Evidence map›Paper›PMID 37395755›Full record

SynthesisWorld journal of urology2023

Same-day discharge for endoscopic enucleation of the prostate: a systematic review and meta-analysis.

Pietro Diana, Michael Baboudjian, Alberto Saita, Alessandro Uleri, Andrea Gallioli, Paolo Casale, Nicolomaria Buffi, Benjamin Pradere, Vincent Misrai, Bastien Gondran-Tellier and 4 more

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in World journal of urology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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.

Pietro DianaDepartment of Urology, Fundació Puigvert, Autonoma University of Barcelona, Cartagena 340-350, 08025, Barcelona, Spain. pietros.diana@gmail.com.ORCID http://orcid.org/0000-0002-3259-1314
Michael BaboudjianDepartment of Urology, North Hospital, Aix-Marseille University, APHM, Marseille, France.
Alberto SaitaDepartment of Urology, Humanitas Clinical and Research Institute IRCCS, Rozzano, Italy.
Alessandro UleriDepartment of Urology, Fundació Puigvert, Autonoma University of Barcelona, Cartagena 340-350, 08025, Barcelona, Spain.
Andrea GallioliDepartment of Urology, Fundació Puigvert, Autonoma University of Barcelona, Cartagena 340-350, 08025, Barcelona, Spain.
Paolo CasaleDepartment of Urology, Humanitas Clinical and Research Institute IRCCS, Rozzano, Italy.
Nicolomaria BuffiDepartment of Urology, Humanitas Clinical and Research Institute IRCCS, Rozzano, Italy.
Benjamin PradereDepartment of Urology, La Croix du Sud Hospital, 31130, Quint Fonsegrives, France.
Vincent MisraiDepartment of Urology, Clinique Pasteur, Toulouse, France.
Bastien Gondran-TellierDepartment of Urology and Renal Transplantation, La Conception University Hospital, Aix-Marseille University, APHM, Marseille, France.
Romain BoissierDepartment of Urology and Renal Transplantation, La Conception University Hospital, Aix-Marseille University, APHM, Marseille, France.
Ivan SchwartzmannDepartment of Urology, Fundació Puigvert, Autonoma University of Barcelona, Cartagena 340-350, 08025, Barcelona, Spain.
Alberto BredaDepartment of Urology, Fundació Puigvert, Autonoma University of Barcelona, Cartagena 340-350, 08025, Barcelona, Spain.
Pablo Juarez Del DagoDepartment of Urology, Hospitales Universitarios San Roque, Las Palmas de Gran Canaria, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo systematically review studies focused on the feasibility and outcomes of outpatient endoscopic enucleation of the prostate for benign prostatic obstruction.

methodsA literature search was conducted through December 2022 using PubMed/Medline, Web of Science, and Embase databases. Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) guidelines were followed to identify eligible studies. Risk of bias assessment was performed according to the Newcastle-Ottawa Scale for case control studies.

resultsOf 773 studies, ten were included in the systematic review (n = 1942 patients) and four in the meta-analysis (n = 1228 patients). The pooled incidence of successful same-day discharge was 84% (95% CI 0.72-0.91). Unplanned readmission was recorded in 3% (95% CI 0.02-0.06) of ambulatory cases. In the reported criteria-selected patients submitted to SDD surgery, the forest plot suggested a lower rate of postoperative readmission (OR 0.56, 95% CI 0.34-0.91, p = 0.02) and complications (OR 0.69, 95% CI 0.48-1, p < 0.05) rates compared to standard protocols.

conclusionWe provide the first systematic review and meta-analysis on SDD for endoscopic prostate enucleation. Despite the lack of randomized controlled trials, we confirm the feasibility and safety of the protocol with no increase in complications or readmission rate in well-selected patients.

Indexed as

Prostatic HyperplasiaTransurethral Resection of ProstateHumansMalePatient DischargeProstateTreatment OutcomeBenign prostate hyperplasiaBenign prostate obstructionEndoscopyProstate enucleationSame-day discharge surgery

Identifiers

What OpenQuestion holds

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Registered trials

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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.