SynthesisBMC musculoskeletal disorders2019
Indwelling catheter can increase postoperative urinary tract infection and may not be required in total joint arthroplasty: a meta-analysis of randomized controlled trial.
Synthesis in BMC musculoskeletal disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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
15 citing papers in PubMed.
- Omitting catheterization after ureteroscopic lithotripsy: a prospective, multicenter, randomized controlled trial.World journal of urology · 2026Trial
- Indwelling urinary catheterization was unnecessary in non-drainage total knee arthroplasty: a randomized controlled trial.Archives of orthopaedic and trauma surgery · 2021Trial
- Safety and feasibility of tubeless PCNL without urinary catheter or retrograde intubation under paravertebral block.International urology and nephrology · 2026Article
- Indwelling Catheters Should Be Restricted in Primary and Revision Arthroplasty: A Retrospective Analysis After Changes to Hospital Standard Perioperative Treatment Protocol.Antibiotics (Basel, Switzerland) · 2025Article
- Investigating Postoperative Urinary Retention: Risk Factors and Postsurgical Outcomes in Total Joint Arthroplasty.Arthroplasty today · 2025Article
- Patient-Controlled Analgesia and Peripheral Nerve Block Increase the Risk of Post-operative Urinary Retention after Total Knee Arthroplasty in Asian Patients.Malaysian orthopaedic journal · 2024Article
- Incontinence Is an Independent Risk Factor for Total Hip and Knee Arthroplasty.Arthroplasty today · 2024Article
- Variation of Practice in Prophylactic Protocol to Reduce Prosthetic Joint Infection in Primary Hip and Knee Arthroplasty: A National Survey in the United Kingdom.Hip & pelvis · 2023Article
- The relationship between admission hyperglycaemia and urinary tract infections in geriatric patients with hip fractures.International orthopaedics · 2023Observational
- Use of Epidural Analgesia in Children With Neuromuscular Conditions Following Hip Reconstruction.Cureus · 2022Article
- Enhanced recovery protocol after single-stage bilateral primary total knee arthroplasty decreases duration of hospital stay without increasing complication rates.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2022Article
- Outcomes of an Institutional Rapid Recovery Protocol for Total Joint Arthroplasty at a Safety Net Hospital.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2022Article
- A clinical observational study on the application of enhanced recovery after laparoscopic pancreaticoduodenectomy.Frontiers in surgery · 2022Article
- Multidrug-Resistant Micro-Organisms Associated with Urinary Tract Infections in Orthopedic Patients: A Retrospective Laboratory-Based Study.Antibiotics (Basel, Switzerland) · 2020Article
- Effects of Acupuncture on Hospitalized Patients with Urinary Retention.Evidence-based complementary and alternative medicine : eCAM · 2020Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe purpose of this study was to investigate whether patients undergoing total joint arthroplasty (TJA) require catheterization.
methodsPubMed, EMBASE, Web of Science, Cochrane Library and China National Knowledge Infrastructure were systematically searched. All randomized controlled trials (RCTs) receiving either a urinary catheterization or no urinary catheterization were included. Meta-analysis results were assessed by RevMan 5.3 software.
resultsSeven independent RCTs were included, with a total sample size of 1533 patients, including 750 patients in the indwelling catheter group and 783 patients in the none-indwelling catheter group. Our pooled data analysis indicated that patients in the indwelling catheter group had a higher risk of urinary tract infection than patients in the none-indwelling catheter group (RR, 3.21; P = 0.0003). However, the meta-analysis indicated that there was no significant difference between the two groups in terms of urinary retention (RR, 0.67; P = 0.13), duration of the surgery (MD, - 0.37; P = 0.55), and length of hospital stay (MD, 0.15; P = 0.38).
conclusionBased on the current evidence, this meta-analysis showed that urinary catheterization during TJA can increase the postoperative urinary tract infection, and it may not routinely be required for the patients undergoing TJA. LEVEL OF EVIDENCE: Level I, therapeutic study.
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