The International Continence Society (ICS) survey on intermittent catheterization and global practices with regard to the reuse of catheters
Objective:: To survey members of the International Continence Society (ICS) for exploring global differences in practices with regard to intermittent catheterization (IC) and reuse of catheters in the neuro-urological patient. A project of the Neuro-Urology Promotion Committee (NUPC) of the ICS. Met...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-06-01
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| Series: | Continence |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772973723000255 |
| _version_ | 1797803784019116032 |
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| author | Sanjay Sinha Rizwan Hamid Emmanuel Jean Chartier-Kastler Giulio Del Popolo Pierre Denys Collette Haslam Jalesh N. Panicker Kate Sloane Pawan Vasudeva Desiree M.J. Vrijens Emmanuel Braschi |
| author_facet | Sanjay Sinha Rizwan Hamid Emmanuel Jean Chartier-Kastler Giulio Del Popolo Pierre Denys Collette Haslam Jalesh N. Panicker Kate Sloane Pawan Vasudeva Desiree M.J. Vrijens Emmanuel Braschi |
| author_sort | Sanjay Sinha |
| collection | DOAJ |
| description | Objective:: To survey members of the International Continence Society (ICS) for exploring global differences in practices with regard to intermittent catheterization (IC) and reuse of catheters in the neuro-urological patient. A project of the Neuro-Urology Promotion Committee (NUPC) of the ICS. Methods:: Cross-sectional survey of ICS members using the SurveyMonkey platform. Initial survey preparation, revisions, pilot, and finalization were performed within the NUPC. Opt-in survey emailed to all members by the ICS office. Foundation questions ascertained type of clinical practice, health care system, and country of residence which was stratified by World Bank criteria as ‘high-income group, HIG’ or ‘not high-income group, non-HIG’ for analysis. Several questions addressed the reuse of catheters and related practices. Survey results were analyzed using R (version 3.1.3) statistical analysis (p-value <0.05 significant, two-way testing). Results:: 244 out of 1107 members (22.0%) responded. Respondents were from 57 countries including 89 (36.5%) from non-HIG countries. 61.1% respondents were urologists and 62.7% were working at public teaching hospitals. Single-use catheters were prescribed by 113 (46.7%), reuse by 51 (21.1%), and both techniques by 78 (32.2%). Reuse was reported by 38.3% and 76.4% of respondents from HIG and non-HIG countries, respectively. There was marked variation with regard to the frequency of IC, method of cleaning of hands and genitalia, and the method of cleaning and storing catheters. Instruction in IC was most commonly provided by nurses in HIG countries (93.6%) but by urologists in non-HIG countries (66.3%). Reuse was recommended between 2–5 times, 6–10 times, 11–30 times, 31–50 times, 51–90 times, >90 times, and till visible deterioration in 25.0%, 25.8%, 15.8%, 7.5%, 5.0%, 5.0%, and 15.8%, respectively. Conclusion:: Reuse of catheters by patients on IC was not restricted to less affluent countries. There were wide variations in every aspect of the IC protocol. These issues are critical to patients, communities, and the environment and urgently require research. |
| first_indexed | 2024-03-13T05:27:12Z |
| format | Article |
| id | doaj.art-370fe51f21fe48bbb5b96df947e572f3 |
| institution | Directory Open Access Journal |
| issn | 2772-9737 |
| language | English |
| last_indexed | 2024-03-13T05:27:12Z |
| publishDate | 2023-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Continence |
| spelling | doaj.art-370fe51f21fe48bbb5b96df947e572f32023-06-15T04:57:51ZengElsevierContinence2772-97372023-06-016100597The International Continence Society (ICS) survey on intermittent catheterization and global practices with regard to the reuse of cathetersSanjay Sinha0Rizwan Hamid1Emmanuel Jean Chartier-Kastler2Giulio Del Popolo3Pierre Denys4Collette Haslam5Jalesh N. Panicker6Kate Sloane7Pawan Vasudeva8Desiree M.J. Vrijens9Emmanuel Braschi10Department of Urology, Apollo Hospital, Hyderabad, India; Corresponding author.London Spinal Injuries Unit Stanmore & Kings College Hospital, Dubai, United Arab EmiratesChef du service d’urologie, Hopital Universitaire Pitié-Salpétrière, AP-HP. Sorbonne Université, FranceDepartment of Neurourology, Careggi University Hospital, Florence, ItalyService de Neuro Urologie, Hopital Raymond Poincaré APHP. 104 bd Raymond Poincaré, 92380 Garches, Université de Versaille Saint Quentin, UMR Inserm 1179, FranceThe National Hospital for Neurology and Neurosurgery, London, United KingdomDepartment of Uro Neurology, The National