Evidence map›Paper›PMID 25917070›Full record

ArticleBMJ case reports2015

Does this case hold the answer to one of the worse types of pain in medicine--that of loin pain haematuria syndrome (LPHS).

Alan Russell, Suman Chatterjee, Michael Seed

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in BMJ case reports, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.0field-weighted citation impact, top 24% 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

8 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. Treatment and Management of Loin Pain Hematuria Syndrome.Current pain and headache reports · 2021
    Review
  4. Review
  5. Renal autotransplantation results in pain resolution after left renal vein transposition.Journal of vascular surgery. Venous and lymphatic disorders · 2019
    Article
  6. The "UW-LPHS Test": A New Test to Predict the Outcome of Renal Autotransplant for Loin Pain Hematuria Syndrome.Experimental and clinical transplantation : official journal of the Middle East Society for Organ Transplantation · 2018
    Article
  7. Commentary: Loin Pain Hematuria Syndrome.Journal of rare diseases research & treatment · 2018
    Article
  8. Article
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

3 authors at 3 institutions in 2 countries.

Alan RussellBrampton Pain Clinic, Main St Medical Centre, Brampton, Canada.
Suman ChatterjeeWilliam Osler Health Centre, Brampton Civic Hospital, Brampton, Canada.
Michael SeedMedicines Research Group, School of Health Sport & Bioscience, University of East London, London, UK.
Brampton Civic Hospital · CAUniversity of East London · GBWilliam Osler Health System · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A patient with loin pain haematuria syndrome suffering chronic throbbing pulsing pain overlaid with prolonged periods of incapacitating colic and overnight vomiting was presented 10 months following diagnosis. Ultrasound was normal. No renal or ureteral stones, or filling defects were seen on CT. At cytoscopy, bladder and urethra were normal, and bloody urine effluxed from the left ureteric orifice. The ureters were normal at diagnosis, and developed new abutting non-penetrating calcifications by 8 months. Pain episodes of complete incapacitating intensity of 2-4 h duration were reduced to 10 min with 5 mg crushed tadalafil administered at onset. If tadalafil was delayed to after onset, the original course of agony resulted. Daily tadalafil reduced loin pain intensity, but not the exacerbations. Tadalafil efficacy may indicate that the pain exacerbations are due to spasm of ureter smooth muscle. 5 mg tadalafil taken at onset alleviated severe loin pain exacerbations in this case of loin pain haematuria syndrome.

Indexed as

AdultAnalgesics, OpioidDrug Administration ScheduleFemaleHematuriaHumansIntractable PainPelvic PainPhosphodiesterase 5 InhibitorsRamiprilRecurrenceSyndromeTadalafilTreatment OutcomeUreterAnalgesics, OpioidPhosphodiesterase 5 InhibitorsRamiprilTadalafil

Identifiers

PMID25917070
PMCPMC4422930
OpenAlexW1983414710

What OpenQuestion holds

Textmetadata
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.