Evidence map›Paper›PMID 39436468›Full record

Trial reportWorld journal of urology2024

Efficacy of high-dose vitamin D supplementation vs. solifenacin or standard urotherapy for overactive bladder dry in children: a secondary analysis of a randomized clinical trial.

Hongsong Chen, Zhicheng Zhang, Qiang Zhang, Chong Wang, Zhenmin Liu, Zihan Ye, Xiao Wang, Yanxi Wang, Xing Liu, Guanghui Wei

Abstract readRandomized Controlled TrialComparative Study
PubMed Publisher
In one paragraph

Trial report in World journal of urology, 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
  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

10 authors.

Hongsong ChenDepartment of Urology, Children's Hospital of Chongqing Medical University, 136 Zhongshan Road, Chongqing, 400014, PR China.
Zhicheng ZhangDepartment of Urology, Children's Hospital of Chongqing Medical University, 136 Zhongshan Road, Chongqing, 400014, PR China.
Qiang ZhangDepartment of Urology, Children's Hospital of Chongqing Medical University, 136 Zhongshan Road, Chongqing, 400014, PR China.
Chong WangDepartment of Urology, Children's Hospital of Chongqing Medical University, 136 Zhongshan Road, Chongqing, 400014, PR China.
Zhenmin LiuDepartment of Urology, Children's Hospital of Chongqing Medical University, 136 Zhongshan Road, Chongqing, 400014, PR China.
Zihan YeDepartment of Urology, Children's Hospital of Chongqing Medical University, 136 Zhongshan Road, Chongqing, 400014, PR China.
Xiao WangDepartment of Urology, Children's Hospital of Chongqing Medical University, 136 Zhongshan Road, Chongqing, 400014, PR China.
Yanxi WangDepartment of Urology, Children's Hospital of Chongqing Medical University, 136 Zhongshan Road, Chongqing, 400014, PR China.
Xing LiuDepartment of Urology, Children's Hospital of Chongqing Medical University, 136 Zhongshan Road, Chongqing, 400014, PR China. liux@hospital.cqmu.edu.cn.ORCID https://orcid.org/0000-0002-9249-1366
Guanghui WeiDepartment of Urology, Children's Hospital of Chongqing Medical University, 136 Zhongshan Road, Chongqing, 400014, PR China.

Funding

The National Natural Science Foundation of China 81970571The Postgraduate research and innovation projects of Chongqing Municipal Education Commission CYB240211The Program for Youth Innovation in Future Medicine at Chongqing Medical University 3001112
6 · The paper itself

Abstract

purposeTo investigate the efficacy of high-dose vitamin D supplementation (VDS) plus standard urotherapy (SU) in managing pediatric overactive bladder dry (OAB-dry), specifically in children with (1) vitamin D levels between 20 and 35 ng/mL and (2) heightened baseline symptom severity.

methodsIn this secondary analysis of a randomized controlled trial, eligible children (n = 303) were assigned to 8 weeks of VDS + SU group, solifenacin (SOL) + SU group, or SU alone group. The primary outcome was voiding frequency; secondary outcomes included urgency, nocturia, quality of life (QoL), pediatric lower urinary tract symptoms scores, and patient satisfaction.

resultsAmong 303 participants, 197 (65%) had vitamin D levels between 20 and 35 ng/mL, and 119 (39%) exhibited heightened baseline symptom severity. In both subgroups, VDS + SU resulted in significantly greater improvements in voiding frequency compared to SOL + SU and SU alone. In the vitamin D subgroup (20-35 ng/mL), the median difference in voids/day between VDS + SU and SOL + SU was 2.0 (95% CI, 1.0 to 3.0; P = 0.003) and 3.2 compared to SU alone (P < 0.001). In the heightened symptom subgroup, the median difference was 3.0 (95% CI, 2.0 to 4.0; P < 0.001) vs. SOL + SU and 5.0 (95% CI, 4.0 to 6.0; P < 0.001) vs. SU alone. The VDS + SU group generally outperformed the other groups in various secondary outcome measures.

conclusionHigh-dose VDS plus SU has significant therapeutic benefit in children with OAB-dry in those with vitamin D levels between 20 and 35 ng/mL and with more severe symptoms, compared to SOL + SU or SU alone.

Indexed as

Solifenacin SuccinateUrinary Bladder, OveractiveVitamin DAdolescentChildCombined Modality TherapyDietary SupplementsFemaleHumansMaleMuscarinic AntagonistsTreatment OutcomeVitaminsMuscarinic AntagonistsSolifenacin SuccinateVitamin DVitaminsChildrenOveractive bladderRandomized controlled trialSolifenacinVitamin D

Identifiers

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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.