Evidence map›Paper›PMID 22305026›Full record

Trial reportMayo Clinic proceedings2012

Recurrent urinary tract infection and urinary Escherichia coli in women ingesting cranberry juice daily: a randomized controlled trial.

Ann E Stapleton, James Dziura, Thomas M Hooton, Marsha E Cox, Yuliya Yarova-Yarovaya, Shu Chen, Kalpana Gupta

Registry-linked trialOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Mayo Clinic proceedings, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00128128 (Cranberry and Prevention of UTI A Comprehensive Approach), which is not on this map. Cited by 44 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 7 pooled it
8.6field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00128128 phase2completednot on this map

Cranberry and Prevention of UTI A Comprehensive Approach

TypeinterventionalSponsorNational Center for Complementary and Integrative Health (NCCIH)Ran2005 to 2009Enrolled176ConditionsUrinary Tract InfectionsArmsCranberry juice cocktail
3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 7 syntheses or guidelines pooled it, 135 citations in OpenAlex.

  1. Cranberries for preventing urinary tract infections.The Cochrane database of systematic reviews · 2023
    Pooled it
  2. Cranberries for preventing urinary tract infections.The Cochrane database of systematic reviews · 2023
    Pooled it
  3. Pooled it
  4. Increased fluid intake to prevent urinary tract infections: systematic review and meta-analysis.The British journal of general practice : the journal of the Royal College of General Practitioners · 2020
    Pooled it
  5. Pooled it
  6. Pooled it
  7. Cranberries for preventing urinary tract infections.The Cochrane database of systematic reviews · 2012
    Pooled it
  8. Trial
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  11. Review
  12. Effects of a supplement associatingInvestigative and clinical urology · 2025
    Article
  13. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Ann E StapletonDepartment of Medicine, University of Washington, Seattle, USA.
James Dziura
Thomas M Hooton
Marsha E Cox
Yuliya Yarova-Yarovaya
Shu Chen
Kalpana Gupta
University of Washington · USYale University · USBoston University · USUniversity of Miami · US

Funding

YALE UNIVERSITY CLINICAL AND TRANSLATIONAL SCIENCE AWARD PROGRAMUL1RR024139 · NCRR · YALE UNIVERSITY · PI SHERWIN, ROBERT S · 2006 to 2011
$56.8M
Prevention of UTI With A Vaginal ProbioticP01DK053369 · NIDDK · UNIVERSITY OF WASHINGTON · PI STAMM, WALTER E · 1998 to 2007
$8.5M
Lactobacillus probiotic for prevention of recurrent UTIR01DK088830 · NIDDK · UNIVERSITY OF WASHINGTON · PI STAPLETON, ANN E · 2011 to 2015
$3.0M
Cranberry and Prevention of UTI A Comprehensive ApproachR01AT002105 · NCCIH · YALE UNIVERSITY · PI GUPTA, KALPANA · 2004 to 2007
$1.4M
ROLE OF BLADDER AND VAGINAL EPITHELIAL CAVEOLAE IN UTIsR01DK062863 · NIDDK · UNIVERSITY OF WASHINGTON · PI STAPLETON, ANN E · 2003 to 2007
$919k
Probiotic Lactobacilli and Vaginal EpitheliumR01DK070906 · NIDDK · UNIVERSITY OF WASHINGTON · PI STAPLETON, ANN E · 2005 to 2007
$664k
NCCIH NIH HHS R01 AT002105NCRR NIH HHS UL1 RR024139NIDDK NIH HHS P01 DK053369NIDDK NIH HHS R01 DK062863NIDDK NIH HHS R01 DK070906NIDDK NIH HHS R01 DK088830
6 · The paper itself

Abstract

objectiveTo compare the time to urinary tract infection (UTI) and the rates of asymptomatic bacteriuria and urinary P-fimbriated Escherichia coli during a 6-month period in women ingesting cranberry vs placebo juice daily. PATIENTS AND

methodsPremenopausal women with a history of recent UTI were enrolled from November 16, 2005, through December 31, 2008, at 2 centers and randomized to 1 of 3 arms: 4 oz of cranberry juice daily, 8 oz of cranberry juice daily, or placebo juice. Time to UTI (symptoms plus pyuria) was the main outcome. Asymptomatic bacteriuria, adherence, and adverse effects were assessed at monthly visits.

resultsA total of 176 participants were randomized (120 to cranberry juice and 56 to placebo) and followed up for a median of 168 days. The cumulative rate of UTI was 0.29 in the cranberry juice group and 0.37 in the placebo group (P=.82). The adjusted hazard ratio for UTI in the cranberry juice group vs the placebo group was 0.68 (95% confidence interval, 0.33-1.39; P=.29). The proportion of women with P-fimbriated urinary E coli isolates during the intervention phase was 10 of 23 (43.5%) in the cranberry juice group and 8 of 10 (80.0%) in the placebo group (P=.07). The mean dose adherence was 91.8% and 90.3% in the cranberry juice group vs the placebo group. Minor adverse effects were reported by 24.2% of those in the cranberry juice group and 12.5% in the placebo group (P=.07).

conclusionCranberry juice did not significantly reduce UTI risk compared with placebo. The potential protective effect we observed is consistent with previous studies and warrants confirmation in larger, well-powered studies of women with recurrent UTI. The concurrent reduction in urinary P-fimbriated E coli strains supports the biological plausibility of cranberry activity.

trial registrationclinicaltrials.gov Identifier: NCT00128128.

Indexed as

BeveragesVaccinium macrocarponAdministration, OralAdultAnti-Bacterial AgentsBiological ProductsEscherichia coli InfectionsFemaleHumansMiddle AgedPlacebosSecondary PreventionUrinary Tract InfectionsWomen's HealthAnti-Bacterial AgentsBiological ProductsPlacebos

Identifiers

PMID22305026
PMCPMC3497550
OpenAlexW2006670261

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.