Evidence map›Paper›PMID 39671079›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2024

Intermittent catheter clamping combined with active urination training (ICCAUT) to reduce the risk of urinary dysfunction in patients after proctectomy: a single-center cohort study.

Tingting He, Daguang Wang, Jinhai Yu, Jian Suo, Helei Wang, Donghui Sun, Jiaxin Yang, Liang He, Luyao Zhang, Yan Chen and 3 more

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Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

Tingting HeDepartment of Gastrocolorectal Surgery, General Surgery Center, The First Hospital of Jilin University, No. 1 Xinmin Street, Changchun, Jilin Province, China.
Daguang WangDepartment of Gastrocolorectal Surgery, General Surgery Center, The First Hospital of Jilin University, No. 1 Xinmin Street, Changchun, Jilin Province, China.
Jinhai YuDepartment of Gastrocolorectal Surgery, General Surgery Center, The First Hospital of Jilin University, No. 1 Xinmin Street, Changchun, Jilin Province, China.
Jian SuoDepartment of Gastrocolorectal Surgery, General Surgery Center, The First Hospital of Jilin University, No. 1 Xinmin Street, Changchun, Jilin Province, China.
Helei WangDepartment of Gastrocolorectal Surgery, General Surgery Center, The First Hospital of Jilin University, No. 1 Xinmin Street, Changchun, Jilin Province, China.
Donghui SunDepartment of Gastrocolorectal Surgery, General Surgery Center, The First Hospital of Jilin University, No. 1 Xinmin Street, Changchun, Jilin Province, China.
Jiaxin YangDepartment of Gastrocolorectal Surgery, General Surgery Center, The First Hospital of Jilin University, No. 1 Xinmin Street, Changchun, Jilin Province, China.
Liang HeDepartment of Gastrocolorectal Surgery, General Surgery Center, The First Hospital of Jilin University, No. 1 Xinmin Street, Changchun, Jilin Province, China.
Luyao ZhangDepartment of Gastrocolorectal Surgery, General Surgery Center, The First Hospital of Jilin University, No. 1 Xinmin Street, Changchun, Jilin Province, China.
Yan ChenDepartment of Gastrocolorectal Surgery, General Surgery Center, The First Hospital of Jilin University, No. 1 Xinmin Street, Changchun, Jilin Province, China.
Jianan SunDepartment of Gastrocolorectal Surgery, General Surgery Center, The First Hospital of Jilin University, No. 1 Xinmin Street, Changchun, Jilin Province, China.
Quan WangDepartment of Gastrocolorectal Surgery, General Surgery Center, The First Hospital of Jilin University, No. 1 Xinmin Street, Changchun, Jilin Province, China. wquan@jlu.edu.cn.
Yuchen GuoDepartment of Gastrocolorectal Surgery, General Surgery Center, The First Hospital of Jilin University, No. 1 Xinmin Street, Changchun, Jilin Province, China. guoyuchen8688@jlu.edu.cn.

Funding

First Hospital of Jilin University, Special Zone of the Discipline in General Surgery Center 04050520005
6 · The paper itself

Abstract

backgroundIntermittent urethral catheter clamping is widely used to reduce secondary catheterization in patients after proctectomy; however, its effectiveness is unclear. MATERIALS AND

methodsThis study investigated the effects of intermittent catheter clamping combined with active urination training (ICCAUT) on postoperative urinary dysfunction in patients after proctectomy. This retrospective cohort study analyzed data on patients who underwent laparoscopic/robotic-assisted proctectomy at a single medical center in China between July 2023 and January 2024.

methodsPatients received ICCAUT or free urinary drainage during the indwelling urethral catheter period after surgery. Data from the ICCAUT and free-drainage groups were compared. The primary outcome measure was urinary dysfunction. The secondary outcomes were urinary tract infections, time to first void after catheter removal, and urine volume during first voiding. Propensity-score matching (PSM), inverse probability-of-treatment weighting (IPTW), and multivariable logistic regression analyses were used to identify factors associated with urinary dysfunction.

resultsAmong 360 eligible patients, 173 received a free-drainage strategy and 187 received ICCAUT. The incidence of urinary dysfunction was 52.5% overall and was significantly lower in the ICCAUT group than in the free-drainage group (45.1% vs. 59.4%; p = 0.009). The lower incidence of urinary dysfunction in the ICCAUT group was confirmed in the PSM (44.7% vs. 59.3%; p = 0.03) and IPTW (44.5% vs. 57.1%; p = 0.028) analyses. Multivariable logistic regression analysis revealed that ICCAUT was independently associated with a lower risk of urinary dysfunction (OR, 0.55; 95% CI, 0.34-0.89; p = 0.015). Subgroup analysis found that, compared with female patients, male patients are more likely to benefit from the ICCAUT strategy (p for interaction = 0.029; adjusted OR, 0.33; 95% CI, 0.17-0.62; p < 0.001). The ICCAUT strategy did not significantly increase the risk of urinary tract infection (p = 0.349).

conclusionsThe ICCAUT strategy may benefit the recovery of urinary function after proctectomy, especially for male patients. ICCAUT showed an independent association with a lower risk of urinary dysfunction and UTI, with urinary tract infection comparable to that of the free-drainage strategy.

Indexed as

Postoperative ComplicationsProctectomyUrinationAdultAgedChinaCohort StudiesFemaleHumansIntermittent Urethral CatheterizationMaleMiddle AgedRetrospective StudiesUrinary CatheterizationUrinary Tract InfectionsUrination DisordersBladder trainingProctectomyRectal cancerUrinary catheterUrinary dysfunctionUrinary retention

Identifiers

PMID39671079

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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.