Evidence map›Paper›PMID 36269317›Full record

Trial reportThe journal of spinal cord medicine2024

Intravesical injection of botulinum toxin type a may be an effective treatment option for autonomic dysreflexia in patients with high-level spinal cord injury.

Maping Huang, Heyi Zheng, Tianhai Huang, Xiaoyi Yang, Qiuling Liu, Qingqing Li, Ping Tang, Keji Xie, Hui Chen

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in The journal of spinal cord medicine, 2024. 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
0.7field-weighted citation impact, top 30% 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, 3 citations in OpenAlex.

  1. Article
  2. 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

9 authors at 3 institutions in 1 country.

Maping HuangDepartment of Urology, Guangdong Provincial Work Injury Rehabilitation Hospital, Guangzhou, People's Republic of China.
Heyi ZhengDepartment of Traumatic Brain Injury Rehabilitation, Guangdong Provincial Work Injury Rehabilitation Hospital, Guangzhou, People's Republic of China.
Tianhai HuangDepartment of Urology, Guangdong Provincial Work Injury Rehabilitation Hospital, Guangzhou, People's Republic of China.
Xiaoyi YangDepartment of Urology, Guangdong Provincial Work Injury Rehabilitation Hospital, Guangzhou, People's Republic of China.
Qiuling LiuDepartment of Urology, Guangdong Provincial Work Injury Rehabilitation Hospital, Guangzhou, People's Republic of China.
Qingqing LiDepartment of Urology, Guangdong Provincial Work Injury Rehabilitation Hospital, Guangzhou, People's Republic of China.
Ping TangDepartment of Urology, Guangzhou First People's Hospital, South China University of Technology, Guangzhou, People's Republic of China.
Keji XieDepartment of Urology, Guangzhou First People's Hospital, South China University of Technology, Guangzhou, People's Republic of China.
Hui ChenDepartment of Urology, Guangdong Provincial Work Injury Rehabilitation Hospital, Guangzhou, People's Republic of China.
Guangdong Work Injury Rehabilitation Hospital · CNGuangzhou Medical University · CNSouth China University of Technology · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the efficacy of intravesical injection of botulinum toxin type A (BTX-A) for neurogenic detrusor overactivity (DO) in reducing the frequency and severity of autonomic dysreflexia (AD).

designA cross-sectional nonrandomized trial with before (baseline) and after (follow-up) assessments.

settingA single spinal cord injury (SCI) rehabilitation center in China.

participantsTwenty-five patients with SCI at or above T6 and a history of AD who underwent urodynamic studies (UDS) before and 3 months after BTX-A injection.

interventionsReceived bladder injection treatment wtih 200 U BTX-A. OUTCOME MEASURES: The maximum detrusor pressure(Pdetmax) and voume at first DO(VFIDC), baseline and overall maximum systolic blood pressure (SBP) during UDS, and scores of Incontinence Specific Quality of Life Instrument (IQoL) were recorded before and 3 months after the injection. The change in SBP (ΔSBP) from baseline to maximum SBP during UDS was calculated to assess the severity. The frequency of AD was recorded using ambulatory blood pressure monitoring during a 24 h period before and 3 months after the injection.

resultsBTX-A injection decreased the Pdetmax and increased the VFIDC and mean urine volume per catheterization increased. The maximum SBP and the ΔSBP during UDS decreased significantly decreased after the injection (151.44 ± 13.92 vs 133.32 ± 9.20 mmHg and 49.44 ± 12.81 vs 33.08 ± 9.11 mmHg respectively,

conclusionsBTX-A decreases the severity of SBP increase and the number of AD episodes 3 months after intravesical injection.

Indexed as

Autonomic DysreflexiaBotulinum Toxins, Type ANeuromuscular AgentsSpinal Cord InjuriesUrinary Bladder, NeurogenicAdministration, IntravesicalBlood Pressure Monitoring, AmbulatoryCross-Sectional StudiesHumansQuality of LifeTreatment OutcomeUrodynamicsBotulinum Toxins, Type ANeuromuscular AgentsAutonomic dysreflexiaBotulinum toxin type ANeurogenic detrusor overactivitySpinal cord injury

Identifiers

PMID36269317
PMCPMC10795643
OpenAlexW4307034130

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.