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. 2017 Aug 8;2017(8):CD006008. doi: 10.1002/14651858.CD006008.pub4
Methods DESIGN: Randomised controlled cross‐over trial BLINDING PROCEDURES: Not clear SAMPLE CALCULATION: No DURATION: 7 weeks each arm FOLLOW‐UP: Urine for C&S at 2, 4, 7 weeks WITHDRAWALS/DROPOUTS: Not stated ITT: Not applicable GEOGRAPHICAL LOCATION: Italy SETTING: Rehabilitation Hospital
Participants N = 18 DIAGNOSIS: Neurogenic bladder due to recent spinal cord injury ELIGIBLE: Unknown ENROLLED: 18 COMPLETED: 18 AGE: Adults GENDER: 16 male & 2 female
Interventions Coated vs uncoated: Pre‐lubricated catheter with protective sleeve versus an uncoated, non‐lubricated catheter (water added by user); one catheter x 7 weeks then cross‐over to other group.
Outcomes UTI measured by C&S at 2, 4 & 7 weeks; Urethral wall trauma by counting cells on catheter surface; VAS re: satisfaction with catheters
Notes UTI defined as cloudy, odorous urine, onset of UI, increase autonomic dysreflexia, pyuria, bacteriuria; Sample size too small to draw conclusions. Attempted randomisation concealment; higher % of UTI in PVC group; no difference in urethral cell count; unable to use data in Table of Comparisons because of cross‐over design and no mid‐point data.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk "One of us organised randomisation"
Allocation concealment (selection bias) Unclear risk Not stated
Blinding of participants and personnel (performance bias) All outcomes Low risk No blinding, but the review authors judge that the outcome and outcome measurement are not likely to be influenced by lack of blinding.
Blinding of outcome assessment (detection bias) All outcomes Unclear risk Insufficient information to permit judgement
Incomplete outcome data (attrition bias) All outcomes Low risk No missing outcome data
Source of Funding Unclear risk Not stated