Evidence map›Paper›PMID 32886172›Full record

SynthesisInternational urogynecology journal2021

A systematic review comparing early with late removal of indwelling urinary catheters after pelvic organ prolapse surgery.

Nansha Xie, Zeyin Hu, Zengjie Ye, Qiong Xu, Jie Chen, Yan Lin

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in International urogynecology journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Trial
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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

6 authors.

Nansha Xie *Department of Urogynecology, Guangzhou Women and Children's Medical Center, Guangzhou, China.
Zeyin HuDepartment of Medicine, Sun Yat-sen University Cancer Center, Guangzhou, China.
Zengjie YeGuangzhou University of Chinese Medicine, Guangzhou, China.
Qiong XuDepartment of Urogynecology, Guangzhou Women and Children's Medical Center, Guangzhou, China.
Jie ChenDepartment of Pediatric Intensive Care Unit, Guangzhou Women and Children's Medical Center, Guangzhou, China.
Yan LinDepartment of Nursing Administrative Office, Guangzhou Women and Children's Medical Center, Guangzhou, China. ly26937@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAn indwelling catheter is routinely used after pelvic organ prolapse surgery to prevent urinary retention. However, the timing of catheter removal remains controversial.

objectivesTo investigate the optimal timing of catheter removal following prolapse surgery.

methodsElectronic databases including the Cochrane Center Controlled Test Center, Embase, CINAHL, MEDLINE, PubMed, Web of Science and CNKI were searched up to January 2010. Randomized controlled trials (RCTs) comparing different timings of catheter removal after prolapse surgery were eligible. Results from RCTs comparing early versus late removal were pooled, and different durations of catheterization were divided into three sub-comparisons (≤ 2 days versus > 2 days; ≤ 1 day versus 2 days; < 1 day versus 1 day). Primary outcomes were urinary tract infection (UTI) and re-catheterization. Secondary outcomes were the length of hospital stay and patient-reported outcomes.

resultsSeven RCTs with 964 women were involved in the analysis. Early catheter removal was associated with a reduced incidence of UTI (RR 0.46, 95% CI 0.24 to 0.9) but an increased risk of re-catheterization (RR 2.67, 95% CI 1.6 to 4.48). Significant differences in primary outcomes were found in the sub-comparison of ≤ 2 days versus > 2 days. Three of six trials found a significantly shorter length of hospital stay in the early removal group. The results for postoperative pain were mixed.

conclusionAmong patients following pelvic organ prolapse surgery, early catheter removal is preferred. Moreover, the timing for removal is preferably within 2 days postoperatively.

Indexed as

Pelvic Organ ProlapseUrinary RetentionUrinary Tract InfectionsCatheters, IndwellingDevice RemovalFemaleHumansTime FactorsUrinary CatheterizationUrinary CathetersCatheterPelvic organ prolapseUrinary retentionUrinary tract infection

Identifiers

PMID32886172

What OpenQuestion holds

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Registered trials

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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.