Evidence map›Paper›PMID 31786703›Full record

SynthesisInternational urology and nephrology2020

Does time interval between prostate biopsy and surgery affect outcomes of radical prostatectomy? A systematic review and meta-analysis.

Jie Li, Qing Jiang, Qiubo Li, Yuanfeng Zhang, Liang Gao

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in International urology and nephrology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

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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

1 citing paper in PubMed.

  1. 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

5 authors.

Jie LiDepartment of Urology, Traditional Chinese Medicine Hospital of Yubei District, Chongqing, China.
Qing JiangDepartment of Urology, The Second Affiliated Hospital of Chongqing Medical University, Linjiang Road 76#, Yuzhong District, Chongqing, China.
Qiubo LiDepartment of Urology, Jiulongpo Second People's Hospital, Chongqing, China.
Yuanfeng ZhangDepartment of Urology, The Second Affiliated Hospital of Chongqing Medical University, Linjiang Road 76#, Yuzhong District, Chongqing, China.
Liang GaoDepartment of Urology, The Second Affiliated Hospital of Chongqing Medical University, Linjiang Road 76#, Yuzhong District, Chongqing, China. gaoliang3745@163.com.ORCID http://orcid.org/0000-0002-1045-8395

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed at exploring whether the time interval (TI) between prostate biopsy and surgery affect the outcomes of radical prostatectomy (RP).

methodsA comprehensive search of the PubMed, Embase, and Cochrane Library databases was conducted to identify all eligible studies. After quality assessment and date extraction, a systematic review and meta-analysis was performed.

resultsA total of 9 studies with 8579 patients were included in our meta-analysis. Pooled data showed no significant differences between groups of TI ≤ 2 weeks and > 2 weeks in operative time, estimated blood loss, transfusion rate, bilateral nerve preservation, positively surgical margin, and complications. For comparison between TI ≤ 4 and > 4 weeks, shorter TI would be associated with significantly less estimated blood loss (p = 0.045) and lower rate of bilateral nerve preservation (p = 0.002). In addition, for TI ≤ 6 versus > 6 weeks, significantly less bilateral nerve preservation (p = 0.025) and more positive surgical margin (p = 0.020) could be found in the earlier surgery group. Sensitivity analysis indicated that TI had no impact on any outcomes of robot-assisted laparoscopic radical prostatectomy (RALP).

conclusionsAs shorter TI was associated with lower rate of bilateral nerve preservation and higher rate of positive surgical margin, it would be better to perform RP with a TI of 4 or 6 weeks after biopsy. While for RALP, shorter TI did not have any impact on outcomes of RALP, It is feasible and safe to perform RALP within 2, 4, or 6 weeks.

Indexed as

ProstatectomyTime-to-TreatmentBiopsyBlood Loss, SurgicalHumansMaleMargins of ExcisionOrgan Sparing TreatmentsPeripheral NervesProstateProstatic NeoplasmsRobotic Surgical ProceduresTime FactorsTreatment OutcomeBiopsyMeta-analysisProstate cancerProstatectomyTime interval

Identifiers

What OpenQuestion holds

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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.