{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T04:57:24Z","timestamp":1777525044307,"version":"3.51.4"},"reference-count":24,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T00:00:00Z","timestamp":1764028800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T00:00:00Z","timestamp":1764028800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2026,1]]},"abstract":"ABSTRACT<\/jats:title>\n \n Background<\/jats:title>\n Urinary catheters are frequently used in perioperative care, yet their overuse contributes to iatrogenic complications including catheter\u2010associated urinary tract infections (CAUTIs) and urethral trauma. In response, the Centers for Disease Control and Prevention (CDC) issued guidelines in 2009 to minimize inappropriate perioperative catheter use. This study evaluates national trends in perioperative indwelling urethral catheter utilization across various surgical specialties from 2010 to 2017 using the Nationwide Inpatient Sample database (NIS).<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n We conducted a retrospective analysis of elective surgical admissions from the NIS database, including patients \u2265 18\u00a0years undergoing surgery with associated ICD codes for urethral catheterization. Proportional catheter utilization was calculated annually per surgical type. Mann\u2010Kendall\n \u03c4<\/jats:italic>\n trend tests and locally estimated scatterplot smoothing (LOESS) models assessed temporal trends. Statistical significance was set at\n p<\/jats:italic>\n \u00a0<\u00a00.05.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Over the 8\u2010year period, 81,128,725 procedures involving perioperative catheterization were recorded. Significant reductions in perioperative catheter use occurred in eye (\u22120.05%,\n p<\/jats:italic>\n \u00a0=\u00a00.013) and urinary system surgical procedures (\u22120.54%,\n p<\/jats:italic>\n \u00a0=\u00a00.001). Conversely, increases were observed in female reproductive (0.05%,\n p<\/jats:italic>\n \u00a0<\u00a00.001), male reproductive (0.31%,\n p<\/jats:italic>\n \u00a0<\u00a00.001), and respiratory surgical procedures (0.08%,\n p<\/jats:italic>\n \u00a0=\u00a00.015). No significant overall change was found across all surgical categories combined (\n p<\/jats:italic>\n \u00a0=\u00a00.873).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Despite national guidelines, overall perioperative catheter use has not significantly declined. Subspecialty variation suggests that adherence to catheter stewardship may be influenced by procedural norms and surgical specialty\u2010specific practices. Enhanced protocol\u2010driven approaches, particularly nurse\u2010led catheter removal and integration into ERAS pathways, warrant broader implementation.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/wjs.70169","type":"journal-article","created":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T17:10:21Z","timestamp":1764090621000},"page":"180-184","source":"Crossref","is-referenced-by-count":1,"title":["Trends in Perioperative Urinary Catheter Utilization by Surgical Procedure Type in the United States, 2010\u20132017: Evidence From the Nationwide Inpatient Sample"],"prefix":"10.1002","volume":"50","author":[{"given":"Priscilla D.","family":"Anderton","sequence":"first","affiliation":[{"name":"Division of Urology Baylor Scott & White Health Temple Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anthony C.","family":"Waddimba","sequence":"additional","affiliation":[{"name":"Division of Surgical Research Department of Surgery Baylor University Medical Center Dallas Texas USA"},{"name":"Baylor Scott and White Research Institute Dallas Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-9466-5234","authenticated-orcid":false,"given":"Mustafa M.","family":"Saed","sequence":"additional","affiliation":[{"name":"Baylor Scott and White Research Institute Dallas Texas USA"},{"name":"Texas A&M College of Medicine Bryan Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gerald O.","family":"Ogola","sequence":"additional","affiliation":[{"name":"Division of Surgical Research Department of Surgery Baylor University Medical Center Dallas Texas USA"},{"name":"Baylor Scott and White Research Institute Dallas Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Urman","sequence":"additional","affiliation":[{"name":"Department of Anesthesia The Ohio State University Wexner Medical Center Columbus Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Dutton","sequence":"additional","affiliation":[{"name":"United States Anesthesia Partners Dallas Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2744-1757","authenticated-orcid":false,"given":"Saravanan","family":"Ramamoorthy","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Pain Management Baylor University Medical Center Dallas Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael A.","family":"Ramsay","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Pain Management Baylor University Medical Center Dallas Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2345-4473","authenticated-orcid":false,"given":"Gregory R.","family":"Thoreson","sequence":"additional","affiliation":[{"name":"Division of Surgical Research Department of Surgery Baylor University Medical Center Dallas Texas USA"},{"name":"Division of Urology Department of Surgery Baylor of University Medical Center Dallas Texas USA"},{"name":"Department of Clinical Research Urology Clinics of North Texas Dallas Texas USA"},{"name":"Erik Jonsson School of Engineering and Computer Science University of Texas Dallas Texas 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