{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T17:19:34Z","timestamp":1790961574043,"version":"4.1.0"},"reference-count":26,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2019,3,25]],"date-time":"2019-03-25T00:00:00Z","timestamp":1553472000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Patient-Centered Outcomes Research Institute Award","award":["CER14092138"],"award-info":[{"award-number":["CER14092138"]}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2019,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Clean intermittent catheterization (CIC) is a preferred method of bladder management for many patients with spinal cord injury (SCI), but long\u2010term adherence is low. The aim of this study is to identify factors associated with low urinary quality of life (QoL) in SCI adults performing CIC.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Over 1.5 years, 1479 adults with SCI were prospectively enrolled through the Neurogenic Bladder Research Group registry, and 753 on CIC with no prior surgeries were included. Injury characteristics, complications, hand function, and Neurogenic Bladder Symptom Score (NBSS) were analyzed. The NBSS QoL question (overall satisfaction with urinary function) was dichotomized to generate comparative groups (dissatisfied vs neutral\/satisfied).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The cohort was 32.9% female with a median age of 43.2 (18\u201086) years, time since the injury of 9.8 (0\u201048.2) years, and 69.0% had an injury at T1 or below. Overall 36.1% were dissatisfied with urinary QoL. On multivariable analysis, female gender (odds ratio [OR], 1.63; 95% confidence interval [CI], 1.15\u20102.31;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.016), earlier injury (OR, 0.95 per year; 95% CI, 0.93\u20100.97;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001), \u22654 urinary tract infections (UTIs) per year (OR, 2.36; 95% CI, 1.47\u20103.81;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.001), and severe bowel dysfunction (OR, 1.42; 95% CI, 1.02\u20101.98;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.035) predicted dissatisfaction. Level of injury, fine motor hand function, and caregiver dependence for CIC were not associated with dissatisfaction.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In a mature SCI cohort, physical disability does not predict dissatisfaction with urinary QoL but severe bowel dysfunction and recurrent UTIs have a significant negative impact. With time the rates of dissatisfaction decline but women continue to be highly dissatisfied on CIC and may benefit from early intervention to minimize the burden of CIC on urinary QoL.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/nau.23983","type":"journal-article","created":{"date-parts":[[2019,3,26]],"date-time":"2019-03-26T01:00:38Z","timestamp":1553562038000},"page":"1332-1338","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":45,"title":["Predictors of low urinary quality of life in spinal cord injury patients on clean intermittent catheterization"],"prefix":"10.1002","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0453-0573","authenticated-orcid":false,"given":"Iryna M.","family":"Crescenze","sequence":"first","affiliation":[{"name":"Department of Urology University of Michigan Ann Arbor Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeremy B.","family":"Myers","sequence":"additional","affiliation":[{"name":"Division of Urology University of Utah Salt Lake City Utah"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara M.","family":"Lenherr","sequence":"additional","affiliation":[{"name":"Division of Urology University of Utah Salt Lake City Utah"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sean P.","family":"Elliott","sequence":"additional","affiliation":[{"name":"Department of Urology University of Minnesota Minneapolis Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7093-558X","authenticated-orcid":false,"given":"Blayne","family":"Welk","sequence":"additional","affiliation":[{"name":"Division of Urology Western University London Ontario Toronto Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana O'Dell","family":"MPH","sequence":"additional","affiliation":[{"name":"Department of Urology University of Michigan Ann Arbor Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yongmei","family":"Qin","sequence":"additional","affiliation":[{"name":"Department of Urology University of Michigan Ann Arbor Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela P.","family":"Presson","sequence":"additional","affiliation":[{"name":"Division of Urology University of Utah Salt Lake City Utah"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John T.","family":"Stoffel","sequence":"additional","affiliation":[{"name":"Department of Urology University of Michigan Ann Arbor Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"for the Neurogenic Bladder Research Group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,3,25]]},"reference":[{"key":"e_1_2_7_1_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2010.03.008"},{"key":"e_1_2_7_1_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)67800-7"},{"key":"e_1_2_7_1_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/sc.2013.46"},{"issue":"23","key":"e_1_2_7_1_5_1","first-page":"1106","article-title":"Predictors of long\u2010term bladder management in spinal cord injury patients\u2010upper extremity function may matter most","volume":"35","author":"Zlatev DV","year":"2017","journal-title":"Neurourol Urodyn"},{"key":"e_1_2_7_1_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.23306"},{"key":"e_1_2_7_1_7_1","doi-asserted-by":"publisher","DOI":"10.1038\/sc.2014.134"},{"key":"e_1_2_7_1_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12894-017-0286-3"},{"key":"e_1_2_7_1_9_1","doi-asserted-by":"publisher","DOI":"10.5489\/cuaj.4833"},{"key":"e_1_2_7_1_10_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.sc.3101887"},{"key":"e_1_2_7_1_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2012.05.007"},{"key":"e_1_2_7_1_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199603000-00003"},{"key":"e_1_2_7_1_13_1","doi-asserted-by":"publisher","DOI":"10.1038\/sc.2015.169"},{"key":"e_1_2_7_1_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2012.05.008"},{"key":"e_1_2_7_1_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2014.11.008"},{"issue":"5","key":"e_1_2_7_1_16_1","first-page":"288","article-title":"Clean intermittent catheterisation performing abilities, aversive experiences and distress","volume":"31","author":"Bakke A","year":"1993","journal-title":"Paraplegia"},{"key":"e_1_2_7_1_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2015.04.100"},{"key":"e_1_2_7_1_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2004.05007.x"},{"key":"e_1_2_7_1_19_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.sc.3101059"},{"key":"e_1_2_7_1_20_1","doi-asserted-by":"publisher","DOI":"10.2340\/16501977-0277"},{"key":"e_1_2_7_1_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rehab.2012.01.006"},{"key":"e_1_2_7_1_22_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.sc.3100571"},{"key":"e_1_2_7_1_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.NPT.0000282246.08288.67"},{"key":"e_1_2_7_1_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-9993(98)90139-3"},{"key":"e_1_2_7_1_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0304-3959(02)00069-6"},{"key":"e_1_2_7_1_26_1","doi-asserted-by":"publisher","DOI":"10.1179\/204577212X13237783484262"},{"key":"e_1_2_7_1_27_1","doi-asserted-by":"publisher","DOI":"10.1097\/WON.0b013e3182750117"}],"container-title":["Neurourology and Urodynamics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fnau.23983","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nau.23983","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/nau.23983","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nau.23983","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,7]],"date-time":"2023-09-07T16:54:09Z","timestamp":1694105649000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/nau.23983"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,3,25]]},"references-count":26,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2019,6]]}},"alternative-id":["10.1002\/nau.23983"],"URL":"https:\/\/doi.org\/10.1002\/nau.23983","archive":["Portico"],"relation":{},"ISSN":["0733-2467","1520-6777"],"issn-type":[{"value":"0733-2467","type":"print"},{"value":"1520-6777","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,3,25]]},"assertion":[{"value":"2018-09-03","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-11-16","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-03-25","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}