{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T10:16:21Z","timestamp":1780049781762,"version":"3.53.1"},"reference-count":38,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,2,24]],"date-time":"2024-02-24T00:00:00Z","timestamp":1708732800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100020595","name":"National Science and Technology Council","doi-asserted-by":"publisher","award":["NSTC 112\u20112314\u2011B\u2011650\u2011001\u2011MY3"],"award-info":[{"award-number":["NSTC 112\u20112314\u2011B\u2011650\u2011001\u2011MY3"]}],"id":[{"id":"10.13039\/100020595","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100020595","name":"National Science and Technology Council","doi-asserted-by":"publisher","award":["EDAHJ112009"],"award-info":[{"award-number":["EDAHJ112009"]}],"id":[{"id":"10.13039\/100020595","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004738","name":"E-Da Hospital","doi-asserted-by":"publisher","award":["EDAD2209"],"award-info":[{"award-number":["EDAD2209"]}],"id":[{"id":"10.13039\/501100004738","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Prior studies indicated a link between urinary catheter use and urinary complications, highlighting the need for comprehensive, gender\u2010specific investigations. This study explored the association through a national retrospective cohort, emphasizing gender disparities and long\u2010term outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Our study utilized data from the entire population covered by Taiwan's National Health Insurance Research Database from 2000 to 2017. We included 148,304 patients who had undergone Foley catheter placement and their propensity\u2010scores matched controls in the study. We evaluated urinary complications, which encompassed urinary tract cancer, urolithiasis, urethral stricture, obstructive uropathy, reflux uropathy, fistula, diverticulum, caruncle, false passage, prolapsed urethral mucosa, urinary tract rupture, and urinary tract infection. These were assessed using the Fine and Gray sub\u2010distribution proportional hazards model to compare between the Foley and non\u2010Foley groups. Sensitivity analyses were conducted with different matching ratios.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In the study, the non\u2010Foley group presented a marginally higher mean age (75.24\u2009\u00b1\u200910.47\u2009years) than the Foley group (74.09\u2009\u00b1\u200910.47\u2009years). The mean duration of Foley catheterization was 6.1\u2009\u00b1\u20094.19\u2009years. Men with Foley catheterization exhibited the highest adjusted sub\u2010distribution hazard ratios for urinary tract cancer (6.57, 95% CI: 5.85\u20137.37), followed by women with Foley catheterization (4.48, 95% CI: 3.98\u20135.05), and men without catheterization (1.58, 95% CI: 1.39\u20131.8) in comparison with women without the procedure. Furthermore, men with Foley catheterization were found to be at the greatest risk for complications such as urolithiasis, urethral stricture, obstructive and reflux uropathy, fistula, diverticulum, caruncle, false passage, prolapsed urethral mucosa, and urinary tract rupture. Conversely, women with urinary catheterization were most susceptible to urinary tract infections.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The evidence confirms that urinary catheterization significantly increases urinary complications, particularly among men. Our study underscores the crucial need for healthcare providers to carefully evaluate the necessity of catheterization, aim to shorten its duration whenever feasible, and strictly adhere to established protocols to minimize complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.18819","type":"journal-article","created":{"date-parts":[[2024,2,24]],"date-time":"2024-02-24T11:08:50Z","timestamp":1708772930000},"page":"1166-1176","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Urinary catheter placement and adverse urinary outcomes with a focus on elevated risk in men with indwelling Foley catheters"],"prefix":"10.1111","volume":"72","author":[{"given":"Kai\u2010Ting","family":"Chang","sequence":"first","affiliation":[{"name":"Department of Family Medicine E\u2010Da Dachang hospital, I\u2010Shou University  Kaohsiung City Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Po\u2010Hsuan","family":"Lai","sequence":"additional","affiliation":[{"name":"Department of Family Medicine and Community Medicine E\u2010Da Hospital, I\u2010Shou University  Kaohsiung City Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I\u2010Cheng","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of Family Medicine and Community Medicine E\u2010Da Hospital, I\u2010Shou University  Kaohsiung City Taiwan"},{"name":"School of Medicine College of Medicine, I\u2010Shou University  Kaohsiung City Taiwan"},{"name":"Department of Occupational Medicine E\u2010Da Hospital, I\u2010Shou University  Kaohsiung City Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ru\u2010Yi","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Family Medicine and Community Medicine E\u2010Da Hospital, I\u2010Shou University  Kaohsiung City 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