Evidence map›Paper›PMID 40715538›Full record

Trial reportWorld journal of urology2025

Evaluation of citrate-based nutraceutical combinations and their impact on chemolysis in the management of urinary diversion device: a randomised double-blind placebo-controlled study on improved quality of life and clinical outcomes.

Anna Ricapito, Nicola Schiavone, Marco Finati, Nicola d'Altilia, Fabrizio Palumbo, Angelo Cormio, Rossana G Iannitti, Giada Ceccarelli, Ugo G Falagario, Carlo Bettocchi and 3 more

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in World journal of urology, 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. 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

13 authors.

Anna RicapitoUniversity of Foggia, Via Luigi Pinto 1, Foggia, 71122, Italy. annaricapito96@gmail.com.
Nicola SchiavoneUniversity of Foggia, Via Luigi Pinto 1, Foggia, 71122, Italy.
Marco FinatiUniversity of Foggia, Via Luigi Pinto 1, Foggia, 71122, Italy.
Nicola d'AltiliaPoliclinico Riuniti of Foggia, Foggia, Italy.
Fabrizio Palumbo"Di Venere" Hospital, Bari, Italy.
Angelo CormioUniversity of Ancona, Ancona, Italy.
Rossana G IannittiS&R Farmaceutici S.p.A, Bastia Umbra, Italy.
Giada CeccarelliS&R Farmaceutici S.p.A, Bastia Umbra, Italy.
Ugo G FalagarioUniversity of Foggia, Via Luigi Pinto 1, Foggia, 71122, Italy.
Carlo BettocchiUniversity of Foggia, Via Luigi Pinto 1, Foggia, 71122, Italy.
Luigi CormioUniversity of Foggia, Via Luigi Pinto 1, Foggia, 71122, Italy.
Giuseppe CarrieriUniversity of Foggia, Via Luigi Pinto 1, Foggia, 71122, Italy.
Gian Maria BusettoUniversity of Foggia, Via Luigi Pinto 1, Foggia, 71122, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe aimed to evaluate in a double-blind randomized placebo-controlled trial (RCT) the effectiveness of two citrate-based products in preventing ureteral stent encrustation in patients with severe urinary system damage requiring long-term stent placement and frequent replacements to prevent complications.

methodsMen and women aged 50-80, with severe urinary system damage were randomized to Product 1, Product 2 or Placebo. Efficacy points included encrustation prevention analyzed by mean normalized Kidney, Ureter and Bladder (KUB) score, ease of stent removal, and rate of emergency room (ER) visits.

resultsOf 142 patients randomized (Product 1, n = 37; Product 2, n = 62; Placebo, n = 43) 142 received treatment and 138 reached 9 months of follow-up. At 3 months Product 1 was associated with significant improvements vs. Product 2 by means of mean normalized KUB (mnKUB) score (W = - 5.75, p < 0.001). At 6 months both Product 1 and Product 2 were associated with significant improvements vs. Placebo (W = - 7.05, p < 0.001) and (W=-6.55, p < 0.001) respectively. Similar results were obtained at 9 months (Product 1 vs. Placebo, W = - 4.84, p = 0.002; Product 2 vs. Placebo, W = - 4.15, p = 0.009). These outputs agree with that obtained for ease of stent removal, while no differences were found where evaluating the rate of ER visits in the three groups.

conclusionThis study emphasises the efficacy of a combination of potassium and magnesium citrates, Phillantus niruri, Ceterach officinarum and hyaluronic acid (Product 1) in managing long-term ureteral stent dependency, enhancing clinical outcomes and improving patient quality of life (QOL).

Indexed as

CitratesCitric AcidDietary SupplementsPostoperative ComplicationsQuality of LifeStentsUrinary DiversionAgedAged, 80 and overDevice RemovalDouble-Blind MethodFemaleHumansMaleMiddle AgedTreatment OutcomeCitratesCitric AcidChemolysisCitratesHyaluronic acidKUB scoreUrinary diversion devices

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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.