JOM KITA KE POLITEKNIK

Sex differences in urological management during spinal cord injury rehabilitation: Results from a prospective multicenter longitudinal cohort study (Record no. 2209)

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Personal name Anderson, Collene E.
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9 (RLIN) 2239
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Title Sex differences in urological management during spinal cord injury rehabilitation: Results from a prospective multicenter longitudinal cohort study
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Date of publication, distribution, etc. 2022-10-12.
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General note /pmc/articles/PMC7614058/
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General note /pubmed/36224336
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Summary, etc. STUDY DESIGN: Prospective, multicenter, longitudinal cohort study. OBJECTIVES: To describe female-male differences in first-line urological management during spinal cord injury (SCI) rehabilitation. SETTING: Inpatient specialized post-acute SCI rehabilitation in Switzerland. METHODS: Data on bladder storage medication (antimuscarinic and beta-3 agonist) use, suprapubic catheter placement, demographic and SCI characteristics was collected within 40 days of SCI and at rehabilitation discharge from May 2013-September 2021. Prevalence and indicators of bladder storage medication and suprapubic catheter use at discharge were investigated with sex-stratified descriptive and logistic regression analyses. RESULTS: In 748 patients (219 females, 29%), bladder storage medication use at discharge had a prevalence of 24% (95% CI: 18-29%) for females and 30% (95% CI: 26-34%) for males and was indicated by cervical AIS grade A,B,C and traumatic SCI in both sexes. Thoracic AIS grade A,B,C SCI (males), and lumbar/sacral AIS grade A,B,C SCI (females) predicted higher odds of bladder storage medication use (SCI characteristic*sex interaction, p<0.01). Prevalence of suprapubic catheter use at discharge was 22% (95% CI: 17-28%) for females and 17% (95% CI: 14-20%) for males. Suprapubic catheter use was indicated by cervical AIS grade A,B,C SCI, and age >60 in both sexes. Females with thoracic grade A,B,C SCI tended to have higher odds of suprapubic catheter use (SCI characteristic*sex interaction, p=0.013). CONCLUSIONS: We identified sex differences in urological management especially in persons with AIS grade C or higher sub-cervical SCI. There is scope for well-powered, female-specific research in SCI in order to understand the underlying mechanisms and support patient-tailored management.
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Terms governing use and reproduction
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Terms governing use and reproduction https://www.springernature.com/gp/open-research/policies/accepted-manuscript-termsUsers may view, print, copy, and download text and data-mine the content in such documents, for the purposes of academic research, subject always to the full Conditions of use: https://www.springernature.com/gp/open-research/policies/accepted-manuscript-terms
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Language note en
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Topical term or geographic name as entry element Article
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Personal name Birkhäuser, Veronika
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9 (RLIN) 2240
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Personal name Liechti, Martina D.
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9 (RLIN) 2241
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Personal name Jordan, Xavier
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9 (RLIN) 2242
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Personal name Luca, Eugenia
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9 (RLIN) 2243
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Personal name Möhr, Sandra
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9 (RLIN) 2244
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Personal name Pannek, Jürgen
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9 (RLIN) 2245
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Personal name Kessler, Thomas M.
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9 (RLIN) 2246
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Personal name Brinkhof, Martin W.G.
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9 (RLIN) 2247
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Note Spinal Cord
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Uniform Resource Identifier <a href="http://dx.doi.org/10.1038/s41393-022-00860-4">http://dx.doi.org/10.1038/s41393-022-00860-4</a>
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