Evidence map›Paper›PMID 36416334›Full record

ArticleTurkish journal of urology2022

Review of 175 Cases of Tuberculosis Infections Affecting the Urogenital System.

Nuno Dias, Teresa Pina-Vaz, Pedro Abreu-Mendes, Tiago Azeredo-Costa, Pedro Rodrigues-Pereira, Carlos Silva, Francisco Botelho

Open access · diamondAbstract read
In one paragraph

Article in Turkish journal of 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
0.4field-weighted citation impact, top 35% 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, 2 citations in OpenAlex.

  1. Review
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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

7 authors at 1 institution in 1 country.

Nuno DiasDepartment of Urology, São João Hospital Center, Porto, Portugal; Department of Surgery and Physiology Porto University Faculty of Medicine, Porto, Portugal.
Teresa Pina-VazDepartment of Urology, São João Hospital Center, Porto, Portugal; Department of Surgery and Physiology Porto University Faculty of Medicine, Porto, Portugal.
Pedro Abreu-MendesDepartment of Urology, São João Hospital Center, Porto, Portugal; Department of Surgery and Physiology Porto University Faculty of Medicine, Porto, Portugal.
Tiago Azeredo-CostaDepartment of Clinical Pathology, São João Hospital Center, Porto, Portugal.
Pedro Rodrigues-PereiraDepartment of Pathology, São João Hospital Center, Porto, Portugal.
Carlos SilvaDepartment of Urology, São João Hospital Center, Porto, Portugal; Department of Surgery and Physiology Porto University Faculty of Medicine, Porto, Portugal.
Francisco BotelhoDepartment of Urology, São João Hospital Center, Porto, Portugal ; Life and Health Sciences Investigation Institute, Minho University Faculty of Medicine, Braga, Portugal.
Hospital de São João · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveUrogenital tuberculosis and disseminated tuberculosis affecting urogenital system are more fre quent in developing countries but are often overlooked in developed ones. We aimed to compare clinical characteristics and outcomes of urogenital tuberculosis and disseminated tuberculosis affecting the urogeni tal system. MATERIAL AND

methodsWe retrospectively reviewed data from patients with tuberculosis in the urogenital system, diagnosed in a tertiary center in a European country, from 2008 to 2018. Cases were divided into urogenital tuberculosis and disseminated tuberculosis affecting the urogenital system and compared.

resultsWe included 172 patients, 31 with urogenital tuberculosis and 141 with disseminated tuberculosis affecting urogenital system. Patients with disseminated tuberculosis affecting the urogenital system were younger (median 45 vs. 64 years, P=.001), more likely to be male (80 vs. 55%, P=.005), or having risk fac tors for the disease (84 vs. 23%, P=.005) than patients with urogenital tuberculosis. Patients with urogenital tuberculosis presented most commonly with symptoms related to the urinary tract, with 52% complaining of lower urinary tract symptoms attributed to urinary tract infections and 48% of dysuria, while patients with disseminated tuberculosis affecting the urogenital system presented mainly with systemic symptoms, with 89% complaining of malaise, 62% of fever, and 57% of anorexia. Patients with urogenital tuberculosis were more likely to need urological surgery as part of their treatment (71 vs. 5%, P < .001) and patients with dis seminated tuberculosis affecting the urogenital system were more likely to die due to tuberculosis (10 vs. 21%, P < .001).

conclusionTuberculosis of the urogenital system can have multiple clinical presentations, and a simple diagnostic algorithm does not exist. In the presence of urogenital tuberculosis in injected drug users, immu nosuppressed individuals, or patients with systemic symptoms, we should think of disseminated tuberculosis affecting the urogenital system and remember these patients less frequently need surgery but entail a worst outcome.

Identifiers

PMID36416334
PMCPMC9797796
OpenAlexW4309729061

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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.