Evidence map›Paper›PMID 33827525›Full record

Observational studyBMC urology2021

Prostatic urethral lift (UroLift): a real-world analysis of outcomes using hospital episodes statistics.

Toby Page, Rajan Veeratterapillay, Kim Keltie, Julie Burn, Andrew Sims

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC urology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 8% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. INAHTA member agency stories of engaging, adaptable, and impactful HTA.International journal of technology assessment in health care · 2024
    Review
  4. Article
  5. Article
  6. Benign prostatic hyperplasia surgical re-treatment after prostatic urethral lift A narrative review.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2023
    Review
  7. Persistent need for ongoing medical or surgical therapy despite UroLift: Data from an academic center.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2023
    Article
  8. Article
  9. Office-Based Procedures for BPH.Current urology reports · 2021
    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

5 authors at 1 institution in 1 country.

Toby PageThe Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK. toby.page@nhs.net.ORCID http://orcid.org/0000-0002-1961-1405
Rajan VeeratterapillayThe Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.
Kim KeltieThe Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.ORCID http://orcid.org/0000-0001-5108-6279
Julie BurnThe Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.ORCID http://orcid.org/0000-0002-2300-2725
Andrew SimsThe Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.ORCID http://orcid.org/0000-0002-9553-7278
Newcastle upon Tyne Hospitals NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo determine real-world outcomes of prostatic urethral lift (UroLift) procedures conducted in hospitals across England.

methodsA retrospective observational cohort was identified from Hospital Episode Statistics data including men undergoing UroLift in hospitals in England between 2017 and 2020. Procedure uptake, patient demographics, inpatient complications, 30-day accident and emergency re-attendance rate, requirement for further treatment and catheterization were captured. Kaplan-Meier and hazard analysis were used to analyse time to re-treatment.

results2942 index UroLift procedures from 80 hospital trusts were analysed; 85.3% conducted as day-case surgery (admitted to hospital for a planned surgical procedure and returning home on the same day). In-hospital complication rate was 3.4%. 93% of men were catheter-free at 30 days. The acute accident and emergency attendance rate within 30 days was 12.0%. Results of Kaplan Meier analysis for subsequent re-treatment (including additional UroLift and endoscopic intervention) at 1 and 2 years were 5.2% [95% CI 4.2 to 6.1] and 11.9% [10.1 to 13.6] respectively.

conclusionsThis real-world analysis of UroLift shows that it can be delivered safely in a day-case setting with minimal morbidity. However, hospital resource usage for catheterization and emergency hospital attendance in the first 30 days was substantial, and 12% required re-treatment at 2 years.

Indexed as

AdultAgedAged, 80 and overEnglandHospitalsHumansLower Urinary Tract SymptomsMaleMiddle AgedProstateRetrospective StudiesTreatment OutcomeUrethraUrologic Surgical Procedures, MaleBPHLUTSProstatic urethral liftUrinary retentionUroLift

Identifiers

PMID33827525
PMCPMC8028737
OpenAlexW3149396057

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.