Hospital for Neurology and Neurosurgery, Queen Square, London, United Kingdom; UCL Queen Square Institute of Neurology, Faculty of Brain Sciences, University College London, London, United KingdomContinence Nurse, St Vincent’s Hospital, Melbourne, AustraliaDepartment of Urology and Renal Transplant, Vardhaman Mahavir Medical College and Safdarjung Hospital, New Delhi, IndiaDepartment of Urology, Maastricht University Medical Center, Maastricht, The NetherlandsConsultant Neuro-Urologist, Instituto Nacional de Rehabilitacion Psicofisica del Sur Mar del Plata, ArgentinaObjective:: To survey members of the International Continence Society (ICS) for exploring global differences in practices with regard to intermittent catheterization (IC) and reuse of catheters in the neuro-urological patient. A project of the Neuro-Urology Promotion Committee (NUPC) of the ICS. Methods:: Cross-sectional survey of ICS members using the SurveyMonkey platform. Initial survey preparation, revisions, pilot, and finalization were performed within the NUPC. Opt-in survey emailed to all members by the ICS office. Foundation questions ascertained type of clinical practice, health care system, and country of residence which was stratified by World Bank criteria as ‘high-income group, HIG’ or ‘not high-income group, non-HIG’ for analysis. Several questions addressed the reuse of catheters and related practices. Survey results were analyzed using R (version 3.1.3) statistical analysis (p-value <0.05 significant, two-way testing). Results:: 244 out of 1107 members (22.0%) responded. Respondents were from 57 countries including 89 (36.5%) from non-HIG countries. 61.1% respondents were urologists and 62.7% were working at public teaching hospitals. Single-use catheters were prescribed by 113 (46.7%), reuse by 51 (21.1%), and both techniques by 78 (32.2%). Reuse was reported by 38.3% and 76.4% of respondents from HIG and non-HIG countries, respectively. There was marked variation with regard to the frequency of IC, method of cleaning of hands and genitalia, and the method of cleaning and storing catheters. Instruction in IC was most commonly provided by nurses in HIG countries (93.6%) but by urologists in non-HIG countries (66.3%). Reuse was recommended between 2–5 times, 6–10 times, 11–30 times, 31–50 times, 51–90 times, >90 times, and till visible deterioration in 25.0%, 25.8%, 15.8%, 7.5%, 5.0%, 5.0%, and 15.8%, respectively. Conclusion:: Reuse of catheters by patients on IC was not restricted to less affluent countries. There were wide variations in every aspect of the IC protocol. These issues are critical to patients, communities, and the environment and urgently require research.http://www.sciencedirect.com/science/article/pii/S2772973723000255Neurogenic lower urinary tract dysfunctionIntermittent catheterizationInternational Continence SocietyReuse of urinary cathetersGlobal health practicesClinical practice survey |
| spellingShingle | Sanjay Sinha Rizwan Hamid Emmanuel Jean Chartier-Kastler Giulio Del Popolo Pierre Denys Collette Haslam Jalesh N. Panicker Kate Sloane Pawan Vasudeva Desiree M.J. Vrijens Emmanuel Braschi The International Continence Society (ICS) survey on intermittent catheterization and global practices with regard to the reuse of catheters Continence Neurogenic lower urinary tract dysfunction Intermittent catheterization International Continence Society Reuse of urinary catheters Global health practices Clinical practice survey |
| title | The International Continence Society (ICS) survey on intermittent catheterization and global practices with regard to the reuse of catheters |
| title_full | The International Continence Society (ICS) survey on intermittent catheterization and global practices with regard to the reuse of catheters |
| title_fullStr | The International Continence Society (ICS) survey on intermittent catheterization and global practices with regard to the reuse of catheters |
| title_full_unstemmed | The International Continence Society (ICS) survey on intermittent catheterization and global practices with regard to the reuse of catheters |
| title_short | The International Continence Society (ICS) survey on intermittent catheterization and global practices with regard to the reuse of catheters |
| title_sort | international continence society ics survey on intermittent catheterization and global practices with regard to the reuse of catheters |
| topic | Neurogenic lower urinary tract dysfunction Intermittent catheterization International Continence Society Reuse of urinary catheters Global health practices Clinical practice survey |
| url | http://www.sciencedirect.com/science/article/pii/S2772973723000255 |
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