Evidence map›Paper›PMID 32662556›Full record

ReviewNeurourology and urodynamics2020

Can radiation-induced lower urinary tract disease be ameliorated in patients treated for pelvic organ cancer: ICI-RS 2019?

Ruud Bosch, Karen McCloskey, Amit Bahl, Salvador Arlandis, Jeremy Ockrim, Jeffrey Weiss, Tamsin Greenwell

Open access · hybridAbstract readReview
In one paragraph

Review in Neurourology and urodynamics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.2field-weighted citation impact, top 20% 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

10 citing papers in PubMed, 15 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Article
  6. [Efficacy analysis of laparoscopy combined with flexible ureteroscope in the treatment of complex ureteral stricture].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2025
    Article
  7. Article
  8. Review
  9. Article
  10. Review
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

7 authors at 6 institutions in 4 countries.

Ruud BoschDepartment of Urologic Oncology, UMC Utrecht Cancer Center, University Medical Center Utrecht, Utrecht, The Netherlands.ORCID 0000-0003-4833-0538
Karen McCloskeyCentre for Cancer Research and Cell Biology, School of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast, Belfast, UK.ORCID 0000-0002-9135-9013
Amit BahlBristol Cancer Institute, University Hospitals Bristol NHS Foundation Trust, Bristol, UK.
Salvador ArlandisFunctional and Reconstructive Urology Section, Hospital Universitari Politècnic La Fe, Valencia, Spain.ORCID 0000-0002-1224-9423
Jeremy OckrimFemale, Functional and Restorative Urology Unit, University College London Hospitals, London, UK.
Jeffrey WeissDepartment of Urology, SUNY Downstate Health Sciences University, Brooklyn, New York.
Tamsin GreenwellFemale, Functional and Restorative Urology Unit, University College London Hospitals, London, UK.ORCID 0000-0002-9074-7604
University College Hospital · GBHospital Universitari i Politècnic La Fe · ESQueen's University Belfast · GBSUNY Downstate Health Sciences University · USUniversity Hospitals Bristol NHS Foundation Trust · GBUniversity Medical Center Utrecht · NL

Funding

Medical Research Council MR/M012425/1
6 · The paper itself

Abstract

aimsThis article reviews the clinical outcomes and basic science related to negative effects of radiotherapy (RT) on the lower urinary tract (LUT) when used to treat pelvic malignancies.

methodsThe topic was discussed at the 2019 meeting of the International Consultation on Incontinence-Research Society during a "think tank" session and is summarized in the present article.

resultsRT is associated with adverse effects on the LUT, which may occur during treatment or which can develop over decades posttreatment. Here, we summarize the incidence and extent of clinical symptoms associated with several modes of delivery of RT. RT impact on normal tissues including urethra, bladder, and ureters is discussed, and the underlying biology is examined. We discuss innovative in vivo methodologies to mimic RT in the laboratory and their potential use in the elucidation of mechanisms underlying radiation-associated pathophysiology. Finally, emerging questions that need to be addressed through further research are proposed.

conclusionsWe conclude that RT-induced negative effects on the LUT represent a significant clinical problem. Although this has been reduced with improved methods of delivery to spare normal tissue, we need to (a) discover better approaches to protect normal tissue and (b) develop effective treatments to reverse radiation damage.

Indexed as

FemaleHumansLower Urinary Tract SymptomsMalePelvic NeoplasmsRadiation InjuriesUrethraUrinary Bladderbrachytherapyexternal beam radiation therapyhemorrhagic cystitislower urinary tract fibrosispelvic floor muscle damageprevention of radiation-induced LUT complicationsradiation cystitis

Identifiers

PMID32662556
PMCPMC7496485
OpenAlexW3042470456

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.