Blaaskatheterisatie Module 1 Evidence-tabellen

Evidence table for systematic review of RCTs and observational studies (intervention studies)

Study reference

Study characteristics

Patient characteristics

Intervention (I)

Comparison / control (C)

 

Follow-up

Outcome measures and effect size

Comments

Kidd, 2015

SR and meta-analysis of RCTs

See paper

See paper

See paper

See paper

See paper

 

Ellahi, 2021

SR and meta-analysis of RCTs

See paper

See paper

See paper

See paper

See paper

 

 

Evidence table for intervention studies (randomized controlled trials and non-randomized observational studies [cohort studies, case-control studies, case series])1

Study reference

Study characteristics

Patient characteristics 2

Intervention (I)

Comparison / control (C) 3

 

Follow-up

Outcome measures and effect size 4

Comments

Atılgan, 2020

Type of study:

RCT

Setting and country: Departments of Gynaecology and Urology of two University Hospitals, Turkey

 

Funding and conflicts of interest: No conflicts of interest reported. The authors received no financial report

Inclusion criteria:

Stress urinary incontinence with intrinsic sphincter deficiency (genuine stress urinary incontinence) detected on urodynamic evaluation was included for this study for performing tension-free vaginal tape procedure.

Exclusion criteria:

Patients with pelvic organ prolapse (POP), postvoid residuals (PVR) in excess of 100 mL, tension-free vaginal tape performed with benign or malign gynecologic surgery procedures, positive or unavailable preoperative urine culture report, and comorbid systemic illness like cardiac failure, renal failure, or diabetes mellitus.

N total at baseline: 70

Intervention: 35
Control: 35

Important prognostic factors2:

For example
Age ± SD:

Early: 42.8 ± 6.8
Late: 44.6 ± 4.34

Duration of surgery (min)

Early: 35.25 ± 21.8
Late: 36.18 ± 23.1

BMI Body Mass Index. De BMI is een index die de verhouding tussen lengte en gewicht bij een persoon weergeeft. De BMI wordt veel gebruikt om een indicatie te krijgen of er sprake is van overgewicht of ondergewicht. (Body Mass Index. De BMI is een index die de verhouding tussen lengte en gewicht bij een persoon weergeeft. De BMI wordt veel gebruikt om een indicatie te krijgen of er sprake is van overgewicht of ondergewicht.)

Early: 24.85 ± 3.2
Late: 24.12 ± 4.1

Groups comparable at baseline?

Yes

 

Describe intervention (treatment/procedure/test):

Early removal of catheter (within 6 hours after surgery).

 

Describe control (treatment/procedure/test):

Late removal of catheter

(24H later)

Length of follow-up:

Day 2 postoperative

Loss-to-follow-up:

No loss-to-follow-up.

Incomplete outcome data.:

No incomplete outcome data.

 

Outcome measures and effect size (include 95%CI and p-value if available):

Bacteriuria

Early: 4 patients (11.4%)

Late: 12 patients (34.2%)

All patients received 1 g antibiotic prophylaxis while starting surgery and continued twice a day postoperatively. Standard 16F Foley’s catheter was used.

Igbodike, 2021

Type of study:

RCT

 

Setting and country: Departments of Obstetrics, Gynaecology and Perinatology, and the Medical Microbiology of the Obafemi Awolowo University Teaching Hospitals Complex (OAUTHC), IléIfe, Nigeria.

Funding and conflicts of interest: No conflicts of interest and no financial support reported

Inclusion criteria:

Elective caesarean delivery between 34 weeks and 40 weeks, spinal anaesthesia and absence of pre-operative significant bacteriuria or UTI.

Exclusion criteria:

Intra-operative bladder injury and those that required conversion to general anaesthesia.

N total at baseline: 300

Intervention: 150
Control: 150

Important prognostic factors2:

For example
age ± SD:
I: 31.79±5.29
C: 30.86±4.63

Groups comparable at baseline?

Yes

 

Describe intervention (treatment/procedure/test):

 

Urethral catheter removal eight hour post-surgery

 

Describe control (treatment/procedure/test):

 

Urethral catheter removal 24h post-surgery

Length of follow-up:

48 h post-surgery

 

Loss-to-follow-up:

None reported.

Incomplete outcome data:

None reported.

 

Outcome measures and effect size (include 95%CI and p-value if available):

 

Bacteriuria

8h group: 5 (3.3%)

24h group: 9 (6%)

 

Notes:

  1. Prognostic balance between treatment groups is usually guaranteed in randomized studies, but non-randomized (observational) studies require matching of patients between treatment groups (case-control studies) or multivariate adjustment for prognostic factors (confounders) (cohort studies); the evidence table should contain sufficient details on these procedures.
  2. Provide data per treatment group on the most important prognostic factors [(potential) confounders].
  3. For case-control studies, provide sufficient detail on the procedure used to match cases and controls.
  4. For cohort studies, provide sufficient detail on the (multivariate) analyses used to adjust for (potential) confounders.