Evidence map›Paper›PMID 30805683›Full record

ReviewWorld journal of urology2019

What is a disease? What is the disease clinical benign prostatic hyperplasia (BPH)?

Keong Tatt Foo

Registry-linked trialAbstract readReview
In one paragraph

Review in World journal of urology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04802252 (A Diagnostic Study of Abnormal Acoustic Waves in Modern Pulse in Benign Prostatic Hyperplasia), which is not on this map. Cited by 55 papers.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed
–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.

NCT04802252 unknown statusnot on this mapstarted 2021, after this paper: background citation

A Diagnostic Study of Abnormal Acoustic Waves in Modern Pulse in Benign Prostatic Hyperplasia

TypeobservationalSponsorQianfoshan HospitalRan2021 to 2022Enrolled124ConditionsBenign Prostatic Hyperplasia, Radial Artery
3 · Its place in the literature

Who cites it

55 citing papers in PubMed.

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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

1 author.

Keong Tatt FooDepartment of Urology, Singapore General Hospital, Academia Level 5, 20 College Road, Singapore, 169856, Singapore. foo.keong.tatt@singhealth.com.sg.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThough clinical benign prostatic hyperplasia (BPH) is a common disease worldwide, there is still much confusion in the literature and the many clinical guidelines as to its definition. Often the disease is associated with lower urinary tract symptoms (LUTS) and managed according to only symptoms. This leads to undertreatment in some patients with severe bladder outlet obstruction (BOO) with no symptoms, and overtreatment in patients with LUTS but no clinical BPH. DEFINITION OF A DISEASE: Fundamentally, a disease can be defined as an abnormal structure or function or a condition which may cause harm to the organism. DEFINITION OF CLINICAL BPH: Thus, clinical BPH can be defined as prostate adenoma/adenomata, causing a varying degree of BOO, which may eventually cause harm to the patients. With this definition, we are then able to differentiate the disease clinical BPH from the many other less common causes of LUTS, and then treat it according to its severity. DIAGNOSING CLINICAL BPH: Clinical BPH can be diagnosed with non-invasive ultrasound in the clinic, grading it according to the shape (intravesical prostatic protrusion) and size of the prostate. CLINICAL SIGNIFICANCE: Treatment can then be planned according to the disease severity using our staging system that classifies severity according to the presence or absence of significant obstruction and bothersomeness of symptoms.

conclusionThis would lead to better individualised and cost-effective management of the disease clinical BPH.

Indexed as

HumansLower Urinary Tract SymptomsMaleOrgan SizeProstateProstatic HyperplasiaUltrasonographyUrinary Bladder Neck ObstructionBenign prostatic hyperplasiaDefinitionGradingIndividualised careStagingTransabdominal ultrasound

Identifiers

PMID30805683
PMCPMC6620380

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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.