Evidence map›Paper›PMID 29427001›Full record

ArticleWorld journal of urology2018

Association of benign prostatic hyperplasia and subsequent risk of bladder cancer: an Asian population cohort study.

Chu-Wen Fang, Cheng-Hsi Liao, Shih-Chi Wu, Chih-Hsin Muo

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Article in World journal of urology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 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.

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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Chu-Wen FangDivision of Urology, Department of Surgery, Chi Mei Medical Center, Tainan, Taiwan.
Cheng-Hsi LiaoGraduate Institute of Clinical Medical Science, China Medical University, Taichung, Taiwan.
Shih-Chi WuGraduate Institute of Clinical Medical Science, China Medical University, Taichung, Taiwan. rw114@mail.cmuh.org.tw.ORCID http://orcid.org/0000-0002-4686-7043
Chih-Hsin MuoManagement Office for Health Data, China Medical University and Hospital, No. 2, Yuh-Der Road, Taichung, 404, Taiwan.

Funding

China Medical University Hospital (TW), Academia Sinica Taiwan Biobank Stroke Biosignature Project BM10601010036Taiwan Clinical Trial Consortium for Stroke MOST 106-2321-B-039-005Taiwan Ministry of Health and Welfare Clinical Trial Center MOHW106-TDU-B-212-113004
6 · The paper itself

Abstract

objectivesFew studies discussed the link between benign prostatic hyperplasia (BPH) and bladder cancer. We performed this cohort study to investigate whether there is an association between BPH and subsequent risk of bladder cancer.

methodsWe identified 35,092 study subjects including 17546 BPH patients and 17546 comparisons from the National Health Insurance database. The comparison cohort was frequency matched with age and index-year. We measured subsequent bladder cancer rates (per 1000 person-years) in two cohorts. Attributable risks (ARs) was calculated based on the bladder cancer rates in two cohorts. The hazard ratios (HRs) and 95% confidence intervals (CIs) for bladder cancer were estimated via Cox proportional hazard regression.

resultsBPH patients had a higher bladder cancer rate than comparisons (AR = 0.81 per 1000 person-years) and exhibited 4.69- and 4.11-fold increases in bladder cancer risk in the crude and adjusted Cox models, respectively (95% CIs = 4.15-6.99 and 2.70-6.26). The AR was highest in patients aged 65-74 years old (AR = 1.33). BPH patients with chronic kidney disease were at an elevated bladder cancer risk. Regarding the association between bladder cancer and transurethral prostatectomy (TURP), BPH patients who underwent TURP were at a higher risk of bladder cancer (AR = 1.69; HR = 6.17, 95% CI = 3.68-10.3) than those who did not (AR = 0.69; HR = 3.73, 95% CI = 2.43-5.74).

conclusionsIn this study, BPH patients were found to have an increased risk of subsequent bladder cancer. Based on the limitations of retrospective nature, further studies are needed.

Indexed as

AdultAgedHumansMaleMiddle AgedPostoperative ComplicationsProportional Hazards ModelsProstatic HyperplasiaRetrospective StudiesTaiwanTransurethral Resection of ProstateUrinary Bladder NeoplasmsYoung AdultBenign prostatic hyperplasiaBladder cancerBPH

Identifiers

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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.