Evidence map›Paper›PMID 31781894›Full record

ArticleWorld journal of urology2020

Long-term outcomes of anastomotic urethroplasty for radiation-induced strictures.

Christopher G Keith, Michael T Davenport, Mehraban Kavoussi, Yooni A Yi, Rachel L Bergeson, Allen F Morey

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 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 10% 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

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

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Genitourinary reconstruction.World journal of urology · 2020
    Article
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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

6 authors at 2 institutions in 1 country.

Christopher G KeithDepartment of Urology, UT Southwestern Medical Center, 2001 Inwood Rd., Dallas, TX, 75390-9110, USA.
Michael T DavenportDepartment of Urology, UT Southwestern Medical Center, 2001 Inwood Rd., Dallas, TX, 75390-9110, USA.
Mehraban KavoussiDepartment of Urology, UT Southwestern Medical Center, 2001 Inwood Rd., Dallas, TX, 75390-9110, USA.
Yooni A YiDepartment of Urology, UT Southwestern Medical Center, 2001 Inwood Rd., Dallas, TX, 75390-9110, USA.
Rachel L BergesonDepartment of Urology, UT Southwestern Medical Center, 2001 Inwood Rd., Dallas, TX, 75390-9110, USA.
Allen F MoreyDepartment of Urology, UT Southwestern Medical Center, 2001 Inwood Rd., Dallas, TX, 75390-9110, USA. allen.morey@utsouthwestern.edu.
Southwestern Medical CenterThe University of Texas Southwestern Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo present our experience with excision and primary anastomosis (EPA) of radiation-induced urethral strictures (RUS) in men, including risk factors for stricture recurrence and long-term recurrence rates.

methodsA retrospective review was performed of patients who underwent EPA of RUS between 2007 and 2018 at a single tertiary referral center. Demographic information, stricture location and length, complications, and stricture recurrence were analyzed. Univariate and multivariate Cox regression analyses were performed to identify variables impacting recurrence.

resultsEPA was performed in 116 patients with RUS. The majority of patients (86.2%, 100/116) underwent at least one prior urologic intervention. Mean stricture length was 2.3 cm. Stricture recurrence occurred in 19.0% (22/116) at a mean of 8.6 months. For patients with at least 1 year of postoperative follow-up (mean 30.7 months), stricture recurrence significantly increased to 36.6% (15/41; p = 0.03). On univariate and multivariate analyses, postoperative complications were associated with stricture recurrence (p < 0.001).

conclusionEPA remains a viable option for men with RUS. Nearly two-thirds of RUS patients remain recurrence-free with long-term follow-up following EPA.

Indexed as

AgedAged, 80 and overAnastomosis, SurgicalHumansMaleMiddle AgedRadiation InjuriesRecurrenceRetrospective StudiesRisk FactorsTime FactorsTreatment OutcomeUrethraUrethral StrictureUrologic Surgical Procedures, MaleExcision and primary anastomosisRadiationUrethral strictureUrethroplasty

Identifiers

PMID31781894
OpenAlexW2990381182

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.