Evidence map›Paper›PMID 40248530›Full record

ArticleCureus2025

Hyperbaric Oxygen Therapy for Patients With Viral or Radiation-Induced Hemorrhagic Cystitis.

Caiã Fraga Carvalho, Vincius C Lopes, Gabriel Agareno, Ana Clara Spessoto, Fernando Nestor Facio, Luís Cesar Fava Spessoto

Abstract read
In one paragraph

Article in Cureus, 2025. 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. Review
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

6 authors.

Caiã Fraga CarvalhoUrology, Faculty of Medicine of São José do Rio Preto (FAMERP), São José do Rio Preto, BRA.
Vincius C LopesUrology, Faculty of Medicine of São José do Rio Preto (FAMERP), São José do Rio Preto, BRA.
Gabriel AgarenoUrology, Faculty of Medicine of São José do Rio Preto (FAMERP), São José do Rio Preto, BRA.
Ana Clara SpessotoMedicine, Medical School of Catanduva, Catanduva, BRA.
Fernando Nestor FacioUrology, Faculty of Medicine of São José do Rio Preto (FAMERP), São José do Rio Preto, BRA.
Luís Cesar Fava SpessotoUrology, Faculty of Medicine of São José do Rio Preto (FAMERP), São José do Rio Preto, BRA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHemorrhagic cystitis (HC) is characterized by diffuse inflammation and bleeding of the lining of the urinary bladder. This study investigated hyperbaric oxygen therapy (HBOT) in patients with viral or radiation-induced HC.

methodsA retrospective analysis was performed involving 33 patients diagnosed with HC who received HBOT. Data analysis involved the Kruskal-Wallis test and Spearman's correlation coefficients to determine the strength of correlations between variables.

resultsOf the 33 patients, nine (27.3%) had radiation-induced HC, and 24 (72.7%) had viral HC. Among those with viral HC, 12 (50%) tested positive for BK virus by polymerase chain reaction (PCR). HBOT was performed in a multiplace hyperbaric chamber at 2.5 absolute atmospheres (ATA) for 90 to 120 minutes, and the median number of sessions was 11. The median duration of treatment was 14 days, with 81.8% (n = 27) obtaining an improvement in macroscopic hematuria, 12.1% (n = 4) interrupting treatment, and 6.1% (n = 2) dying. HC did not recur in 57.6% of the sample (n = 19) in three years of follow-up. A significant correlation was found between the degree of hematuria and the number of sessions required (p = 0.0025). Radiation-induced HC was associated with higher degrees of hematuria (p = 0.007). A correlation was found between etiology and recurrence after the conclusion of treatment (p = 0.029).

conclusionIdentifying the cause of HC and classifying the degree of hematuria are important to planning the number of HBOT sessions needed for an improvement in symptoms and a reduction in the rate of recurrence after treatment. The present findings suggest clinical benefits from HBOT in the treatment of HC.

Indexed as

hematuriahyperbaric oxygen therapyradiation-induced bladder injuryradiotherapyradiotherapy-inducted cystitis

Identifiers

PMID40248530
PMCPMC12004423

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