Evidence map›Paper›PMID 25512816›Full record

ArticleKorean journal of urology2014

Impact of metabolic syndrome on response to medical treatment of benign prostatic hyperplasia.

Ali Cyrus, Ali Kabir, Davood Goodarzi, Afsaneh Talaei, Ali Moradi, Mohammad Rafiee, Mehrdad Moghimi, Elham Shahbazi, Elaheh Farmani

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Korean journal of urology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 8% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Preliminary assessment of Neck Circumference in Benign Prostatic Hyperplasia in Patients with Metabolic Syndrome.International braz j urol : official journal of the Brazilian Society of Urology
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Ali CyrusDepartment of Urology, Arak University of Medical Sciences, Arak, Iran.
Ali KabirMinimally Invasive Surgery Research Center, Iran University of Medical Sciences, and Department of Epidemiology, Faculty of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Davood GoodarziDepartment of Urology, Arak University of Medical Sciences, Arak, Iran.
Afsaneh TalaeiDepartment of Endocrinology, Arak University of Medical Sciences, Arak, Iran.
Ali MoradiAsadabad Health and Treatment Network, Hamedan University of Medical Sciences, Hamadan, and Department of Epidemiology, Faculty of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Mohammad RafieeDepartment of Statistics, Arak University of Medical Sciences, Arak, Iran.
Mehrdad MoghimiDepartment of Surgery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Elham ShahbaziArak University of Medical Sciences, Arak, Iran.
Elaheh FarmaniArak University of Medical Sciences, Arak, Iran.
Arak University of Medical Sciences · IRShahid Beheshti University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate the effect of metabolic syndrome (MetS) on the response to medical therapy of benign prostatic hyperplasia (BPH) after a 3-month period of treatment. MATERIALS AND

methodsThis was a cohort study of 100 patients, 47 with MetS and 53 without MetS, referred to either the primary care unit or referral hospital with BPH who had moderate lower urinary tract symptoms of prostate involvement and were candidates for medical treatment. Our main outcome was response to medical treatment with prazosin 1 mg twice a day and finasteride 5 mg daily in patients with BPH on the basis of International Prostate Symptom Score (IPSS). Multivariate analysis of covariance was used to compare BPH treatment response in patients with and without MetS before and after receiving treatment.

resultsThe mean volume of the prostate was significantly higher in MetS patients than in patients without MetS (57 ± 32.65 mL compared with 46.00 ± 20.19 mL, p=0.036). The control group demonstrated an 11-unit reduction in IPSS, whereas those with MetS showed a reduction in the symptom score of only 6 units (p<0.001). Regarding the components of MetS separately, triglyceride (p<0.001), fasting blood sugar (p=0.001), and waist circumference (p=0.028) significantly affected the clinical progression of BPH. The observational nature of this study may be a limitation in comparison with an interventional study.

conclusionsThe results of the present study showed that MetS can negatively affect the response to medical treatment of BPH. Therefore, it is necessary to consider MetS in selecting patients with BPH for drug therapy.

Indexed as

AgedCase-Control StudiesFinasterideHumansLower Urinary Tract SymptomsMaleMetabolic SyndromeMiddle AgedPatient SelectionPrazosinProstatic HyperplasiaTreatment OutcomeUrological AgentsFinasteridePrazosinUrological AgentsFinasterideLower urinary tract symptomsMetabolic syndrome XPrazosinProstatic hyperplasia

Identifiers

PMID25512816
PMCPMC4265716
OpenAlexW1992530474

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.