Evidence map›Paper›PMID 30872758›Full record

Observational studySpinal cord2019

Patient subjective assessment of urinary tract infection frequency and severity is associated with bladder management method in spinal cord injury.

Joshua D Roth, Joseph J Pariser, John T Stoffel, Sara M Lenherr, Jeremy B Myers, Blayne Welk, Sean P Elliott

Open access · bronzeAbstract readMulticenter StudyObservational Study
PubMed Publisher
In one paragraph

Observational study in Spinal cord, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 11% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Predictors of catheter-free voiding after spinal cord injury.The journal of spinal cord medicine · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Observational
  14. Medical Management of Neurogenic Bladder for Children and Adults: A Review.Topics in spinal cord injury rehabilitation · 2019
    Review
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

7 authors at 5 institutions in 2 countries.

Joshua D RothIndiana University, Indianapolis, IN, USA.ORCID http://orcid.org/0000-0002-2990-2978
Joseph J PariserUniversity of Minnesota, Minneapolis, MN, USA.
John T StoffelUniversity of Michigan, Ann Arbor, MI, USA.
Sara M LenherrUniversity of Utah, Salt Lake City, UT, USA.
Jeremy B MyersUniversity of Utah, Salt Lake City, UT, USA.
Blayne WelkWestern University, London, ON, Canada.
Sean P ElliottUniversity of Minnesota, Minneapolis, MN, USA. selliott@umn.edu.
University of Minnesota · USUniversity of Utah · USIndiana University – Purdue University Indianapolis · USUniversity of Michigan · USWestern University · CA

Funding

Patient-Centered Outcomes Research Institute (PCORI) CER14092138
6 · The paper itself

Abstract

STUDY

designThe Neurogenic Bladder Research Group (NBRG) registry is a multicenter prospective observational study. This manuscript is retrospective based on a cross-sectional survey.

objectivesTo assess patient subjective assessment of urinary tract infection (UTI) frequency and severity are associated with the degree of use of catheters or incontinence products.

settingMultiple hospitals across the United States.

methodsEligibility included: age > 18 years and acquired SCI. Over 1.5 years, 1479 eligible participants were enrolled. We excluded those with surgical reconstruction or diversion of the bladder. In total, 1282 participants were grouped by bladder management: (1) indwelling catheter (IDC), (2) clean intermittent catheterization (CIC), (3) external devices (pads/condom), and (4) volitional voiding (Void). UTI frequency was classified as 0, 1-3, 4-6, or > 6 over the prior year. UTI severity was determined by hospitalization for UTI in the prior year. Multivariate regression compared these factors across groups.

resultsUTIs were least frequent in Void followed by pads/condom, CIC, and IDC (all p ≤ 0.001). UTI severity followed a similar pattern. Controlling for covariates, the adjusted odds of UTI frequency (Void = reference) were 2.28 (1.38-3.76) for pads/condom, 3.42 (2.25-5.18) for CIC, and 4.3 (2.59-6.70) for IDC (all p ≤ 0.001).

conclusionsPatient subjective assessment of UTI frequency is highest with IDC, followed by CIC, pads/condom, and lowest with spontaneous voiding. The odds of hospitalization for UTI were three times higher for IDC than spontaneous voiding. UTI risk should be considered when counseling patients about bladder management options. These associations do not imply causation but warrant further investigation in a prospective manner. SPONSORSHIP: Patient-Centered Outcomes Research Institute (PCORI) Award (CER14092138).

Indexed as

Catheters, IndwellingDiagnostic Self EvaluationIntermittent Urethral CatheterizationSpinal Cord InjuriesUrinary Tract InfectionsAdultCross-Sectional StudiesFemaleHumansMaleMiddle AgedProspective StudiesRegistriesSeverity of Illness Index

Identifiers

PMID30872758
OpenAlexW2921993259

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.