Evidence map›Paper›PMID 40551917›Full record

ReviewCureus2025

Long-Term Complications and Quality of Life After Urinary Diversion for Bladder Cancer: A Systematic Review and Meta-Analysis.

Fadi Abusal, Abdullah Alawadi, Anna Akpala, Saja Obeidat, Nabeel Al-Omari, Mazen Alsharief, Amr Shalaby, Zeeshan Shaukat, Debashis Sarkar

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. 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

9 authors.

Fadi AbusalUrology, Queen Elizabeth Hospital Birmingham, Birmingham, GBR.
Abdullah AlawadiInternational Postgraduate Medical Training Scheme (IPGMTS), University Hospitals Birmingham, Birmingham, GBR.
Anna AkpalaUrology, Queen Elizabeth Hospital Birmingham, Birmingham, GBR.
Saja ObeidatPediatrics, Yarmouk University, Irbid, JOR.
Nabeel Al-OmariClinical Sciences, Yarmouk University, Irbid, JOR.
Mazen AlshariefInternational Postgraduate Medical Training Scheme (IPGMTS), University Hospitals Birmingham, Birmingham, GBR.
Amr ShalabyGeneral Surgery, Diana Princess of Wales Hospital, Grimsby, GBR.
Zeeshan ShaukatUrology, Queen Elizabeth Hospital Birmingham, Birmingham, GBR.
Debashis SarkarUrology, Queen Elizabeth Hospital Birmingham, Birmingham, GBR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Urinary diversion after radical cystectomy (RC) for bladder cancer significantly influences long-term outcomes and patient quality of life. This systematic review and meta-analysis examined complications occurring five years or more post-RC across the three main diversion types: ileal conduit (IC), orthotopic neobladder (ONB), and continent cutaneous urinary diversion (CCUD). A total of 16 studies with 8,493 patients were included. We compared morbidity, mortality, reoperation, and urinary tract infection, along with patient-reported quality of life (QoL). The meta-analysis revealed that IC was associated with reduced urinary stone formation and improved global health scores, while better urinary function and body image perception were associated with ONB. Data on CCUD were limited, preventing meta-analysis, but qualitative findings suggested distinct functional and QoL benefits compared to IC and ONB. This study highlights the importance of individualized surgical decision-making based on long-term outcomes and patient preferences; however, the limited data on CCUD highlights the need for further high-quality research to clarify its long-term safety, functional outcomes, and QoL implications.

Indexed as

bladder cancercontinent cutaneous urinary diversionileal conduit (ic)orthotopic neobladder (onb)radical cystectomy (rc)

Identifiers

PMID40551917
PMCPMC12184956

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.