Quality of life aspects of intermittent catheterization in neurogenic and non-neurogenic patients: a systematic review on heterogeneity in the measurements used.
Tess van Doorn, Rosa L Coolen, Jan Groen, Jeroen R Scheepe, Bertil F M Blok
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引用次数: 0
Abstract
Background: Clean intermittent catheterization (CIC) is the golden standard in patients with lower urinary tract dysfunction, leading to bladder emptying problems, due to neurogenic or non-neurogenic causes. CIC affects patient Quality of Life (QoL) both positively and negatively.
Objectives: The aim of this systematic review is to determine which measurements are used to report on the QoL of patients who are on CIC in the currently available literature, to determine the overall QoL of patients who are on CIC and lastly, to determine whether QoL in patients who are on CIC is dependent on the underlying cause (neurogenic vs non-neurogenic).
Design: This systematic review was conducted following the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement.
Data sources and methods: The Embase, Medline, Web of Science Core Collection, CINAHL, Google Scholar, and the Cochrane CENTRAL register of trials databases were systematically searched for relevant publications until March 2023.
Results: A total of 4430 abstracts were screened and 43 studies were included. Studies were published between 1993 and 2022 and consisted of only neurogenic patients in 22 studies, the others included a mixed population. The included patient populations and the used measurements/tools were heterogeneous. There were 21 measurements/tools used to measure QoL, of which 3 were not validated. One questionnaire was developed to measure QoL in patients on CIC (intermittent self-catheterization questionnaire). Other measurements were suitable for general health-related QoL, to evaluate neurogenic bladder symptoms or incontinence oriented.
Conclusion: The 43 included studies showed a great variety of used tools to measure QoL in patients on CIC due to neurogenic and non-neurogenic causes. Because of lacking uniformity of the measured aspects of QoL, the different included studies could not be compared and subgroup analysis was not performed. Recommendations for future research and practice are provided.
Trial registration: This systematic review was registered and published beforehand at Prospero (CRD42020181777; https://www.crd.york.ac.uk/prospero).
背景：清洁间歇导尿（CIC）是下尿路功能障碍患者的黄金标准，由于神经源性或非神经源性原因导致膀胱排空问题。CIC对患者生活质量（QoL）有积极和消极的影响。目的：本系统综述的目的是确定在现有文献中使用哪些测量方法来报告CIC患者的生活质量，确定CIC患者的总体生活质量，最后确定CIC患者的生活质量是否依赖于潜在原因（神经源性与非神经源性）。设计：本系统评价遵循系统评价和荟萃分析首选报告项目的指导原则进行。数据来源和方法：系统检索Embase、Medline、Web of Science Core Collection、CINAHL、谷歌Scholar和Cochrane CENTRAL register of trials数据库的相关出版物，检索截止日期为2023年3月。结果：共筛选4430篇摘要，纳入43项研究。研究发表于1993年至2022年之间，其中22项研究仅包括神经源性患者，其他研究包括混合人群。纳入的患者群体和使用的测量/工具是异质的。有21个测量/工具用于测量生活质量，其中3个未被验证。制定了一份问卷来测量间歇自我导尿患者的生活质量。其他测量方法适用于一般健康相关的生活质量，以评估神经源性膀胱症状或以失禁为导向。结论：纳入的43项研究显示，用于测量因神经源性和非神经源性原因而接受CIC的患者生活质量的工具多种多样。由于生活质量测量方面缺乏一致性，不同纳入的研究无法进行比较，也没有进行亚组分析。对今后的研究和实践提出了建议。试验注册：本系统评价已在Prospero注册并提前发表(CRD42020181777；https://www.crd.york.ac.uk/prospero)。
期刊介绍：
Therapeutic Advances in Urology delivers the highest quality peer-reviewed articles, reviews, and scholarly comment on pioneering efforts and innovative studies across all areas of urology.
The journal has a strong clinical and pharmacological focus and is aimed at clinicians and researchers in urology, providing a forum in print and online for publishing the highest quality articles in this area. The editors welcome articles of current interest across all areas of urology, including treatment of urological disorders, with a focus on emerging pharmacological therapies.
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