Evidence map›Paper›PMID 39944628›Full record

SynthesisFrontiers in pharmacology2025

Impact of finasteride on modulating the risk and clinical outcomes of bladder cancer: insights from a comprehensive meta-analysis.

Ailing Yu, Zian Bai, Yijie Wang, Zhen Luo, Xiaochen Du, Mengxin Chen, Shuang Wen, Honglong Wang, Xiaoying Yuan, Chunyu Yang and 2 more

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in pharmacology, 2025. 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

12 authors.

Ailing Yu *Department of Urology, Second Affiliated Hospital of Dalian Medical University, Dalian, Liaoning, China.
Zian Bai *Department of Urology, Second Affiliated Hospital of Dalian Medical University, Dalian, Liaoning, China.
Yijie Wang *Department of Urology, Second Affiliated Hospital of Dalian Medical University, Dalian, Liaoning, China.
Zhen Luo *Department of Urology, Second Affiliated Hospital of Dalian Medical University, Dalian, Liaoning, China.
Xiaochen DuCollege of Humanities and Social Sciences, Dalian Medical University, Dalian, Liaoning, China.
Mengxin ChenDepartment of Clinical Medicine, First Clinical School of Dalian Medical University, Dalian, Liaoning, China.
Shuang WenDepartment of Pathology, Dalian Friendship Hospital, Dalian, China.
Honglong WangDepartment of Pathology, Dalian Friendship Hospital, Dalian, China.
Xiaoying YuanDepartment of Anatomy, College of Basic Medicine, Dalian Medical University, Dalian, Liaoning, China.
Chunyu YangBidding and procurement office, Second Affiliated Hospital of Dalian Medical University, Dalian, Liaoning, China.
Shanshan BaiDepartment of Ultrasound, First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning, China.
Bo FanDepartment of Urology, Second Affiliated Hospital of Dalian Medical University, Dalian, Liaoning, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Numerous prior analyses have highlighted a potential link between androgen suppression therapy (AST) and bladder cancer (BCa). However, there is a notable gap in research specifically examining the influence of finasteride on BCa risk and clinical outcomes. This study aimed to evaluate preventive and therapeutic value of finasteride for BCa patients. Methods: This meta-analysis adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Guidelines. The PubMed, Embase, Cochrane Library, and Web of Science databases were searched up to 20 December 2024, to identify studies that examined the intake of finasteride and its impact on the incidence and clinical prognosis of patients with BCa. Data was extracted for further analysis by two different reviewers who independently examined the titles and abstracts of the included articles. Subgroup analyses and leave-one-out sensitivity analyses, were applied to mitigate the potential confounding factors associated with heterogeneity. Results: Our investigation revealed that finasteride markedly decreased the likelihood of developing BCa (hazard ratio [HR]: 0.75, 95% confidence interval [CI]: 0.63-0.88). Subgroup analyses indicated that the preventive effect of finasteride in BCa incidence were generally consistent, regardless of study region, types of research. Furthermore, no notable disparities were observed in OS, CSS, or RFS between the finasteride group and the control group. Conclusion: Finasteride plays a protective role against the progression of BCa, nevertheless, its effects on prognostic outcomes, including OS, CSS, and RFS, remain inconclusive. Additional multi-center prospective studies with long-term follow-up are required to further validate prophylactic role of finasteride on bladder cancer. Systematic review registration number: https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=525046, identifier CRD42024525046.

Indexed as

5-alpha reductase inhibitorsbladder cancerincidencemeta-analysissubgroup analysis

Identifiers

PMID39944628
PMCPMC11813867

What OpenQuestion holds

Textmetadata
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.