Evidence map›Paper›PMID 38012342›Full record

ArticleCardiovascular and interventional radiology2024

Cardiovascular Comorbidities Do Not Impact Prostate Artery Embolisation (PAE) Outcomes: Retrospective Analysis of the National UK-ROPE Registry.

Ganesh Vigneswaran, Drew Maclean, Neel Doshi, Mark Harris, Timothy J C Bryant, Nigel C Hacking, Bhaskar Somani, Sachin Modi

Abstract read
In one paragraph

Article in Cardiovascular and interventional radiology, 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
–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. Article
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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

8 authors.

Ganesh VigneswaranDepartment of Interventional Radiology, University Hospital Southampton, Southampton, UK.ORCID http://orcid.org/0000-0002-4115-428X
Drew MacleanDepartment of Interventional Radiology, University Hospital Southampton, Southampton, UK.ORCID http://orcid.org/0000-0002-5380-688X
Neel DoshiDepartment of Interventional Radiology, University Hospital Southampton, Southampton, UK.ORCID http://orcid.org/0000-0002-9821-6162
Mark HarrisDepartment of Urology, University Hospital Southampton, Southampton, UK.ORCID http://orcid.org/0000-0001-9154-3462
Timothy J C BryantDepartment of Interventional Radiology, University Hospital Southampton, Southampton, UK.ORCID http://orcid.org/0000-0003-0320-2989
Nigel C HackingDepartment of Interventional Radiology, University Hospital Southampton, Southampton, UK.
Bhaskar SomaniDepartment of Urology, University Hospital Southampton, Southampton, UK.ORCID http://orcid.org/0000-0002-6248-6478
Sachin ModiDepartment of Interventional Radiology, University Hospital Southampton, Southampton, UK. sachin.modi@uhs.nhs.uk.ORCID http://orcid.org/0000-0003-0813-3791

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeProstate artery embolisation (PAE) is a key treatment for the management of symptomatic benign prostatic hyperplasia (BPH). Common cardiovascular risk factors might be associated with suboptimal outcomes and thus influence patient treatment selection. The aim of the study was to evaluate whether cardiovascular comorbidities affect PAE outcomes.

methodsRetrospective subset analysis of the UK Registry of Prostate Artery Embolisation (UK-ROPE) database was performed with patients who had a full documented past medical histories including hypertension, diabetes, coronary artery disease (CAD), diabetes and smoking status as well as international prostate symptom score (IPSS) at baseline and at 12 months. Multiple regression was performed to assess for any significant predictors.

resultsComorbidity data were available for 100/216 patients (mean age 65.8 ± 6.4 years), baseline IPSS 20.9 ± 7.0). Regression analysis revealed that the presence of hypertension (53.7% IPSS reduction vs. absence 51.4%, p = 0.94), diabetes (52.6% vs. absence 52.1%, p = 0.6), CAD (59.2% vs. absence 51.4%, p = 0.95), no comorbidities (49.8% vs. any comorbidity present 55.3%, p = 0.66), smoking status (non-smoker, 52.6%, current smoker, 61.5%, ex-smoker, 49.8%, p > 0.05), age (p = 0.52) and baseline Qmax (p = 0.41) did not significantly impact IPSS reduction at 12 months post-PAE. Baseline prostate volume significantly influenced IPSS reduction (≥ 80 cc prostates, 58.9% vs. < 80 cc prostates 43.2%, p < 0.05).

conclusionThe presence of cardiovascular comorbidities/smoking history does not appear to significantly impact PAE symptom score outcomes at 12 months post procedure. Our findings suggest that if the prostatic artery can be accessed, then clinical success is comparable to those without cardiovascular comorbidities.

Indexed as

Diabetes MellitusEmbolization, TherapeuticHypertensionLower Urinary Tract SymptomsProstatic HyperplasiaAgedArteriesComorbidityHumansInfant, NewbornMaleMiddle AgedProstateQuality of LifeRegistriesRetrospective StudiesBenign prostatic hyperplasia (BPH)Cardiovascular riskDiabetesHypertensionLower urinary tract symptoms (LUTS)Prostate artery embolisation (PAE)Smoking

Identifiers

PMID38012342
PMCPMC10770187

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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.