Evidence map›Paper›PMID 31321678›Full record

ArticleInternational urology and nephrology2019

Intravesical application of platelet-rich plasma in patients with persistent haemorrhagic cystitis after hematopoietic stem cell transplantation: a single-centre preliminary experience.

Lorenzo Masieri, Francesco Sessa, Andrea Mari, Riccardo Campi, Gianmartin Cito, Pierangelo Verrienti, Chiara Nozzoli, Riccardo Saccardi, Simone Sforza, Fabrizio Di Maida and 3 more

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In one paragraph

Article in International urology and nephrology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 25% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
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  6. Review
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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

13 authors at 2 institutions in 1 country.

Lorenzo MasieriDepartment of Urology, Clinica Urologica I, Azienda Ospedaliera Careggi, Università di Firenze, Viale San Luca, 50134, Florence, Italy.
Francesco SessaDepartment of Urology, Clinica Urologica I, Azienda Ospedaliera Careggi, Università di Firenze, Viale San Luca, 50134, Florence, Italy. francesco_sessa@hotmail.com.ORCID http://orcid.org/0000-0003-2596-5792
Andrea MariDepartment of Urology, Clinica Urologica I, Azienda Ospedaliera Careggi, Università di Firenze, Viale San Luca, 50134, Florence, Italy.
Riccardo CampiDepartment of Urology, Clinica Urologica I, Azienda Ospedaliera Careggi, Università di Firenze, Viale San Luca, 50134, Florence, Italy.
Gianmartin CitoDepartment of Urology, Clinica Urologica I, Azienda Ospedaliera Careggi, Università di Firenze, Viale San Luca, 50134, Florence, Italy.
Pierangelo VerrientiDepartment of Urology, Clinica Urologica I, Azienda Ospedaliera Careggi, Università di Firenze, Viale San Luca, 50134, Florence, Italy.
Chiara NozzoliDepartment of Haematology, University of Florence, Careggi Hospital, Florence, Italy.
Riccardo SaccardiDepartment of Haematology, University of Florence, Careggi Hospital, Florence, Italy.
Simone SforzaDepartment of Urology, Clinica Urologica I, Azienda Ospedaliera Careggi, Università di Firenze, Viale San Luca, 50134, Florence, Italy.
Fabrizio Di MaidaDepartment of Urology, Clinica Urologica I, Azienda Ospedaliera Careggi, Università di Firenze, Viale San Luca, 50134, Florence, Italy.
Antonio Andrea GrossoDepartment of Urology, Clinica Urologica I, Azienda Ospedaliera Careggi, Università di Firenze, Viale San Luca, 50134, Florence, Italy.
Marco CariniDepartment of Urology, Clinica Urologica I, Azienda Ospedaliera Careggi, Università di Firenze, Viale San Luca, 50134, Florence, Italy.
Andrea MinerviniDepartment of Urology, Clinica Urologica I, Azienda Ospedaliera Careggi, Università di Firenze, Viale San Luca, 50134, Florence, Italy.
Azienda Ospedaliero-Universitaria Careggi · ITUniversity of Florence · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeHaemorrhagic cystitis (HC) after allogeneic transplantation (HSCT) is a condition characterized by diffuse inflammation and bleeding from the bladder mucosa. Treatment of HC is not standardized and clinical Guidelines are elusive. The aim of this study was to evaluate the safety and efficacy of intravesical treatment with platelet-rich plasma (PRP) in patients with HC after allogenic HSCT.

methodsData from ten consecutive patients with BK virus-induced HC between 2013 and 2017 were collected. HC was classified into four grades. Inclusion criteria were (a) grade 3 or 4 BKV-induced HC after allogenic HSCT; (b) HC refractory to conservative therapy. All patients underwent transurethral cystoscopy and PRP treatment under general anaesthesia.

resultsMean patients' age was 33.6 years. Four patients (40%) presented a grade 3 BKV-induced HC and six patients (60%) a grade 4. No intraoperative complications occurred. Postoperative complications were recorded in six patients: three patients required blood transfusion while three patients endovenous antibiotic therapy. Median time to catheter removal was 6 days (IQR 2-10). Median length of hospitalization was 35 days (IQR 6-73). At 30 days after surgery, a three-way catheter was repositioned in one patient for grade 4 haematuria, six patients had a complete response, and three a partial response.

conclusionsOur preliminary experience suggests that intravesical administration of PRP should be considered as a feasible and safe option for the treatment of BK-induced HC after HSCT. Future studies are needed to assess its potential value in other forms of haemorrhagic cystitis.

Indexed as

Hematopoietic Stem Cell TransplantationPlatelet-Rich PlasmaAdministration, IntravesicalAdolescentAdultCystitisHemorrhageHumansMiddle AgedPostoperative ComplicationsRetrospective StudiesTransplantation, HomologousYoung AdultAllogeneic hematopoietic transplantationBladder irrigationHaematuriaHemorrhagic cystitisPlatelet-rich plasma

Identifiers

PMID31321678
OpenAlexW2956565629

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.