دورية أكاديمية
Non-inferiority of short-term urethral catheterization following fistula repair surgery: study protocol for a randomized controlled trial
| العنوان: | Non-inferiority of short-term urethral catheterization following fistula repair surgery: study protocol for a randomized controlled trial |
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| المؤلفون: | Barone Mark A, Frajzyngier Vera, Arrowsmith Steven, Ruminjo Joseph, Seuc Armando, Landry Evelyn, Beattie Karen, Barry Thierno, Lewis Alyona, Muleta Mulu, Nembunzu Dolorès, Olupot Robert, Sunday-Adeoye Ileogben, Wakasiaka Weston, Widmer Mariana, Gülmezoglu A Metin |
| المصدر: | BMC Women's Health, Vol 12, Iss 1, p 5 (2012) |
| بيانات النشر: | BMC |
| سنة النشر: | 2012 |
| المجموعة: | Directory of Open Access Journals: DOAJ Articles |
| مصطلحات موضوعية: | Vaginal fistula, Catheter, Non-inferiority randomized controlled trial, Surgery, Gynecology and obstetrics, RG1-991, Public aspects of medicine, RA1-1270 |
| الوصف: | Background A vaginal fistula is a devastating condition, affecting an estimated 2 million girls and women across Africa and Asia. There are numerous challenges associated with providing fistula repair services in developing countries, including limited availability of operating rooms, equipment, surgeons with specialized skills, and funding from local or international donors to support surgeries and subsequent post-operative care. Finding ways of providing services in a more efficient and cost-effective manner, without compromising surgical outcomes and the overall health of the patient, is paramount. Shortening the duration of urethral catheterization following fistula repair surgery would increase treatment capacity, lower costs of services, and potentially lower risk of healthcare-associated infections among fistula patients. There is a lack of empirical evidence supporting any particular length of time for urethral catheterization following fistula repair surgery. This study will examine whether short-term (7 day) urethral catheterization is not worse by more than a minimal relevant difference to longer-term (14 day) urethral catheterization in terms of incidence of fistula repair breakdown among women with simple fistula presenting at study sites for fistula repair service. Methods/Design This study is a facility-based, multicenter, non-inferiority randomized controlled trial (RCT) comparing the new proposed short-term (7 day) urethral catheterization to longer-term (14 day) urethral catheterization in terms of predicting fistula repair breakdown. The primary outcome is fistula repair breakdown up to three months following fistula repair surgery as assessed by a urinary dye test. Secondary outcomes will include repair breakdown one week following catheter removal, intermittent catheterization due to urinary retention and the occurrence of septic or febrile episodes, prolonged hospitalization for medical reasons, catheter blockage, and self-reported residual incontinence. This trial will be ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| تدمد: | 1472-6874 |
| العلاقة: | http://www.biomedcentral.com/1472-6874/12/5Test; https://doaj.org/toc/1472-6874Test; https://doaj.org/article/1f3aa75b5aa74c4a9a8216b76ec5a2beTest |
| DOI: | 10.1186/1472-6874-12-5 |
| الإتاحة: | https://doi.org/10.1186/1472-6874-12-5Test https://doaj.org/article/1f3aa75b5aa74c4a9a8216b76ec5a2beTest |
| رقم الانضمام: | edsbas.C6ACDC05 |
| قاعدة البيانات: | BASE |
Full Text Finder | تدمد: | 14726874 |
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| DOI: | 10.1186/1472-6874-12-5 |