Evidence map›Paper›PMID 31321465›Full record

SynthesisInternational urogynecology journal2019

Laser treatment for the management of genitourinary syndrome of menopause after breast cancer. Hope or hype?

Anastasios Tranoulis, Dimitra Georgiou, Lina Michala

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in International urogynecology journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.6field-weighted citation impact, top 28% 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

7 citing papers in PubMed, 10 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Review
  5. Review
  6. Article
  7. Vaginal laser for overactive bladder syndrome.International urogynecology journal · 2020
    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.

Anastasios TranoulisDepartment of Obstetrics and Gynaecology, Guy's and St Thomas' NHS Foundation, King's College, Westminster Bridge Rd, Lambeth, London, SE1 7EH, UK. tasostranoulis@yahoo.com.
Dimitra GeorgiouDepartment of Obstetrics and Gynaecology, Chelsea and Westminster NHS Trust, Imperial College, London, UK.
Lina MichalaFirst Department of Obstetrics and Gynaecology, Alexandra Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece.
Guy's and St Thomas' NHS Foundation Trust · GBImperial College London · GBNational and Kapodistrian University of Athens · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisFractional CO

methodsWe conducted a systematic review of the literature to ascertain whether available evidence supports the efficacy and safety of laser treatment for GSM in BC patients. MEDLINE, Scopus and Cochrane Library databases were systematically searched from inception until March 2019 for studies on laser treatment for GSM in BC patients.

resultsWe yielded six observational studies meeting the inclusion criteria. The studies were of moderate quality. Taken together, the studies suggest that laser treatment may significantly alleviate or resolve the GSM-related symptoms and improve sexual function. Furthermore, a significant increase of the vaginal health index was reported. Positive effect was maintained up to 12 months. The safety and tolerability profile is encouraging, given that no adverse effects were reported, while only few patients discontinued laser treatment, owing to reported discomfort.

conclusionsOur findings suggest that lasers appear to be effective and practical treatment options in BC survivors suffering from GSM. Evidence concerning long-term effects is lacking. The rationale for repeated treatment remains uncertain. Randomized controlled trials that collate different frequencies, intensities and durations are warranted to ascertain a dose-response relationship and adherence.

Indexed as

Breast NeoplasmsFemaleFemale Urogenital DiseasesHumansLasers, Solid-StateMenopauseSyndromeBreast cancerGenitourinary syndrome of menopauseLaserVaginal atrophy

Identifiers

PMID31321465
OpenAlexW2958322827

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.