Evidence map›Paper›PMID 37296223›Full record

ReviewInternational journal of impotence research2024

A fragility index analysis of clinical trials evaluating low-intensity extracorporeal shockwave therapy for erectile dysfunction.

Joshua White, Francis Petrella, Nicholas Deebel, Armin Ghomeshi, Braian Ledesma, Maria Camila Suarez Arbelaez, Akhil Muthigi, Taylor Kohn, Arthur Burnett, Ranjith Ramasamy

Abstract readReview
PubMed Publisher
In one paragraph

Review in International journal of impotence research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

10 authors.

Joshua WhiteUniversity of Miami Miller School of Medicine, Urology, Miami, FL, USA. Jxw1952@med.miami.edu.ORCID http://orcid.org/0000-0002-0608-1601
Francis PetrellaMcGill University, Urology, Montreal, QC, Canada.
Nicholas DeebelWake Forrest University, Urology, Winston-Salem, NC, USA.
Armin GhomeshiFlorida International University, Undergraduate Education, Miami, FL, USA.
Braian LedesmaUniversity of Miami Miller School of Medicine, Urology, Miami, FL, USA.
Maria Camila Suarez ArbelaezUniversity of Miami Miller School of Medicine, Urology, Miami, FL, USA.
Akhil MuthigiUniversity of Miami Miller School of Medicine, Urology, Miami, FL, USA.
Taylor KohnJohn Hopkins University, Urology, Baltimore, MD, USA.ORCID http://orcid.org/0000-0002-2807-4998
Arthur BurnettJohn Hopkins University, Urology, Baltimore, MD, USA.
Ranjith RamasamyUniversity of Miami Miller School of Medicine, Urology, Miami, FL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Erectile dysfunction is a common sexual dysfunction that affects a significant proportion of men. Low-intensity extracorporeal shockwave therapy has been evaluated in multiple clinical trials as a therapeutic option for men with erectile dysfunction. The robustness of these clinical trials is not well defined, as the trials are hindered by inconsistent treatment protocols, small study arm size and short follow-up intervals. The fragility index is a statistical analysis which is used to evaluate the robustness of clinical trials. It is calculated by evaluating the minimum number of patients in a given trial arm that would be required to have an alternative outcome to alter the statistical significance of the results. The lowest fragility index in statistically significant trials is 1, meaning that if just one participant experienced an alternate outcome, the results would no longer achieve statistical significance. The upper limit is determined by the number of participants in a given arm of the trial. Herein, a scoping review of clinical trials evaluating the efficacy of low-intensity extracorporeal shockwave therapy in erectile dysfunction to determine the fragility index of trials with clinically significant results. We hypothesized that the fragility index would be low, indicating the results are less robust and generalizable.

Indexed as

Clinical Trials as TopicErectile DysfunctionExtracorporeal Shockwave TherapyHumansMaleTreatment Outcome

Identifiers

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.