Evidence map›Paper›PMID 36974584›Full record

ArticleAnnals of medicine2023

Short- and long-term risks of photoselective laser vaporization of the prostate: a population-based comparison with transurethral resection of the prostate.

Alisa Salmivalli, Otto Ettala, Pertti Nurminen, Pekka Kinnala, Peter J Boström, Ville Kytö

Open access · goldAbstract read
In one paragraph

Article in Annals of medicine, 2023. 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
1.5field-weighted citation impact, top 19% 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, 5 citations in OpenAlex.

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

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Alisa SalmivalliDepartment of Clinical Research, University of Turku, Turku, Finland.ORCID 0000-0003-0686-3715
Otto EttalaDepartment of Urology, Turku University, Turku University Hospital, Turku, Finland.ORCID 0000-0003-1011-4602
Pertti NurminenDepartment of Urology, Turku University, Turku University Hospital, Turku, Finland.ORCID 0000-0001-9364-9754
Pekka KinnalaDepartment of Urology, Turku University, Turku University Hospital, Turku, Finland.
Peter J BoströmDepartment of Urology, Turku University, Turku University Hospital, Turku, Finland.ORCID 0000-0003-3647-0015
Ville KytöHeart Center, Turku University Hospital, University of Turku, Turku, Finland.ORCID 0000-0002-4521-1093
Turku University Hospital · FIUniversity of Turku · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTransurethral resection of the prostate (TURP) is the standard surgical treatment for benign prostate enlargement (BPE). Photoselective vaporization of the prostate (PVP) is an alternative, but there is limited real-life evidence of PVP risks.

objectiveTo compare short- and long-term risks of PVP to those of TURP in the treatment of BPE. MATERIALS AND

methodsConsecutive patients who underwent elective PVP or TURP between 2006 and 2018 in 20 hospitals in Finland were retrospectively studied using a combination of national registries (

resultsThere were no differences in postoperative mortality or MACE between the study groups. Reoperations for bleeding were less frequent after PVP (0.9%, HR: 0.72,

conclusionsPVP is associated with lower postoperative bleeding risk but higher long-term reoperation risk than TURP. Patients with high bleeding risk and a low likelihood of needing reoperation appear most suitable for laser vaporization.KEY MESSAGEPVP is associated with lower postoperative bleeding risk but higher long-term reoperation risk than TURP. PVP appears an attractive treatment option, especially for patients with high bleeding risk and a low likelihood of needing a reoperation.

Indexed as

Laser TherapyProstatic HyperplasiaTransurethral Resection of ProstateAgedHumansMaleProstateRetrospective StudiesTreatment OutcomeLong-term risksOral anticoagulationPhotoselective vaporization of the prostatePVPReoperationTransurethral resection of the prostateTURP

Identifiers

PMID36974584
PMCPMC10054157
OpenAlexW4361222656

What OpenQuestion holds

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LicenceCC BY
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.