{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T05:03:22Z","timestamp":1785301402138,"version":"3.55.0"},"reference-count":33,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T00:00:00Z","timestamp":1785283200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Nephrol."],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Optimal bladder function is crucial for kidney transplant success. Bladder training could help prevent dysfunction and complications, yet evidence-based guidelines for bladder training methods are limited. This study evaluates two protocols: standard hourly training versus tailored to preoperative urine output, assessing urinary tract outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This pre-post study used data from the TransplantLines data and biobank on kidney transplant patients admitted in 2019 (standard bladder training) and 2022 (new protocol) to a Dutch academic hospital. Standard bladder training involved hourly urination with regular post-void residual checks, whereas the new protocol adjusted urination frequency and scan schedules based on preoperative urine output. Logistic regression analyses were performed to evaluate the following outcomes: residual urine volume &amp;gt; 100ml, urinary tract infection or re-catheterization within three months post-transplantation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The analysis included 211 patients (70% male, mean age 55, n=100 standard protocol, n=111 new protocol). Multivariate analysis showed no differences between the protocols in the investigated outcomes. A significant interaction between protocol and age on re-catheterization was found suggesting higher re-catheterization risk in older patients under the new protocol.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>The revised protocol might promote patient well-being and simultaneously improve nurse working conditions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fneph.2026.1830698","type":"journal-article","created":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T04:43:54Z","timestamp":1785300234000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["The effect of nurse-led bladder training on urinary tract outcomes after kidney transplantation"],"prefix":"10.3389","volume":"6","author":[{"given":"G.","family":"Albertema","sequence":"first","affiliation":[{"name":"Department of Geriatrics, University Medical Center Groningen","place":["Groningen, Netherlands"]},{"name":"Department of Nephrology, University Medical Center Groningen","place":["Groningen, Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.C.P.","family":"Boskma","sequence":"additional","affiliation":[{"name":"Cross Connection Patient Care, University Medical Center Groningen","place":["Groningen, Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.H.","family":"Meppelink","sequence":"additional","affiliation":[{"name":"Department of Nephrology, University Medical Center Groningen","place":["Groningen, Netherlands"]},{"name":"Department of Cardiology, Amsterdam University Medical Center","place":["Amsterdam, Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.M.","family":"Vonk","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, University of Groningen, University Medical Center Groningen","place":["Groningen, Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.J.L.","family":"Bakker","sequence":"additional","affiliation":[{"name":"Department of Nephrology, University Medical Center Groningen","place":["Groningen, Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Ozyilmaz","sequence":"additional","affiliation":[{"name":"Department of Nephrology, University Medical Center Groningen","place":["Groningen, Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.F.C","family":"De Jong","sequence":"additional","affiliation":[{"name":"Department of Nephrology, University Medical Center Groningen","place":["Groningen, Netherlands"]},{"name":"Cross Connection Patient Care, University Medical Center Groningen","place":["Groningen, 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