Evidence map›Paper›PMID 33757474›Full record

Trial reportBMC urology2021

High dose versus low dose standardized cranberry proanthocyanidin extract for the prevention of recurrent urinary tract infection in healthy women: a double-blind randomized controlled trial.

Asma Babar, Lynne Moore, Vicky Leblanc, Stéphanie Dudonné, Yves Desjardins, Simone Lemieux, Valérie Bochard, Denis Guyonnet, Sylvie Dodin

Registry-linked trialOpen access · goldAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC urology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02572895 (Recurrent Urinary Tract Infection Prevention With Biologic Cranberry Extract Intake Standardized in Proanthocyanidins), which is not on this map. Cited by 22 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 4 pooled it
5.1field-weighted citation impact, top 4% 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.

NCT02572895 phase1unknown statusnot on this map

Recurrent Urinary Tract Infection Prevention With Biologic Cranberry Extract Intake Standardized in Proanthocyanidins: A Double-blind Clinical Trial

TypeinterventionalSponsorLaval UniversityRan2015 to 2017Enrolled140ConditionsUrinary Tract InfectionsArmsCranberry extract
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 4 syntheses or guidelines pooled it, 48 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Cranberries for preventing urinary tract infections.The Cochrane database of systematic reviews · 2023
    Pooled it
  4. Cranberries for preventing urinary tract infections.The Cochrane database of systematic reviews · 2023
    Pooled it
  5. Trial
  6. Trial
  7. Article
  8. CAUTIon - not all UTIs are the same.Nature reviews. Urology · 2025
    Review
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  10. 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

9 authors at 2 institutions in 1 country.

Asma BabarCHU de Québec-Laval University Research Center, Québec City, Canada.
Lynne MooreDepartment of Social and Preventive Medicine, Faculty of Medicine, Laval University, Québec City, Canada.
Vicky LeblancInstitute of Nutrition and Functional Foods, Laval University, Québec City, Canada.
Stéphanie DudonnéInstitute of Nutrition and Functional Foods, Laval University, Québec City, Canada.
Yves DesjardinsInstitute of Nutrition and Functional Foods, Laval University, Québec City, Canada.
Simone LemieuxInstitute of Nutrition and Functional Foods, Laval University, Québec City, Canada.
Valérie BochardDiana Food, Rennes, France.
Denis GuyonnetDiana Nova, Paris, France.
Sylvie DodinCHU de Québec-Laval University Research Center, Québec City, Canada. sylvie.dodin@fmed.ulaval.ca.
Université Laval · CAHôpital Saint-François d'Assise · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeOur objective was to assess the efficacy of a high dose cranberry proanthocyanidin extract for the prevention of recurrent urinary tract infection. MATERIAL AND

methodsWe recruited 145 healthy, adult women with a history of recurrent urinary tract infection, defined as ≥ 2 in the past 6 months or ≥ 3 in the past 12 months in this randomized, controlled, double-blind clinical trial. Participants were randomized to receive a high dose of standardized, commercially available cranberry proanthocyanidins (2 × 18.5 mg daily, n = 72) or a control low dose (2 × 1 mg daily, n = 73) for a 24-week period. During follow-up, symptomatic women provided urine samples for detection of pyuria and/or bacteriuria and received an appropriate antibiotic prescription. The primary outcome for the trial was the mean number of new symptomatic urinary tract infections during a 24-week intervention period. Secondary outcomes included symptomatic urinary tract infection with pyuria or bacteriuria.

resultsIn response to the intervention, a non-significant 24% decrease in the number of symptomatic urinary tract infections was observed between groups (Incidence rate ratio 0.76, 95%CI 0.51-1.11). Post-hoc analyses indicated that among 97 women who experienced less than 5 infections in the year preceding enrolment, the high dose was associated with a significant decrease in the number of symptomatic urinary tract infections reported compared to the low dose (age-adjusted incidence rate ratio 0.57, 95%CI 0.33-0.99). No major side effects were reported.

conclusionHigh dose twice daily proanthocyanidin extract was not associated with a reduction in the number of symptomatic urinary tract infections when compared to a low dose proanthocyanidin extract. Our post-hoc results reveal that this high dose of proanthocyanidins may have a preventive impact on symptomatic urinary tract infection recurrence in women who experienced less than 5 infections per year.

trial registrationClinicaltrials.gov, identifier NCT02572895.

Indexed as

PhytotherapyVaccinium macrocarponAdolescentAdultDouble-Blind MethodFemaleHumansMiddle AgedPlant ExtractsProanthocyanidinsRecurrenceUrinary Tract InfectionsYoung AdultPlant ExtractsproanthocyanidinProanthocyanidinsCranberryPreventionProanthocyanidinsUrinary tract infectionsWomen

Identifiers

PMID33757474
PMCPMC7986024
OpenAlexW3138957144

What OpenQuestion holds

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Registered trials

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.