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  4. Impact of urinary catheters including reusable catheters on quality of life and work productivity in persons with spinal cord lesion

Impact of urinary catheters including reusable catheters on quality of life and work productivity in persons with spinal cord lesion

Scientific Reports, 2024 · DOI: https://doi.org/10.1038/s41598-024-74578-z · Published: September 26, 2024

Spinal Cord InjuryUrologyParticipation

Simple Explanation

This study investigates how different types of urinary catheters, including reusable ones, affect the quality of life and work productivity of people with spinal cord lesions (SCL). The research involved an online survey of 282 adults with SCL and examined factors like urinary incontinence, the need for regular self-catheterization, and performing catheterization away from home. The study found that bowel management problems significantly impacted all aspects of quality of life and work productivity assessed.

Study Duration
1 Month
Participants
282 adult members of SCL patient advocacy groups
Evidence Level
Cross-sectional internet survey

Key Findings

  • 1
    Intermittent self-catheterization (ISC) did not show a superior disease-specific urinary quality of life compared to continuous indwelling catheterization.
  • 2
    Work productivity and regular activities were found to correlate fairly well with disease-specific urinary quality of life.
  • 3
    The absence of differences in PROs among the types of catheter used for ISC implies that Japanese reusable catheters have the potential to benefit selected persons with SCL.

Research Summary

This study evaluated the impact of different urinary catheters on the quality of life (QOL) and work productivity of individuals with spinal cord lesions (SCL). The research revealed that intermittent self-catheterization (ISC) did not surpass continuous indwelling catheterization in improving disease-specific urinary QOL. Bowel management problems significantly affected all patient-reported outcomes (PROs) evaluated, highlighting the importance of addressing both urinary and bowel issues to improve overall QOL and work productivity.

Practical Implications

Improve Public Restroom Environments

The study highlights that public restroom environments need to be much improved and further social understanding and cooperation with persons with SCL performing ISC is crucial.

Consider Japanese Reusable Catheters

Japanese RC as well as i-IDC has a potential to benefit selected persons with SCL.

Address Bowel Dysfunction

The study suggests that a more proactive approach to UI rather than the choice of catheter type as well as effectively addressing both bladder and bowel dysfunctions should be the key issue in improving QOL

Study Limitations

  • 1
    Exploratory study with limited power and small sample size.
  • 2
    Potential selection and information bias due to survey design.
  • 3
    Cross-sectional study design precludes conclusions about causation.

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