Cochrane · systematic review · CD004203

Urethral (indwelling or intermittent) or suprapubic routes for short‐term catheterisation in hospitalised adults

Kidd, EA, Stewart, F, Kassis, NC, et al. · Cochrane Database of Systematic Reviews · 2015 · Cochrane Library

IncontinenceAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
18
current version
GRADE rated
7
No studies
11
Included studies
NR
No studies 11 · 61.1%Ungraded 0 · 0%Very low 5 · 27.8%Low 2 · 11.1%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Indwelling urethral catheterisation compared to suprapubic catheterisation for short‐term catheterisation in adults

Population: Adults with short‐term catheterisation
6 questions
OutcomeEffectEvidenceStatus / GRADE
Number of participants with symptomatic UTI
Indwelling urethral catheterisation vs suprapubic catheterisation
RR 1.01 [0.61, 1.69]5 studies · 575 participantsVery low
Downgraded: risk of bias, imprecision, publication bias
Asymptomatic bacteruria
Indwelling urethral catheterisation vs suprapubic catheterisation
RR 2.25 [1.63, 3.1]19 studies · 2316 participantsVery low
Downgraded: risk of bias, imprecision, publication bias
Number of participants with pain
Indwelling urethral catheterisation vs suprapubic catheterisation
RR 5.62 [3.31, 9.55]4 studies · 535 participantsLow
Downgraded: publication bias
Ease of use for participants ‐ not reported
Indwelling urethral catheterisation vs suprapubic catheterisation
no estimate extractedNRNo studies
Quality of life ‐ not reported
Indwelling urethral catheterisation vs suprapubic catheterisation
no estimate extractedNRNo studies
Cost utility analysis ‐ not reported
Indwelling urethral catheterisation vs suprapubic catheterisation
no estimate extractedNRNo studies

Indwelling urethral catheterisation compared to intermittent urethral catheterisation for short‐term catheterisation in adults

Population: Patients with short‐term bladder drainage
6 questions
OutcomeEffectEvidenceStatus / GRADE
Number of participants with symptomatic UTI
Indwelling urethral catheterisation vs intermittent urethral catheterisation
no estimate extracted2 studies · 162 participantsVery low
Downgraded: risk of bias, inconsistency
Asymptomatic bacteruria
Indwelling urethral catheterisation vs intermittent urethral catheterisation
RR 1.04143 studies · 1610 participantsVery low
Downgraded: risk of bias
Number of patients with pain ‐ not reported
Indwelling urethral catheterisation vs intermittent urethral catheterisation
no estimate extractedNRNo studies
Ease of use for participants ‐ not reported
Indwelling urethral catheterisation vs intermittent urethral catheterisation
no estimate extractedNRNo studies
Quality of life ‐ not reported
Indwelling urethral catheterisation vs intermittent urethral catheterisation
no estimate extractedNRNo studies
Cost utility analysis ‐ not reported
Indwelling urethral catheterisation vs intermittent urethral catheterisation
no estimate extractedNRNo studies

Suprapubic catheterisation compared to intermittent urethral catheterisation for short‐term catheterisation in adults

Population: patients with short‐term catheterisation
6 questions
OutcomeEffectEvidenceStatus / GRADE
Number of participants with symptomatic UTI
Suprapubic catheterisation vs intermittent urethral catheterisation
RR 1.67 [0.68, 4.1]1 study · 72 participantsLow
Downgraded: imprecision, publication bias
Asymptomatic bacteruria
Suprapubic catheterisation vs intermittent urethral catheterisation
no estimate extractedNRNo studies
Number of patients with pain
Suprapubic catheterisation vs intermittent urethral catheterisation
no estimate extracted1 study · 72 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, publication bias
Ease of use for participants ‐ not reported
Suprapubic catheterisation vs intermittent urethral catheterisation
no estimate extractedNRNo studies
Quality of life ‐ not reported
Suprapubic catheterisation vs intermittent urethral catheterisation
no estimate extractedNRNo studies
Cost utility analysis ‐ not reported
Suprapubic catheterisation vs intermittent urethral catheterisation
no estimate extractedNRNo studies