Evidence map›Paper›PMID 33847876›Full record

SynthesisObesity surgery2021

Systematic Review and Meta-Analysis of the Impact of Bariatric Surgery on Lower Urinary Tract Symptoms in Males.

Irena Stefanova, Andrew C Currie, Richard C Newton, Lorraine Albon, Guy Slater, Angela Birnie, William Hawkins, Christopher Pring

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Obesity surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.1field-weighted citation impact, top 25% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
  2. Article
  3. 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

8 authors at 3 institutions in 1 country.

Irena StefanovaDepartment of General Surgery, East Surrey Hospital, Redhill, UK.
Andrew C CurrieDepartment of Bariatric Surgery, Ashford and St Peters Hospital Trust, Guildford Street, Chertsey, KT16 0PZ, UK. andrew.currie@nhs.net.ORCID 0000-0002-2988-2866
Richard C NewtonDepartment of Bariatric Surgery, St Richard's Hospital, Chichester, UK.
Lorraine AlbonDepartment of Bariatric Surgery and Diabetes, St Richard's Hospital, Chichester, UK.
Guy SlaterDepartment of Bariatric Surgery, St Richard's Hospital, Chichester, UK.
Angela BirnieDepartment of Urology, St Richard's Hospital, Chichester, UK.
William HawkinsDepartment of Bariatric Surgery, St Richard's Hospital, Chichester, UK.
Christopher PringDepartment of Bariatric Surgery, St Richard's Hospital, Chichester, UK.
St Richard's Hospital · GBAshford and St Peter's Hospitals NHS Foundation Trust · GBEast Surrey Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObesity is a chronic disease with multisystem morbidity. There are multiple studies reporting the effect of bariatric surgery on cardiovascular and metabolic disease, but few examine its impact on lower urinary tract symptoms. This article aims to perform a systematic review with meta-analysis, to determine the effects of bariatric surgery on lower urinary tract symptoms in male patients.

methodsMedline, Embase, conference proceedings, and reference lists were searched for studies reporting the quantitative measurement of lower urinary tract symptoms score pre- and postweight loss surgery. The primary outcome was International Prostate Symptom Score (IPSS) before and after bariatric surgery. Secondary outcomes were changed in body mass index (BMI) and total body weight (TBW). Weighted mean differences (MD) were calculated for continuous outcomes.

resultsSeven studies were included in the analysis of 334 patients undergoing bariatric surgery. Mean study follow-up was between 3 and 36 months. IPSS score ranged from 3-12.7 preoperatively and 1.9-6.9 postoperatively. There was a statistically significant improvement in the IPSS score following bariatric surgery (MD 2.82, 95% CI 0.96 to 4.69, p=0.003). Bariatric surgery also resulted in statistically significant reduction of BMI and TBW.

conclusionBariatric surgery produces a significant improvement on lower urinary tract symptoms in men with obesity. This may be due to improvement of insulin sensitivity, testosterone levels or lipid profile associated with weight loss.

Indexed as

Bariatric SurgeryLower Urinary Tract SymptomsObesity, MorbidHumansMaleObesityWeight LossBariatric surgeryIPSSLUTSMeta-analysis

Identifiers

PMID33847876
OpenAlexW3154662348

What OpenQuestion holds

Textmetadata
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.