Evidence map›Paper›PMID 31707560›Full record

SynthesisInternational journal of colorectal disease2019

Optimal timing of urinary catheter removal following pelvic colorectal surgery: a systematic review and meta-analysis.

Yung Lee, Tyler McKechnie, Jeremy E Springer, Aristithes G Doumouras, Dennis Hong, Cagla Eskicioglu

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in International journal of colorectal disease, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 3 pooled it
2.1field-weighted citation impact, top 13% 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, 3 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Review
  10. Review
  11. Article
  12. 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

6 authors at 2 institutions in 1 country.

Yung LeeMichael G. DeGroote School of Medicine, McMaster University, Hamilton, Ontario, Canada.
Tyler McKechnieMichael G. DeGroote School of Medicine, McMaster University, Hamilton, Ontario, Canada.
Jeremy E SpringerDivision of General Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada.
Aristithes G DoumourasDivision of General Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada.
Dennis HongDivision of General Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada.
Cagla EskiciogluDivision of General Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada. eskicio@mcmaster.ca.ORCID http://orcid.org/0000-0003-3920-066X
McMaster University · CASt. Joseph’s Healthcare Hamilton · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAcute urinary retention (AUR) is a common postoperative complication in colorectal surgery. In pelvic colorectal operations, the optimal duration for postoperative urinary catheter use is controversial. This systematic review and meta-analysis aims to compare early (POD 1), intermediate (POD 3), and late (POD 5) urinary catheter removal.

methodsMedline, EMBASE, CENTRAL, and PubMed databases were searched. Articles were eligible for inclusion if they compared patients with urinary catheter removal on POD 1 or earlier to patients with urinary catheter removal on POD 2 or later in major pelvic colorectal surgeries. The primary outcome was rate of postoperative AUR. The secondary outcome was rates of postoperative urinary tract infection (UTI).

resultsFrom 691 relevant citations, five studies with 928 patients were included. Comparison of urinary catheter removal on POD 1 versus POD 3 demonstrated no significant difference in rate of urinary retention (RR 1.36, 95%CI 0.83-2.21, P = 0.22); however, compared to POD 5, rates of AUR were significantly higher (RR 2.58, 95%CI 1.51-4.40, P = 0.0005). Rates of UTI were not significantly different between POD 1 and POD 3 urinary catheter removal (RR 0.40, 95%CI 0.05-3.71, P = 0.45), but removal on POD 5 significantly increased risk of UTI compared to POD 1 (RR 0.50, 95%CI 0.31-0.81, P = 0.005).

conclusionRisk of AUR can be minimized with late postoperative urinary catheter removal compared to early removal, but at the cost of increased risk of UTI. Patient-specific factors should be taken into consideration when deciding upon optimal duration of postoperative urinary catheterization.

Indexed as

Catheters, IndwellingColectomyDevice RemovalUrinary CathetersAcute DiseaseAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedPostoperative CareRectumRisk FactorsTime FactorsAcute urinary retentionColorectal surgeryPelvic surgeryUrinary catheterUrinary tract infections

Identifiers

PMID31707560
OpenAlexW2983717187

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.