{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:50:44Z","timestamp":1786978244651,"version":"build-2736575974"},"reference-count":15,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,10,6]],"date-time":"2025-10-06T00:00:00Z","timestamp":1759708800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,10,6]],"date-time":"2025-10-06T00:00:00Z","timestamp":1759708800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2026,2]]},"abstract":"ABSTRACT<\/jats:title>\n \n Background<\/jats:title>\n Guidelines contain recommendations for monitoring and care of neurogenic lower urinary tract dysfunction (NLUTD) in patients with spinal cord injury\/disorder. Evidence on the level of adherence to these recommendations is limited.<\/jats:p>\n <\/jats:sec>\n \n Objectives<\/jats:title>\n To assess treads in proportion of patients with spinal cord injury\/disorder receiving commonly recommended processes of care for NLUTD.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n The cohort consisted of 49\u2009326 veterans with supra\u2010sacral spinal cord injury or disorder (SCI\/D) within the Veterans Affairs (V.A.) healthcare system first seen from fiscal year 1999\u20132024. Measures included laboratories, imaging, bladder\u2010care procedures, and whether the veteran was seen by a urologist and had cystometrography (CMG).<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n The analysis reveals the use of recommended NLUTD monitoring processes, with 41% undergoing renal imaging, 48% having a urology encounter, and 31% receiving cystometrography. A longitudinal view shows a decline in these rates over time. However, CMG rates exhibited some increase in veterans entering the system between 2005 and 2014, indicating a slight improvement in adherence over time.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n The study highlights gaps between current practices and recommended processes for NLUTD, which may compromise outcomes for veterans with supra\u2010sacral SCI\/D. Further research is necessary to explore the barriers to executing suggested processes and implications for outcomes of this vulnerable population.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/nau.70146","type":"journal-article","created":{"date-parts":[[2025,10,7]],"date-time":"2025-10-07T04:47:26Z","timestamp":1759812446000},"page":"353-358","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Adhering to Clinical Advice: The Level of Alignment of Care Processes With Global Bladder Guidelines in Veterans With Spinal Cord Injuries or Diseases"],"prefix":"10.1002","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8202-0835","authenticated-orcid":false,"given":"John","family":"Lavelle","sequence":"first","affiliation":[{"name":"Department of Veterans Affairs Palo Alto Health Care System Urology Section Palo Alto California USA"},{"name":"Departments of Internal Medicine and Urology Stanford University Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9888-2205","authenticated-orcid":false,"given":"John","family":"Hornberger","sequence":"additional","affiliation":[{"name":"Department of Veterans Affairs Palo Alto Health Care System Urology Section Palo Alto California USA"},{"name":"Departments of Internal Medicine and Urology Stanford University Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,10,6]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"National Spinal Cord Injury Statistical Center.Traumatic Spinal Cord Injury Facts and Figures at a Glance.2024.hhttps:\/\/msktc.org\/sites\/default\/files\/Facts-and-Figures-2024-Eng-508.pdf."},{"key":"e_1_2_11_3_1","unstructured":"National Spinal Cord Injury Statistical Center. The 2021 Annual Statistical Report Complete Public Version for the Spinal Cord Injury Model Systems. University of Alabama;2021.hhttps:\/\/bpb-us-w2.wpmucdn.com\/sites.uab.edu\/dist\/f\/392\/files\/2024\/06\/ar2021.pdf."},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000002235"},{"key":"e_1_2_11_5_1","volume-title":"Spinal Cord Injuries and Disorders System of Care","author":"Department of Veteran Affairs","year":"2019"},{"key":"e_1_2_11_6_1","volume-title":"Urinary Incontinence in Neurological Disease Management of Lower Urinary Tract Dysfunction in Neurological Disease: NICE Clinical Guidelines","author":"National Clinical Guideline Centre (UK)","year":"2012"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.5489\/cuaj.5912"},{"key":"e_1_2_11_8_1","first-page":"528","article-title":"Bladder Management for Adults With Spinal Cord Injury: A Clinical Practice Guideline for Health\u2010Care Providers","volume":"29","author":"Consortium for spinal cord medicine","year":"2006","journal-title":"The Journal of Spinal Cord Medicine"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2024.03.026"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2015.06.005"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.5489\/cuaj.5563"},{"key":"e_1_2_11_12_1","unstructured":"C.CulbreathVIReC Corporate Data Warehouse (CDW) Domain Descriptions.2019."},{"key":"e_1_2_11_13_1","volume-title":"In\u2010Depth Real\u2010World Evidence: Assembling a Comprehensive Cohort to Advance Understanding of Neurogenic Lower Urinary Tract Dysfunction","author":"Hornberger J.","year":"2025"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2021.08.003"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.2307\/2344614"},{"key":"e_1_2_11_16_1","volume-title":"SAS\u00ae Enterprise Guide\u00ae 8.2","author":"Anonymous","year":"2019"}],"container-title":["Neurourology and Urodynamics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nau.70146","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/nau.70146","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nau.70146","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T13:37:29Z","timestamp":1770817049000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/nau.70146"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,6]]},"references-count":15,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["10.1002\/nau.70146"],"URL":"https:\/\/doi.org\/10.1002\/nau.70146","archive":["Portico"],"relation":{},"ISSN":["0733-2467","1520-6777"],"issn-type":[{"value":"0733-2467","type":"print"},{"value":"1520-6777","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,6]]},"assertion":[{"value":"2025-02-17","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-01","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-06","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}