Evidence map›Paper›PMID 34852248›Full record

ArticleUrology2022

Race as a Predictor of Recurrence and Complications After Urethroplasty in Men With Urethral Stricture Disease.

Kathryn N Sawyer, Stacey S Cofield, John P Selph

Open access · greenAbstract read
In one paragraph

Article in Urology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Kathryn N SawyerUniversity of Alabama School of Medicine, Birmingham, AL.
Stacey S CofieldDepartment of Biostatistics, University of Alabama at Birmingham, School of Public Health, Birmingham, AL.
John P SelphDepartment of Urology, University of Alabama School of Medicine, Birmingham, AL. Electronic address: jselph@uabmc.edu.
University of Alabama at Birmingham · USUniversity of Alabama · US

Funding

National Dissemination of I-Corps@NCATS: Accelerating Translation through CommercializationUL1TR003096 · NCATS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI GUTIERREZ, ORLANDO M, KIMBERLY, ROBERT P. · 2019 to 2023
$43.6M
UAB Short-Term Research Training in Health Professional Schools (SHRT)T35HL007473 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI WILLIAM M GEISLER · 1985 to 2026
$4.0M
Short-Term Research Experiences Advancing Medical Students (STREAMS)T35DK116670 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI HERBERT CHEN, Daniel I Chu · 2019 to 2026
$371k
NCATS NIH HHS UL1 TR003096NHLBI NIH HHS T35 HL007473NIDDK NIH HHS T35 DK116670
6 · The paper itself

Abstract

objectiveTo determine the role of race in surgical outcomes of and complications after urethroplasty.

methodsA single institution, retrospective review was conducted from 2011 to 2019 on male patients ≥18 years of age who underwent urethroplasty. Exclusion criteria included previous urethral cancer, lack of follow up, or revision urethroplasty. Failure of urethroplasty was defined as requiring revision surgery or recurrence on imaging or cystoscopy. Risk factors for recurrence were determined using descriptive statistics, Wilcoxon comparisons, and multivariate logistic regression.

resultsThree hundred and seven patients were identified with 234 patients meeting inclusion criteria. 63.2% identified as White/Caucasian (CA), 32.5% Black/African American (AA), and 4.3% other race. Mean age was 49.4 years. Between CA and AA patients, there was no difference in mean age, body mass index, smoking status, prior urethroplasty, or prior dilation/DVIU. CAs were more likely to have a fossa navicularis stricture compared to AAs (P = .0094), but there were no significant differences in bulbar, penile, or posterior stricture rates (all P >.05) or length (P = .32). The overall stricture recurrence rate was 15.8% with a median of 242 days to recurrence and no significant difference by race for either outcome (P = .83, P = .64). The only predictor of stricture recurrence was prior dilation/DVIU (P = .0404, OR 2.3, 95% CI 1.0, 5.6). Overall complication rate was 17.5%, with no difference between CA and AAs rates (P = .83) or complication type (P = .62).

conclusionThere was no significant difference in the rate of surgical failure for urethral stricture repair based on race. The only predictor of surgical failure was having a prior urethral dilation/DVIU.

Indexed as

Urethral StrictureConstriction, PathologicHumansMaleMiddle AgedNeoplasm Recurrence, LocalRecurrenceRetrospective StudiesTreatment OutcomeUrethraUrologic Surgical Procedures, Male

Identifiers

PMID34852248
PMCPMC9142758
OpenAlexW3216265616

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Registered trials

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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.