Evidence map›Paper›PMID 31197524›Full record

ArticleWorld journal of urology2020

Feasibility of holmium laser enucleation of the prostate as a 1-day surgery.

Haidar Abdul-Muhsin, William Critchlow, Anojan Navaratnam, James Gnecco, Kimberly Tay, Marlene Girardo, Paul Andrews, Scott Cheney, Mitchell Humphreys

Abstract read
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In one paragraph

Article in World journal of urology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 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

14 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Review
  7. Performing urological inpatient procedures as same-day procedures during the COVID pandemic A retrospective feasibility study.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2023
    Article
  8. Ambulatory surgery for Moses™ holmium laser enucleation of the prostate A prospective, real-practice study from a single center.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2023
    Article
  9. Article
  10. Article
  11. Article
  12. Same-day trial of void and discharge following standard vs. MOSESCanadian Urological Association journal = Journal de l'Association des urologues du Canada · 2023
    Article
  13. Article
  14. 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

9 authors.

Haidar Abdul-MuhsinDepartment of Urology, Mayo Clinic in Arizona, 5777 E Mayo Blvd, Phoenix, AZ, 85054, USA. Abdul-Muhsin.Haidar@mayo.edu.ORCID http://orcid.org/0000-0002-3860-8199
William CritchlowDepartment of Urology, Mayo Clinic in Arizona, 5777 E Mayo Blvd, Phoenix, AZ, 85054, USA.
Anojan NavaratnamDepartment of Urology, Mayo Clinic in Arizona, 5777 E Mayo Blvd, Phoenix, AZ, 85054, USA.
James GneccoDepartment of Urology, Mayo Clinic in Arizona, 5777 E Mayo Blvd, Phoenix, AZ, 85054, USA.
Kimberly TayDepartment of Urology, Mayo Clinic in Arizona, 5777 E Mayo Blvd, Phoenix, AZ, 85054, USA.
Marlene GirardoDivision of Biostatistics, Department of Health Sciences Research, Mayo Clinic in Arizona, 13400 E. Shea Blvd, Scottsdale, AZ, 85259, USA.
Paul AndrewsDepartment of Urology, Mayo Clinic in Arizona, 5777 E Mayo Blvd, Phoenix, AZ, 85054, USA.
Scott CheneyDepartment of Urology, Mayo Clinic in Arizona, 5777 E Mayo Blvd, Phoenix, AZ, 85054, USA.
Mitchell HumphreysDepartment of Urology, Mayo Clinic in Arizona, 5777 E Mayo Blvd, Phoenix, AZ, 85054, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess the safety and feasibility of HoLEP as a day-case procedure.

methodsWe reviewed all consecutive patients who underwent HoLEP at our institution between February 2017 and March 2018. During this time, we began a prospective trial aimed at same-day discharge of specific patients. Baseline and demographic variables, and past medical, past urological, intra-operative and post-operative variables in addition to disposition and readmission data were collected. Bivariate analysis was conducted to compare patients based on the day of discharge and readmission. A multivariable model using multiple-regression analysis was used to assess predictors for early discharge or readmission.

resultsThere were 179 total HoLEP procedures that were performed during the study period. Forty-seven patients were suitable candidates for same-day discharge. Among this group, 28 (59.5%) patients were successfully discharged home on the same day. Nineteen patients (40.4%) could not be discharged. The most common cause of not to discharge patients was the degree of hematuria without continuous bladder irrigation. Pre-operative prostate volume was different between the two groups (88.4 ± 30.7 cc for discharged patients vs 69.0 ± 30.7 cc for admitted patients, p = 0.033). No other pre-operative differences were identified. There were five readmissions (17.8%) following same-day discharge. Readmitted patients had higher rates of history of urinary tract infection (80% vs 26.2%, p = 0.0304). On multivariable analysis, no statistically significant predictors were identified for early discharge or readmission.

conclusionsSame-day discharge following HoLEP is safe and feasible in well-selected patients.

Indexed as

Ambulatory Surgical ProceduresAgedAged, 80 and overFeasibility StudiesHumansLasers, Solid-StateMaleMiddle AgedProspective StudiesProstatectomyProstatic HyperplasiaBPHHoLEPHolmiumProstateSame day surgery

Identifiers

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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.