{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,23]],"date-time":"2026-02-23T14:32:33Z","timestamp":1771857153117,"version":"3.50.1"},"reference-count":17,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2017,5,2]],"date-time":"2017-05-02T00:00:00Z","timestamp":1493683200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2018,5]]},"abstract":"Background<\/jats:title>The presence of an indwelling urinary catheter (IDUC<\/jats:styled-content>) is routine following colorectal resections. In Enhanced Recovery After Surgery programmes, excessive intravenous fluids (IVFs<\/jats:styled-content>) are avoided. This study sought to determine whether the routine absence of an IDUC<\/jats:styled-content> following colorectal surgery improved post\u2010operative outcomes and minimized fluid prescription.<\/jats:p><\/jats:sec>Methods<\/jats:title>A retrospective comparative cohort study was performed on patients undergoing colorectal resection at a tertiary referral teaching hospital, over a 7\u2010year period. A policy of no routine IDUC<\/jats:styled-content> was introduced over the last 3\u2009years. Patients were divided into cohorts based on the presence or absence of an IDUC<\/jats:styled-content> on leaving the operating theatre. The outcomes assessed were IVF<\/jats:styled-content> prescription, length of stay, mortality and morbidity.<\/jats:p><\/jats:sec>Results<\/jats:title>Of the 213 resections over the time period, 131 met the inclusion criteria (87 IDUC<\/jats:styled-content> and 44 no IDUC<\/jats:styled-content>). There was no difference between groups with respect to baseline demographics. Fluid administration was less in the group without routine IDUC<\/jats:styled-content> (total fluid 6.16\u2009L versus 10.89\u2009L; P<\/jats:italic>\u2009<\u20090.0001, fluid in the first 24\u2009h 3.82\u2009L versus 5.3\u2009L; P<\/jats:italic>\u2009<\u20090.0001 and fluid in the first 48\u2009h 5.15\u2009L versus 7.23\u2009L; P<\/jats:italic>\u2009<\u20090.0001). Length of stay was less in the \u2018no IDUC<\/jats:styled-content>\u2019 group (5.9\u2009days versus 10.1\u2009days; P<\/jats:italic>\u2009=\u20090.0009). There was no difference in morbidity and mortality.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>A policy of no IDUC<\/jats:styled-content> following colectomy was associated with a reduction in IVF<\/jats:styled-content> administration and length of stay. A randomized controlled trial is recommended in order to more accurately determine the degree of causal relationship.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.13916","type":"journal-article","created":{"date-parts":[[2017,5,2]],"date-time":"2017-05-02T17:27:51Z","timestamp":1493746071000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Impact of avoiding post\u2010operative urinary catheters on outcomes following colorectal resection in an ERAS<\/scp> programme: no IDUC<\/scp> and ERAS<\/scp> programmes"],"prefix":"10.1111","volume":"88","author":[{"given":"Samuel T.","family":"Roberts","sequence":"first","affiliation":[{"name":"Division of Surgery John Hunter Hospital Newcastle New South Wales Australia"},{"name":"Faculty of Medicine and Public Health The University of Newcastle Newcastle New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kiraati","family":"Patel","sequence":"additional","affiliation":[{"name":"Division of Surgery John Hunter Hospital Newcastle New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen R.","family":"Smith","sequence":"additional","affiliation":[{"name":"Division of Surgery John Hunter Hospital Newcastle New South Wales Australia"},{"name":"Faculty of Medicine and Public Health The University of Newcastle Newcastle New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,5,2]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.5384"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(08)60357-8"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2010.01.004"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.2009.170"},{"key":"e_1_2_7_6_1","unstructured":"Guidelines for Perioperative Care in Elective Colonic Surgery: Enhanced Recovery After Surgery (ERAS\u00ae) Society Recommendations Springer. 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