ReviewInternational journal of nursing sciences2025
Nursing management of the neurogenic bladder: Evidence map of quality and recommendations from clinical practice guidelines.
Review in International journal of nursing sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
4 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Interventions for the Management of Bladder Spasms in Adults with Indwelling Urinary Catheters: A Nursing Practice-Oriented Systematic Review.Investigacion y educacion en enfermeria · 2026Pooled it
- Article
- Best Evidence Summary for Evidence-Based Nursing Self-Management in Patients with Neurogenic Bladder Following Spinal Cord Injury.Patient preference and adherence · 2026Review
- Self-management challenges and psychosocial support needs in clean intermittent catheterization: a qualitative study of individuals with neurogenic bladder and caregivers.Frontiers in rehabilitation sciences · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objectives: This study employed evidence mapping to systematically evaluate clinical practice guidelines (CPGs) for neurogenic bladder (NB) care. We aimed to identify research trends, evidence gaps, and consensus patterns to inform evidence-based nursing practices and support the formulation of high-quality CPGs. Methods: A systematic search of electronic databases and guideline repositories was conducted, included PubMed, Web of Science, Embase, Guidelines International Network (GIN), ect. Eligible NB guidelines underwent dual-researcher screening and extraction, and methodological and recommendation quality were assessed using the Appraisal of Guidelines for Research and Evaluation II (AGREE II) and Evaluation-Recommendations Excellence (AGREE-REX) instruments. Five researchers independently evaluated recommendation specificity, evidence grading systems, and implementation consistency. Discrepancies were resolved through consensus discussion or third-party arbitration. Results: Analysis of 19 CPGs (2006-2023) from 11 countries/regions revealed that 78.95 % (15/19) incorporated evidence grading systems and 68.42 % (13/19) specified recommendation strength. The AGREE II evaluation identified critical methodological deficiencies, with three domains scoring below the acceptable thresholds: Rigor of Development (41.70 %), Editorial Independence (43.30 %), and Applicability (30.00 %). The AGREE-REX results showed moderate performance in Clinical Applicability (55.56 %) and implantability (41.67 %) but severe gaps in Values and Preferences (25.00 %). A systematic synthesis identified 40 recommendations: 90 % (36/40) demonstrated consensus and 10 % (4/40) contradictions. These studies addressed the following six clinical themes: 1) nursing assessment, 2) manipulation-assisted voiding, 3) behavioral therapy, 4) intermittent catheterization, 5) indwelling catheterization, and 6) other therapies. Conclusions: The methodologies and recommendations of the CPGs for NB in nursing demonstrated substantial variability. Therefore, there is an urgent need to improve the quality of the NB-related CPGs. More in-depth research and timely updates are required to enhance the practical utility of CPGs and narrow the gap between CPGs and clinical practice.
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Registered trials
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