lanzhou University, 199 Donggang West Road, Lanzhou, China.
Peijing YanInstitution of Clinical Research and Evidence Based Medicine, The Gansu Provincial Hospital, Lanzhou, 730000, People's Republic of China.
Meng WangSchool of Public Health, Lanzhou University, 199 Donggang West Road, Lanzhou, China.
Wenbo HeSchool of Public Health, Lanzhou University, 199 Donggang West Road, Lanzhou, China.
Cuncun LuEvidence Based Medicine Center, Lanzhou University, Lanzhou, 730000, People's Republic of China.
Kehu YangSchool of Public Health, Lanzhou University, 199 Donggang West Road, Lanzhou, China. kehuyangebm2006@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisWe performed a systematic review of randomized controlled trials to assess the incidence of urinary tract infection (UTI) and complications of different urinary drainage methods (indwelling urinary catheterization, suprapubic catheterization, and intermittent catheterization.).

methodsPubMed, EMBASE, and Cochrane Library were systematically searched from their inception to March 2018. We selected randomized controlled trials (RCTs) comparing at least two of the three possible urinary drainage routes after gynecologic surgery. A meta-analysis was performed using the RevMan software, and a random-effects model was used to pool the effect size. The Grades of Recommendation, Assessment, Development, and Evaluation (GRADE) approach was used to rate the quality of evidence.

resultsFifteen RCTs met eligibility criteria (N = 1607), the meta-analysis indicated that suprapubic drainage was associated with a reduction in the rate of asymptomatic bacteriuria compared with indwelling urinary catheterization [risk ratios (RR) = 0.39, 95% confidence interval (CI): 0.24-0.65, P = 0.0003) but was associated with a higher rate of hematuria (RR = 4.49, 95% CI: 1.16-17.41, P = 0.03). Indwelling urinary catheterization increased the rate of recatheterization compared with suprapubic drainage (RR = 2.95, 95% CI: 1.22-7.11, P = 0.02) and was associated with higher rate of symptomatic UTI compared with intermittent catheterization (RR = 2.79, 95% CI: 1.09-7.14, P = 0.03). No difference was found in other aspects (complication rate and catheter-related pain) among the three drainage routes.

conclusionsThis meta-analysis suggested that suprapubic drainage was superior to indwelling urethral catheterization in reduction of asymptomatic bacteriuria and rate of recatheterization but was associated with higher rate of hematuria. Intermittent catheterization was associated with a reduction in symptomatic UTI compared with indwelling urinary catheterization. More high-quality randomized trials are needed to determine which route is most appropriate for catheterization in patients after gynecologic surgery.

Indexed as

BacteriuriaCatheters, IndwellingCystostomyFemaleGynecologic Surgical ProceduresHumansIncidenceIntermittent Urethral CatheterizationLength of StayPainRandomized Controlled Trials as TopicUrinary CatheterizationBladder drainageGynecologic surgeryIntermittent catheterizationSuprapubic catheterizationUrinary catheter

Identifiers

PMID30374534

What OpenQuestion holds

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Registered trials

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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.