Evidence map›Paper›PMID 30971756›Full record

SynthesisSpinal cord2019

A systematic review of the content and quality of clinical practice guidelines for management of the neurogenic bladder following spinal cord injury.

Peter Bragge, Stacey Guy, Mark Boulet, Eraj Ghafoori, Denise Goodwin, Breanna Wright

Open access · bronzeAbstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Spinal cord, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 4 pooled it
2.4field-weighted citation impact, top 12% 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

12 citing papers in PubMed, 4 syntheses or guidelines pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Clinical practice guidelines for the prevention of childhood obesity: A systematic review of quality and content.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2022
    Pooled it
  4. Pooled it
  5. Review
  6. A prospective assessment of the validity of the CUA neurogenic bladder guideline.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2023
    Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. 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

6 authors at 3 institutions in 3 countries.

Peter BraggeBehaviourWorks Australia, Monash Sustainable Development Institute, Monash University, Melbourne, Australia. peter.bragge@monash.edu.ORCID http://orcid.org/0000-0003-0745-5131
Stacey GuyLawson Health Research Institute, London, Ontario, Canada.
Mark BouletBehaviourWorks Australia, Monash Sustainable Development Institute, Monash University, Melbourne, Australia.
Eraj GhafooriAustralianSuper, Melbourne, Australia.
Denise GoodwinBehaviourWorks Australia, Monash Sustainable Development Institute, Monash University, Melbourne, Australia.
Breanna WrightBehaviourWorks Australia, Monash Sustainable Development Institute, Monash University, Melbourne, Australia.
Monash University · AULawson Health Research Institute · CASustainable Development Institute · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionNeurogenic bladder following acute spinal cord injury (SCI) increases urinary tract infection (UTI) risk and affects quality of life and health system costs.

objectivesThis study aimed to identify, describe and evaluate quality of clinical practice guidelines (CPGs) for managing neurogenic bladder following SCI.

methodsA comprehensive search covered six electronic databases (PubMed, Web of Science, Health Systems Evidence, Cochrane, CINAHL, Epistomonikos) and 12 CPG portals. Inclusion criteria were English language CPG; includes recommendations for managing neurogenic bladder in adults; all phases of care; published 2011 onwards in peer-reviewed journal/CPG portal. For eligible CPGs, key characteristics including years covered by CPG searching and number of neurogenic bladder recommendations were extracted. Quality appraisal used the AGREE II instrument. Appraiser agreement was assessed using the intraclass correlation coefficient.

resultsSearching yielded 4028 citations and eight relevant CPGs. Collectively the CPGs contained 304 recommendations. Over half (160) pertained to assessment, surgery or education. Most surgery recommendations were from older CPGs; more recent CPGs emphasised conservative therapy. Methodological quality across CPGs was good in the domains of 'clarity of presentation' (84% mean domain score), 'scope and purpose' (72%) and 'editorial independence' (68%). There were shortcomings in the domains of 'rigor of development' (52%) 'stakeholder involvement' (42%) and 'applicability' (33%).

conclusionCPGs for the management of neurogenic bladder following SCI are generally robust in stating their scope and clearly presenting recommendations. Only three CPGs attained domain scores over 70% pertaining to methodological rigor. Future CPGs should also focus on providing implementation / audit resources and incorporating patient perspectives.

Indexed as

HumansPractice Guidelines as TopicSpinal Cord InjuriesUrinary Bladder, Neurogenic

Identifiers

PMID30971756
OpenAlexW2935830882

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.