Evidence map›Paper›PMID 34605933›Full record

ArticleDer Urologe. Ausg. A2022

[Quality of life for wearers of a suprapubic or transurethral bladder catheter as lifelong permanent care].

A Wiedemann, C Gedding, M Heese, J Stein, A Manseck, R Kirschner-Hermanns, H Karstedt, A Schorn, A Wagner, V Moll and 7 more

Open access · hybridAbstract read
In one paragraph

Article in Der Urologe. Ausg. A, 2022. 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
0.6field-weighted citation impact, top 31% 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

6 citing papers in PubMed, 9 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

17 authors at 9 institutions in 1 country.

A WiedemannUrologische Abteilung, Evangelisches Krankenhaus Witten gGmbH, Lehrstuhl für Geriatrie, Universität Witten/Herdecke, Pferdebachstr. 27, 58455, Witten, Deutschland. awiedemann@evk-witten.de.
C GeddingUrologische Abteilung, Evangelisches Krankenhaus Witten gGmbH, Lehrstuhl für Geriatrie, Universität Witten/Herdecke, Pferdebachstr. 27, 58455, Witten, Deutschland.
M HeeseUrologische Abteilung, Evangelisches Krankenhaus Witten gGmbH, Lehrstuhl für Geriatrie, Universität Witten/Herdecke, Pferdebachstr. 27, 58455, Witten, Deutschland.
J SteinUrologische Abteilung, Klinikum Großburgwedel, Großburgwedel, Deutschland.
A ManseckUrologische Abteilung, Klinikum Ingolstadt GmbH, Ingolstadt, Deutschland.
R Kirschner-HermannsNeuro-Urologie, Universitätsklinikum Bonn, Bonn, Deutschland.
H KarstedtPraxis für Urologie, Gelsenkirchen, Deutschland.
A SchornPraxis für Urologie, Saarburg, Deutschland.
A WagnerPraxis für Urologie, Limburgerhof, Deutschland.
V MollPraxis für Urologie, Augsburg, Deutschland.
U UngerPraxis für Urologie, Oelsnitz, Deutschland.
A EisenhardtPraxis für Urologie, Mülheim a. d. Ruhr, Deutschland.
A BannowskyKlinik für Urologie, Imland-Klinik Rendsburg, Rendsburg, Deutschland.
C LinnéUrologische Praxis, Dresden, Deutschland.
S WirzAbteilung für Anästhesiologie, Intensivmedizin, Schmerz und Palliativmedizin, Zentrum für Schmerzmedizin, Weaningzentrum, GFO-Kliniken Bonn/Cura Bad Honnef, Bad Honnef, Deutschland.
E BrammenInstitut für Statistik, Chrestos Concept GmbH & Co. KG, Essen, Deutschland.
H-J HeppnerLehrstuhl für Geriatrie, Universität Witten/Herdecke, Witten, Deutschland.
Orthopädische Praxis · DEWitten/Herdecke University · DEFriedrich-Alexander-Universität Erlangen-Nürnberg · DEInstitut für Angewandte Statistik · DEInstitut für Berufliche Aus- und Fortbildung · DEKlinikum Ingolstadt · DELandesarchiv · DESt. Marien-Hospital Bonn · DEUniversity Hospital Bonn · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe insertion of a Foley catheter (FC) or a suprapubic catheter (SPC) in lifelong intent is an intervention with significant complications, comorbidities and impact on the further life that has not yet been analyzed. METHODOLOGY: The analysis was based on a validated assessment of catheter-related QoL with 25 items in 5 domains and applied to patients with a Foley or suprapubic catheter in lifelong indication and with the catheter in place for at least 3 months. Assessment data were enriched with information on the type and diameter of the catheter as well as demographic data.

resultsQuestionnaires from 357 patients (260 male, 97 female, 193 with suprapubic catheter, 162 with Foley catheter, 2 no information) were included in the study. Patients with a Foley catheter were significantly older than patients with a suprapubic catheter (78.9 ± 11.1 years vs. 74.4. ± 12.6 years, p < 0.001). The average QoL score was 4.1 points on a scale from 1 (maximum impairment of QoL) to 5 (no impairment of QoL) indicating a moderately negative impact on QoL. Scores below the average were mainly driven and accompanied by a fear of urine leakage, urine odor, painful catheter changes and urinary infections increasing with age. Additionally, patients were worried about negative effects on their daily life activities due to the catheter. These worries seemed to be more pronounced in females with urinary incontinence, patients with a catheter size ≥ 18 Ch. and with an age of < 70 years. The type of catheter showed a greater impact on the QoL in females with suprapubic catheters when compared with males in contrast to patients with transurethral catheters.

conclusionThe results of the study provide further information for the medical clarification for patients and caregivers, having to decide between a lifelong catheter drainage or alternatives, such as provision of an aid or surgical recanalization.

Indexed as

Quality of LifeUrinary Tract InfectionsAgedFemaleHumansMaleUrinary BladderUrinary CatheterizationUrinary CathetersBladder dysfunctionFrailtyGeriatric patientMultimorbidityPalliative care

Identifiers

PMID34605933
PMCPMC8763733
OpenAlexW3202010624

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.