Evidence map›Paper›PMID 26148853›Full record

Trial reportBMC urology2015

Sodium hyaluronate and chondroitin sulfate replenishment therapy can improve nocturia in men with post-radiation cystitis: results of a prospective pilot study.

Mauro Gacci, Omar Saleh, Claudia Giannessi, Beatrice Detti, Lorenzo Livi, Eleonora Monteleone Pasquetti, Tatiana Masoni, Enrico Finazzi Agro, Vincenzo Li Marzi, Andrea Minervini and 4 more

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in BMC urology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 10% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Effect of hyaluronic acid on radiotherapy-induced mucocutaneous side effects: a meta-analysis of randomized controlled trials.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Pooled it
  2. Article
  3. Effects of hyaluronic acid and chondroitin sulfate on acute radiation proctitis in rats.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2023
    Article
  4. Article
  5. Review
  6. Review
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

14 authors at 1 institution in 1 country.

Mauro GacciDepartment of Urology, University of Florence, Careggi Hospital, Largo Brambilla 3, Urologic Clinic San Luca, Florence, 50100, Italy. maurogacci@yahoo.it.
Omar SalehDepartment of Urology, University of Florence, Careggi Hospital, Largo Brambilla 3, Urologic Clinic San Luca, Florence, 50100, Italy. os11nov@hotmail.com.
Claudia GiannessiDepartment of Urology, University of Florence, Careggi Hospital, Largo Brambilla 3, Urologic Clinic San Luca, Florence, 50100, Italy. cgiannessi@yahoo.it.
Beatrice DettiDepartment of Radiation Therapy, University of Florence, Careggi Hospital, Largo Brambilla 3, Florence, Italy. beatrice.detti@aouc.unifi.it.
Lorenzo LiviDepartment of Radiation Therapy, University of Florence, Careggi Hospital, Largo Brambilla 3, Florence, Italy. Lorenzo.livi@unifi.it.
Eleonora Monteleone PasquettiDepartment of Radiation Therapy, University of Florence, Careggi Hospital, Largo Brambilla 3, Florence, Italy. flowerle@tiscali.it.
Tatiana MasoniDepartment of Radiation Therapy, University of Florence, Careggi Hospital, Largo Brambilla 3, Florence, Italy. tatim@tiscali.it.
Enrico Finazzi AgroDepartment of Urology, Tor Vergata University, Via di Tor Vergata, Rome, Italy. efinazzi@tin.it.
Vincenzo Li MarziDepartment of Urology, University of Florence, Careggi Hospital, Largo Brambilla 3, Urologic Clinic San Luca, Florence, 50100, Italy. vlimarzi@hotmail.com.
Andrea MinerviniDepartment of Urology, University of Florence, Careggi Hospital, Largo Brambilla 3, Urologic Clinic San Luca, Florence, 50100, Italy. andreamine@libero.it.
Marco CariniDepartment of Urology, University of Florence, Careggi Hospital, Largo Brambilla 3, Urologic Clinic San Luca, Florence, 50100, Italy. carini@unifi.it.
Stavros GravasDepartment of Urology, University Hospital of Larissa, Larissa, Greece. sgravas2002@yahoo.com.
Matthias OelkeDepartment of Urology, Hannover Medical School, Hannover, Germany. Oelke.Matthias@mh-hannover.de.
Sergio SerniDepartment of Urology, University of Florence, Careggi Hospital, Largo Brambilla 3, Urologic Clinic San Luca, Florence, 50100, Italy. sergio.serni@unifi.it.
University Hospital of Larissa · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRadiotherapy is one of the treatment options for prostate cancer (PCa) but up to 25% of men report about severe nocturia (nocturnal voiding). The combination of hyaluronic acid (HA) and chondroitin sulfate (CS) resembles glycosaminoglycan (GAG) replenishment therapy. The aim of our study was to evaluate the impact of HA and CS on nocturia, in men with nocturia after PCa radiotherapy.

methodsTwenty-three consecutive patients with symptomatic cystitis after external radiotherapy for PCa were enrolled. Patients underwent bladder instillation therapy with HA and CS weekly for the first month and, afterwards, on week 6, 8 and 12. Nocturnal voiding frequency was assessed by item 3 (Q3) of the Interstitial Cystitis Symptoms Index (ICSI) and item 2 (Q2) of the Interstitial Cystitis Problem Index (ICPI). Data were analyzed with paired-samples T-test and adjusted for age.

resultsEighteen patients (78%) reported about nocturia. Pre- and post-treatment ICSI-Q3 was 2.13 ± 0.28 and 1.61 ± 0.21 (-24.4%, p = 0.001). With logistic regression analysis, both age and baseline ICSI-Q3 had a significant impact on nocturnal voiding frequency (r = 0.293, p = 0.011 and r = 0.970, p < 0.001). Pre- and post-treatment ICPI-Q2 was 1.87 ± 0.26 and 1.30 ± 0.25 (-30.5%, p = 0.016); logistic regression analysis was without significant findings.

conclusionBladder instillation treatment with a combination of HA and CS was effective in reducing nocturnal voiding frequency in men with post-radiation bladder pain for PCa. Randomized, controlled trials with sham treatment are needed to confirm our result.

Indexed as

Administration, IntravesicalAgedChondroitin SulfatesCystitisDrug CombinationsHumansHyaluronic AcidMaleNocturiaPilot ProjectsProspective StudiesProstatic NeoplasmsRadiation InjuriesRadiotherapy, ConformalTreatment OutcomeChondroitin Sulfateschondroitin sulfate, sodium hyaluronate drug combinationDrug CombinationsHyaluronic Acid

Identifiers

PMID26148853
PMCPMC4493946
OpenAlexW1504990035

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.