{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:50:46Z","timestamp":1786978246523,"version":"build-2736575974"},"reference-count":15,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,10,17]],"date-time":"2017-10-17T00:00:00Z","timestamp":1508198400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100006663","name":"National Institute on Disability and Rehabilitation Research","doi-asserted-by":"publisher","award":["#H133A110002"],"award-info":[{"award-number":["#H133A110002"]}],"id":[{"id":"10.13039\/100006663","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2018,3]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Clean intermittent catheterization (CIC) is the gold standard for neurogenic bladder management in most patients with spinal cord injury (SCI). There is nonetheless a lack of long\u2010term adherence to CIC, with up to 50% discontinuance at 5\u2010year follow\u2010up. We hypothesize that limitations in upper extremity (UE) motor function represent a strong predictor for long\u2010term CIC adoption.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We assessed Forms I and II data from the 2000\u20102013 National SCI Database. Bladder management was determined at initial discharge and 1\u2010year follow\u2010up. Upper extremity (UE) motor scores were transformed using a previously published algorithm to predict a patient's ability to independently self\u2010catheterize. Uni\u2010 and multivariable logistic regression modeling was performed to assess risk factors affecting: a) a lack of CIC adoption at rehabilitation discharge, b) CIC discontinuance by 1\u2010year follow\u2010up (CIC \u201cdropout\u201d), and c) adherence to management with an indwelling catheter rather than conversion to CIC at 1\u2010year follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      For all three modeled scenarios, UE motor function represented the most significant predictor for lack of CIC adoption (OR range 2.1\u20106.3,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009\u2264\u20090.003 for all). Other predictors included increasing age (OR 1.01\u20101.02,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009\u2264\u20090.001 for all models) and female gender (OR 1.6\u20101.7,\n                      <jats:italic>P\u2009<\/jats:italic>\n                      &lt;\u20090.001 for lack of CIC adoption at discharge).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Among physically limiting factors, impairment in UE motor function appears to be the most significant predictor of a lack of long\u2010term CIC adoption at 1\u2010year follow\u2010up.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/nau.23430","type":"journal-article","created":{"date-parts":[[2017,10,17]],"date-time":"2017-10-17T10:17:32Z","timestamp":1508235452000},"page":"1106-1112","source":"Crossref","is-referenced-by-count":21,"title":["Predictors of long\u2010term bladder management in spinal cord injury patients\u2014Upper extremity function may matter most"],"prefix":"10.1002","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5320-1776","authenticated-orcid":false,"given":"Dimitar V.","family":"Zlatev","sequence":"first","affiliation":[{"name":"Department of Urology Stanford University School of Medicine Stanford California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuko","family":"Shem","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation Santa Clara Valley Medical Center San Jose California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher S.","family":"Elliott","sequence":"additional","affiliation":[{"name":"Department of Urology Stanford University School of Medicine Stanford California"},{"name":"Division of Urology Santa Clara Valley Medical Center San Jose California"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,10,17]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1179\/1079026813Z.000000000148"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2010.03.008"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)61055-3"},{"key":"e_1_2_8_5_1","first-page":"527","article-title":"Bladder management for adults with spinal cord injury: a clinical practice guideline for health\u2010care providers","volume":"29","year":"2006","journal-title":"J Spinal Cord Med"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2009.04.028"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005392-199505000-00029"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000091780.59573.fa"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)67800-7"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2004.05007.x"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.sc.3101059"},{"key":"e_1_2_8_12_1","first-page":"S93","article-title":"The epidemiology of hand function as it affects bladder management in persons with spinal cord injury","volume":"34","author":"Zlatev D","year":"2015","journal-title":"Conf Neurourol Urodyn"},{"key":"e_1_2_8_13_1","unstructured":"Spinal Cord Injury Information Network: National Spinal Cord Injury Database. Available at:http:\/\/www.spinalcord.uab.edu\/show.asp?durki=24480.2015."},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1038\/sc.2013.46"},{"key":"e_1_2_8_15_1","first-page":"191","article-title":"Ensuring patient adherence to clean intermittent self\u2010catheterization","volume":"8","author":"Seth JH","year":"2014","journal-title":"Patient Prefer Adherence"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1038\/sc.2013.154"}],"container-title":["Neurourology and Urodynamics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fnau.23430","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nau.23430","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,24]],"date-time":"2023-09-24T12:08:32Z","timestamp":1695557312000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/nau.23430"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,10,17]]},"references-count":15,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2018,3]]}},"alternative-id":["10.1002\/nau.23430"],"URL":"https:\/\/doi.org\/10.1002\/nau.23430","archive":["Portico"],"relation":{},"ISSN":["0733-2467","1520-6777"],"issn-type":[{"value":"0733-2467","type":"print"},{"value":"1520-6777","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,10,17]]}}}