Most Read Articles
Roshini Claire Anthony, 04 Apr 2019

In addition to an intensive weight loss programme, the use of continuous positive airway pressure (CPAP) could improve absolute weight loss in individuals with obesity and obstructive sleep apnoea (OSA), according to a study presented at ENDO 2019.

4 days ago
The ketogenic and Modified Atkin’s diets are effective treatments for children with refractory epilepsy of genetic aetiology, a new study suggests.
5 days ago
Extremely premature neonates who have been exposed to pre-eclampsia in utero are at high risk of developing severe respiratory distress syndrome and severe bronchopulmonary dysplasia, according to a study.
Pearl Toh, 3 days ago
A contraceptive vaginal system (Annovera) releasing a combination of segesterone acetate and ethinyl estradiol (SA/EE) effectively inhibits ovulation up to a year even at low systemic levels of SA, reports a review study presented at ENDO 2019.

Clinical practice guidelines for neurogenic bladder management following SCI: Robust or not?

6 days ago

Overall, clinical practice guidelines (CPGs) for the management of neurogenic bladder following spinal cord injury (SCI) are robust in stating their scope and in presenting recommendations clearly, but only three CPGs have domain scores >70 percent in terms of methodological rigor, reports a study.

The investigators performed a comprehensive search of PubMed, Web of Science, Health Systems Evidence, Cochrane, Cinahl and Epistomonikos, as well as 12 CPG portals. Inclusion criteria were as follows: English language, includes recommendations for managing neurogenic bladder in adults, all phases of care, and published 2011 onwards in peer-reviewed journal or CPG portal.

Key characteristics, including years covered by CPG searching and number of neurogenic bladder recommendations, were extracted from eligible CPGs. The AGREE II instrument was used for quality appraisal and the intraclass correlation coefficient for assessment of appraiser agreement.

A total of 4,028 citations and eight relevant CPGs were identified. There were 304 recommendations contained collectively in the CPGs, with more than half (n=160) pertaining to assessment, surgery or education. Older CPGs had the most surgery recommendations, while more recent ones focused on conservative therapy.

There was good methodological quality across CPGs, particularly in the domains of ‘clarity of presentation’ (mean domain score, 84 percent), ‘scope and purpose’ (72 percent) and ‘editorial independence’ (68 percent).

On the other hand, shortcomings were noted in the domains of ‘rigor of development’ (52 percent), ‘stakeholder involvement’ (42 percent) and ‘applicability’ (33 percent).

“Future CPGs should also focus on providing implementation, audit resources and incorporating patient perspectives,” the investigators said.

Editor's Recommendations
Most Read Articles
Roshini Claire Anthony, 04 Apr 2019

In addition to an intensive weight loss programme, the use of continuous positive airway pressure (CPAP) could improve absolute weight loss in individuals with obesity and obstructive sleep apnoea (OSA), according to a study presented at ENDO 2019.

4 days ago
The ketogenic and Modified Atkin’s diets are effective treatments for children with refractory epilepsy of genetic aetiology, a new study suggests.
5 days ago
Extremely premature neonates who have been exposed to pre-eclampsia in utero are at high risk of developing severe respiratory distress syndrome and severe bronchopulmonary dysplasia, according to a study.
Pearl Toh, 3 days ago
A contraceptive vaginal system (Annovera) releasing a combination of segesterone acetate and ethinyl estradiol (SA/EE) effectively inhibits ovulation up to a year even at low systemic levels of SA, reports a review study presented at ENDO 2019.