Evidence map›Paper›PMID 34895444›Full record

ArticleCanadian Urological Association journal = Journal de l'Association des urologues du Canada2021

Evaluating the acceptability of an online patient decision aid for the surgical management of lower urinary tract symptoms secondary to benign prostatic hyperplasia.

David Bouhadana, David-Dan Nguyen, Brendan Raizenne, Joe Schwarcz, Harvey Gordon, Bilal Chughtai, Dean S Elterman, Luke T Lavallée, Paul Martin, Kristen McAlpine and 4 more

Open access · diamondAbstract read
In one paragraph

Article in Canadian Urological Association journal = Journal de l'Association des urologues du Canada, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 14% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Evaluating urologists' perspectives on the CUA BPH surgical decision aid for maintenance and feedback A survey-based study.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2025
    Article
  5. Review
  6. Review
  7. Review
  8. Article
  9. Article
  10. UPDATE - Canadian Urological Association guideline: Male lower urinary tract symptoms/benign prostatic hyperplasia.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2022
    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

14 authors at 7 institutions in 2 countries.

David BouhadanaFaculty of Medicine, McGill University, Montreal, QC, Canada.
David-Dan NguyenFaculty of Medicine, McGill University, Montreal, QC, Canada.
Brendan RaizenneDivision of Urology, Centre hospitalier de l'Université de Montréal, Montreal, QC, Canada.
Joe SchwarczMcGill University, Montreal, QC, Canada.
Harvey GordonDivision of Urology, University Health Network, University of Toronto, Toronto, Ontario, Canada.
Bilal ChughtaiDepartment of Urology, Weill Cornell Medical College/New York Presbyterian, New York, NY, United States.
Dean S EltermanDivision of Urology, University Health Network, University of Toronto, Toronto, Ontario, Canada.
Luke T LavalléeDepartment of Surgery, Division of Urology, University of Ottawa, Ottawa, ON, Canada.
Paul MartinBluewater Health, Sarnia, ON, Canada.
Kristen McAlpineDivision of Urology, University Health Network, University of Toronto, Toronto, Ontario, Canada.
Ryan PatersonUrologic Sciences, University of British Columbia, Vancouver, BC, Canada.
Hassan RazviDivision of Urology, Department of Surgery, Western University, London, ON, Canada.
Kevin C ZornDivision of Urology, Centre hospitalier de l'Université de Montréal, Montreal, QC, Canada.
Naeem BhojaniDivision of Urology, Centre hospitalier de l'Université de Montréal, Montreal, QC, Canada.
Centre Hospitalier de l’Université de Montréal · CAMcGill University · CAUniversity Health Network · CACornell University · USUniversity of British Columbia · CAUniversity of Ottawa · CAWestern University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe growing number of surgical options available to treat benign prostatic hyperplasia (BPH), may overwhelm patients and urologists when deciding on an optimal treatment. Therefore, we developed an online patient decision aid (PtDA) that includes all guideline-approved surgical modalities. The objective of this study was to assess the acceptability of the PtDA among former BPH surgery patients and urologists that treat BPH surgically.

methodsThe International Patient Decision Aids Standards were used to develop a PtDA that includes monopolar transurethral resection of the prostate (TURP), bipolar TURP, GreenLight photovaporization, endoscopic enucleation of the prostate, Rezum, Urolift, Aquablation, open retropubic prostatectomy, and robotic simple prostatectomy as management options. Eleven urologists that regularly treat BPH and 19 patients who received BPH surgery were recruited. Alpha-testing was performed using a validated acceptability scoring system.

resultsFor all sections of the PtDA, most urologists agreed that the language used was easy to follow (91.9%), that the amount of information provided was adequate (63.6%), that the length of the PtDA was appropriate (63.6%), and that the outcomes reported were correct (81.8%). All 19 patient participants agreed that the language used was easy to follow, and most found that the amount of information provided was adequate (84.2%), that the length of the PtDA was appropriate (84.2%), and that the outcomes reported were well-explained (89.5%).

conclusionsOur PtDA was found to be acceptable among urologists and patients. These results demonstrate that most of the participants either recommend the use of this tool or plan to incorporate it in their clinical practice.

Identifiers

PMID34895444
PMCPMC8418264
OpenAlexW3195017815

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.