Evidence map›Paper›PMID 31899233›Full record

ArticleUrology2020

Risk Factors for Infection after Prostate Biopsy in the United States.

Jonathan E Shoag, Christopher Gaffney, Morgan Pantuck, Tianyi Sun, Michael Gorin, Edward Schaeffer, Art Sedrakyan, Andrew Vickers, Jim Hu

Open access · greenAbstract read
In one paragraph

Article in Urology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.4field-weighted citation impact, top 17% 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

13 citing papers in PubMed, 24 citations in OpenAlex.

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  5. Microbiology of infection-related complications after transrectal ultrasound-guided prostate biopsy.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2024
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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

9 authors at 5 institutions in 1 country.

Jonathan E ShoagDepartment of Urology, New York Presbyterian Hospital, Weill Cornell Medical College, New York, NY.
Christopher GaffneyDepartment of Urology, New York Presbyterian Hospital, Weill Cornell Medical College, New York, NY.
Morgan PantuckDepartment of Urology, New York Presbyterian Hospital, Weill Cornell Medical College, New York, NY.
Tianyi SunDepartment of Healthcare Policy and Research, Weill Cornell Medical College, New York, NY.
Michael GorinDepartment of Urology, Johns Hopkins School of Medicine, Baltimore, MD.
Edward SchaefferDepartment of Urology, Northwestern University, Chicago, IL.
Art SedrakyanDepartment of Healthcare Policy and Research, Weill Cornell Medical College, New York, NY.
Andrew VickersDepartment of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY.
Jim HuDepartment of Urology, New York Presbyterian Hospital, Weill Cornell Medical College, New York, NY. Electronic address: jch9011@med.cornell.edu.
NewYork–Presbyterian Hospital · USCornell University · USJohns Hopkins University · USMemorial Sloan Kettering Cancer Center · USNorthwestern University · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
SPORE In Prostate CancerP50CA092629 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Yu Chen, MICHAEL J MORRIS · 2001 to 2026
$63.0M
NCI NIH HHS P30 CA008748NCI NIH HHS P50 CA092629
6 · The paper itself

Abstract

methodsWe used the Surveillance, Epidemiology, and End Results (SEER)-Medicare linked data from 2001 to 2015 and recorded 30-day infection rates and emergency department, hospital and, intensive care unit (ICU) admissions. We performed adjusted analyses to analyze the effect of age, demographic data, surgeon volume, rectal swab use, and biopsy year on infections.

resultsWe found that the overall rate of postbiopsy infections increased from 2001 (5.9%) to 2007 (7.2%) but remained stable through 2015. Despite this, postbiopsy emergency room visits rose from 0.2% to 0.5% (95% confidence interval [CI] 0.2%-0.4%, P < .01), hospitalizations rose from 0.5% to 1.3% (95% CI 0.5%-1.0%, P < .01), and ICU admissions increased from 0.1% to 0.3% (95% CI 0.1%-0.3%, P < .01). Patients of surgeons who performed 25 biopsies per year had lower odds of postbiopsy infection (odds ratio 0.65; 95% CI 0.61-0.69) and a lower risk of hospitalization (odds ratio 0.50; 95% CI 0.43-0.59) as compared to patients of surgeons who performed one biopsy per year. Rectal swab use increased over the study period but remained low (1.8% in 2015).

conclusionWhile the overall rate of postbiopsy infections has stabilized since 2007, admissions to the emergency room, hospital, and ICU continue to rise. Increased surgeon volume was associated with a decreased risk of infection.

Indexed as

AgedBiopsyCohort StudiesHumansMaleMedicareOdds RatioPatient AdmissionPostoperative ComplicationsProstateProstatic NeoplasmsRisk FactorsSEER ProgramSurgeonsUnited StatesWorkload

Identifiers

PMID31899233
PMCPMC7549646
OpenAlexW2997157743

What OpenQuestion holds

Textmetadata
LicenceTDM
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.