Evidence map›Paper›PMID 30834958›Full record

SynthesisInternational urogynecology journal2019

The effect of bladder catheterization on the incidence of urinary tract infection in laboring women with epidural analgesia: a meta-analysis of randomized controlled trials.

Meixuan Li, Xin Xing, Liang Yao, Xiaoqin Wang, Wenbo He, Meng Wang, Huijuan Li, Yangqin Xun, Peijing Yan, Xu Hui and 2 more

Abstract readMeta-AnalysisReview
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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.8field-weighted citation impact, top 27% of its field
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

2 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
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

12 authors at 5 institutions in 3 countries.

Meixuan LiSchool of Public Health, Lanzhou University, 199 Donggang West Road, Lanzhou, 730000, China.
Xin XingGansu University of Traditional Chinese Medicine, Lanzhou, 730000, China.
Liang YaoChinese Medicine Faculty of Hong Kong Baptist University, Hong Kong, 999077, China.
Xiaoqin WangEvidence Based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou, 730000, China.
Wenbo HeSchool of Public Health, Lanzhou University, 199 Donggang West Road, Lanzhou, 730000, China.
Meng WangSchool of Public Health, Lanzhou University, 199 Donggang West Road, Lanzhou, 730000, China.
Huijuan LiSchool of Public Health, Lanzhou University, 199 Donggang West Road, Lanzhou, 730000, China.
Yangqin XunSchool of Public Health, Lanzhou University, 199 Donggang West Road, Lanzhou, 730000, China.
Peijing YanInstitute of Clinical Research and Evidence Based Medicine, The Gansu Provincial Hospital, Lanzhou, 730000, China.
Xu HuiSchool of Public Health, Lanzhou University, 199 Donggang West Road, Lanzhou, 730000, China.
Xinmin YangDepartment of Endoscopic Surgery, Chinese PLA Hospital, Xi'an, 710054, China. yanxm200816@163.com.
Kehu YangSchool of Public Health, Lanzhou University, 199 Donggang West Road, Lanzhou, 730000, China. kehuyangebm2006@126.com.ORCID 0000-0002-5713-1584
Lanzhou University · CNGansu Provincial Hospital · CNGansu University of Traditional Chinese Medicine · CNHong Kong Baptist University · HKShaanxi Provincial Hospital of Traditional Chinese Medicine · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisThere is conflicting evidence on whether intermittent catheterization (IC) is less associated with urinary tract infection (UTI) and more likely to prevent urinary retention than continuous catheterization (CC). We aimed to compare the effect of IC with that of CC on the incidence of postpartum UTI, urinary retention and hemorrhage in laboring women with epidural analgesia.

methodsElectronic searches were performed in PubMed, EMBASE and Cochrane Library from their inception to October 2018. We selected RCTs comparing IC with CC in laboring women with epidural analgesia. 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.

resultsSix RCTs (N = 850) were included in this review. The meta-analyses indicated that there was no significant difference between the IC and CC group in the incidence of postpartum UTI (RR = 1.25, 95% CI: 0.91 to 1.71, P = 0.16), postpartum urinary retention (RR = 0.76, 95% CI: 0.21 to 2.77, P = 0.68) and postpartum hemorrhage (RR = 1.72, 95% CI: 0.60 to 4.95, P = 0.31). GRADE assessment results showed that the quality of evidence was low.

conclusionsBased on the available evidence, there is no measurable difference in rates of UTI between CC and IC, not that neither stragety decreases UTI, since the included trials do not address this.

Indexed as

Labor, ObstetricAdultAnalgesia, EpiduralAnalgesia, ObstetricalFemaleHumansIncidencePregnancyPuerperal InfectionRandomized Controlled Trials as TopicUrinary CatheterizationUrinary RetentionUrinary Tract InfectionsBladder drainageContinuous catheterizationEpidural analgesiaIntermittent catheterizationLaborUrinary catheter

Identifiers

PMID30834958
OpenAlexW2920407608

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.