Evidence map›Paper›PMID 31221889›Full record

Observational studyBMJ open2019

Factors associated with long-term urinary catheterisation and its impact on urinary tract infection among older people in the community: a population-based observational study in a city in Japan.

Motohiko Adomi, Masao Iwagami, Takashi Kawahara, Shota Hamada, Katsuya Iijima, Satoru Yoshie, Tatsuro Ishizaki, Nanako Tamiya

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.6field-weighted citation impact, top 17% 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, 22 citations in OpenAlex.

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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

8 authors at 2 institutions in 1 country.

Motohiko AdomiSchool of Medicine, University of Tsukuba, Tsukuba, Japan.
Masao IwagamiDepartment of Health Services Research, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.ORCID 0000-0001-7079-0640
Takashi KawaharaDepartment of Urology, University of Tsukuba, Tsukuba, Japan.
Shota HamadaHealth Services Research and Development Center, University of Tsukuba, Tsukuba, Japan.ORCID 0000-0003-4939-1834
Katsuya IijimaInstitute of Gerontology, University of Tokyo, Tokyo, Japan.
Satoru YoshieHealth Services Research and Development Center, University of Tsukuba, Tsukuba, Japan.
Tatsuro IshizakiHuman Care Research Team, Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan.
Nanako TamiyaDepartment of Health Services Research, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.
University of Tsukuba · JPTokyo Metropolitan Institute of Gerontology · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aimed to identify factors associated with long-term urinary catheterisation (LTUC) in community-dwelling older adults and to evaluate the risk of urinary tract infection (UTI) among people with LTUC.

designPopulation-based observational study.

settingMedical and long-term care insurance claims data from one municipality in Japan.

participantsPeople aged ≥75 years living at home who used medical services between October 2012 and September 2013 (n=32 617). OUTCOME MEASURES: (1) Use of LTUC, defined as urinary catheterisation for at least two consecutive months, to identify factors associated with LTUC and (2) the incidence of UTI, defined as a recorded diagnosis of UTI and prescription of antibiotics, in people with and without LTUC.

resultsThe 1-year prevalence of LTUC was 0.44% (143/32 617). Multivariable logistic regression analysis showed that the male sex, older age, higher comorbidity score, previous history of hospitalisation with in-hospital use of urinary catheters and high long-term care need level were independently associated with LTUC. The incidence rate of UTI was 33.8 and 4.7 per 100 person-years in people with and without LTUC, respectively. According to multivariable Poisson regression analysis, LTUC was independently associated with UTI (adjusted rate ratio 2.58, 95% CI 1.68 to 3.96). Propensity score-matched analysis yielded a similar result (rate ratio 2.41, 95% CI 1.45 to 4.00).

conclusionsWe identified several factors associated with LTUC in the community, and LTUC was independently associated with the incidence of UTI.

Indexed as

Independent LivingAgedAge FactorsFemaleHumansIncidenceInsurance Claim ReviewJapanMalePrevalencePropensity ScoreRisk FactorsSex FactorsUrban PopulationUrinary CatheterizationUrinary Tract Infectionsclaims datahealth services researchindwelling urinary cathetersurinary tract infection

Identifiers

PMID31221889
PMCPMC6589038
OpenAlexW2950078331

What OpenQuestion holds

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LicenceCC BY-NC
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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.