Evidence map›Paper›PMID 22546389›Full record

ArticleUrology2012

National trends in surgical therapy for benign prostatic hyperplasia in the United States (2000-2008).

Bahaa S Malaeb, Xinhua Yu, A Marshall McBean, Sean P Elliott

Registry-linked trialAbstract read
In one paragraph

Article in Urology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05116592 (Post Prostatectomy Incontinence After Enucleation Surgery), which is not on this map. Cited by 66 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed, 6 pooled it
–field-weighted citation impact
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.

NCT05116592 unknown statusnot on this mapstarted 2020, after this paper: background citation

Post Prostatectomy Incontinence After Enucleation Surgery

TypeobservationalSponsorNational Taiwan University HospitalRan2020 to 2024Enrolled330ConditionsBenign Prostatic Hyperplasia, Incontinence
3 · Its place in the literature

Who cites it

66 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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6 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Bahaa S MalaebDepartment of Urology, University of Minnesota, Minneapolis, Minnesota 55455, USA.
Xinhua Yu
A Marshall McBean
Sean P Elliott

Funding

Measuring the Impact of the Rapid Expansion of MIST Procedures for BPHR21DK081055 · NIDDK · UNIVERSITY OF MINNESOTA · PI MCBEAN, ALEXANDER M · 2009 to 2010
$415k
NIDDK NIH HHS 5R21DK081055-02NIDDK NIH HHS R21 DK081055
6 · The paper itself

Abstract

objectiveTo report an update of the change in usage trends for different surgical treatments of benign prostatic hyperplasia (BPH) among the United States Medicare population data from 2000-2008. The rate of usage of thermotherapy and laser therapy in the surgical treatment of BPH has been changing over the past decade in conjunction with a steady decrease of transurethral resection of the prostate (TURP).

methodsUsing the 100% Medicare carrier file for the years 2000-2008, we calculated counts and population-adjusted rates of BPH surgery. Rates of TURP, thermotherapy, and laser-using modalities were calculated and compared in relation to age, race, clinical setting, and reimbursement.

resultsAfter years of a steady rise, the total rate of all BPH procedures peaked in 2005 at 1078/100,000 and then declined by 15.4% to 912/100,000 in 2008. TURP rates continued to decline from 670 in 2000 to 351/100,000 in 2008. Rates of microwave thermoablation peaked in 2006 at 266/100,000 and then declined 26% in 2008. Laser vaporization almost completely replaced laser coagulation and in 2008 was the most commonly performed procedure second to TURP, with the majority performed as outpatient procedures (70%) and an increasing percentage in the office (12%). Men between ages 70 and 75 had the highest rate of procedures. Reimbursement rates correlate using some but not all procedures. Racial disparities reported previously appear to have resolved.

conclusionSurgical treatment of BPH continues to change rapidly. TURP continues to decline and laser vaporization is the fastest growing modality. There is a big shift toward outpatient/office procedures. Reimbursement rates do not appear to have a consistent effect on usage.

Indexed as

AgedAged, 80 and overAmbulatory CareHumansHyperthermia, InducedLaser CoagulationLaser TherapyMaleMedicareMicrowavesProstatic HyperplasiaTransurethral Resection of ProstateUnited States

Identifiers

PMID22546389
PMCPMC3415208

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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.