Intermittent catheterization: The devil is in the details

During the last few years, the international community debated on urinary tract infection and re-use of catheters when managing neurogenic lower urinary tract dysfunction among individuals with SCI.

In this respect, the 2014 Cochrane review by Prieto et al, 'Intermittent Catheterisation for Long-Term Bladder Management', became one of the leading documents that captured mind and attention of clinicians around the world. Although numerous countries switched to single-use catheters as guidelines for management of bladder following SCI, the opinion that was expressed in the 2014 Cochrane review had a strong influence on healthcare providers and agencies to recommend re-use of catheters. However, many clinicians expressed their concern with 2014 Cochrane review's conclusions. We therefore conducted an independent appraisal of the data and analyses present in the 2014 Cochrane review. Our analyses identified crucial discrepancies of data extraction and analysis within the 2014 Cochrane review. In contrast to Prieto et al, our analyses revealed a trend to favor single over multiple use of catheters. After addressing our concerns to Cochrane's acting Editor-in-Chief, the most recent version of the 2014 Cochrane review was withdrawn from publication.

Journal of neurotrauma. 2017 Nov 06 [Epub ahead of print]

Kathleen Christison, Matthias Walter, Jean-Jacques J M Wyndaele, Michael Kennelly, Thomas M Kessler, Vanessa K Noonan, Nader Fallah, Andrei V Krassioukov

University of British Columbia, International Collaboration On Repair Discoveries (ICORD), Vancouver, British Columbia, Canada ; ., University of British Columbia, International Collaboration On Repair Discoveries (ICORD) , 818 West 10th Avenue , Vancouver, British Columbia, Canada , V5Z 1M9 ; ., University of Antwerp, Department of Urology, Antwerp, Belgium ; ., Carolinas Medical Center, 22442, Department of Urology, Charlotte, North Carolina, United States ; ., University of Zürich, Neuro-Urology, Spinal Cord Injury Center & Research, Balgrist University Hospital, Zürich, Switzerland ; ., Rick Hansen Institute, Research, Vancouver, British Columbia, Canada ; ., Rick Hansen Institute, Research, Vancouver, British Columbia, Canada., University of British Columbia, International Collaboration On Repair Discoveries (ICORD), Vancouver, British Columbia, Canada.