Evidence map›Paper›PMID 34666981›Full record

ArticleBMJ (Clinical research ed.)2021

Acute urinary retention and risk of cancer: population based Danish cohort study.

Maria Bisgaard Bengtsen, Dóra Körmendiné Farkas, Michael Borre, Henrik Toft Sørensen, Mette Nørgaard

Open access · hybridAbstract read
In one paragraph

Article in BMJ (Clinical research ed.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 26% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Maria Bisgaard BengtsenDepartment of Clinical Epidemiology, Aarhus University Hospital and Department of Clinical Medicine, Aarhus University, 8200 Aarhus N, Denmark mariabb@clin.au.dk.ORCID 0000-0002-4241-7213
Dóra Körmendiné FarkasDepartment of Clinical Epidemiology, Aarhus University Hospital and Department of Clinical Medicine, Aarhus University, 8200 Aarhus N, Denmark.ORCID 0000-0002-8577-048X
Michael BorreDepartment of Urology, Aarhus University Hospital, Aarhus, Denmark.ORCID 0000-0002-1519-9185
Henrik Toft SørensenDepartment of Clinical Epidemiology, Aarhus University Hospital and Department of Clinical Medicine, Aarhus University, 8200 Aarhus N, Denmark.ORCID 0000-0003-4299-7040
Aarhus University Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo examine the risk of urogenital, colorectal, and neurological cancers after a first diagnosis of acute urinary retention.

designNationwide population based cohort study.

settingAll hospitals in Denmark.

participants75 983 patients aged 50 years or older with a first hospital admission for acute urinary retention during 1995-2017.

main outcome measuresAbsolute risk of urogenital, colorectal, and neurological cancer and excess risk of these cancers among patients with acute urinary retention compared with the general population.

resultsThe absolute risk of prostate cancer after a first diagnosis of acute urinary retention was 5.1% (n=3198) at three months, 6.7% (n=4233) at one year, and 8.5% (n=5217) at five years. Within three months of follow-up, 218 excess cases of prostate cancer per 1000 person years were detected. An additional 21 excess cases per 1000 person years were detected during three to less than 12 months of follow-up, but beyond 12 months the excess risk was negligible. Within three months of follow-up the excess risk for urinary tract cancer was 56 per 1000 person years, for genital cancer in women was 24 per 1000 person years, for colorectal cancer was 12 per 1000 person years, and for neurological cancer was 2 per 1000 person years. For most of the studied cancers, the excess risk was confined to within three months of follow-up, but the risk of prostate and urinary tract cancer remained increased during three to less than 12 months of follow-up. In women, an excess risk of invasive bladder cancer persisted for several years.

conclusionsAcute urinary retention might be a clinical marker for occult urogenital, colorectal, and neurological cancers. Occult cancer should possibly be considered in patients aged 50 years or older presenting with acute urinary retention and no obvious underlying cause.

Indexed as

Colorectal NeoplasmsNervous System NeoplasmsRisk AssessmentUrinary RetentionUrogenital NeoplasmsAftercareAgedCausalityCohort StudiesDenmarkEmergency Service, HospitalFemaleHumansMaleProstatic NeoplasmsRegistries

Identifiers

PMID34666981
PMCPMC8524286
OpenAlexW3205050398

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.