Evidence map›Paper›PMID 40937374›Full record

ArticleJournal of biological methods2025

Shifts in clinical practice and patient demographics following the introduction of holmium laser enucleation for benign prostatic hyperplasia in a general urology clinic.

Ankur U Choksi, Shayan Smani, Soum D Lokeshwar, Vinaik M Sundaresan, Christopher S Hayden, Daniel A Segal, Daniel S Kellner

Abstract read
In one paragraph

Article in Journal of biological methods, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Ankur U ChoksiDepartment of Urology, Yale School of Medicine, Yale University, New Haven, Connecticut 06510, United States of America.
Shayan SmaniDepartment of Urology, Yale School of Medicine, Yale University, New Haven, Connecticut 06510, United States of America.
Soum D LokeshwarDepartment of Urology, Yale School of Medicine, Yale University, New Haven, Connecticut 06510, United States of America.
Vinaik M SundaresanDepartment of Urology, Yale School of Medicine, Yale University, New Haven, Connecticut 06510, United States of America.
Christopher S HaydenDepartment of Urology, Yale School of Medicine, Yale University, New Haven, Connecticut 06510, United States of America.
Daniel A SegalDepartment of Urology, Yale School of Medicine, Yale University, New Haven, Connecticut 06510, United States of America.
Daniel S KellnerDepartment of Urology, Yale School of Medicine, Yale University, New Haven, Connecticut 06510, United States of America.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Holmium laser enucleation of the prostate (HoLEP) has emerged as an effective surgical treatment for benign prostatic hyperplasia (BPH). This study evaluated how the adoption of HoLEP in a general urology clinic influenced clinical and procedural volume. Objective: To better understand the practice ramifications of HoLEP adoption, we analyzed the changes to a general urologist's patient demographics and practice patterns after the addition of HoLEP to their surgical repertoire. Methods: We retrospectively reviewed the electronic health records 30 months before and after the introduction of HoLEP to examine changes in a general urologist's patient population. Pearson's Chi-squared test and Student's Results: A total of 4390 unique patients were seen over a period of 5-years, with 2052 seen before and 2338 after the introduction of HoLEP. The mean distance from patients' residence zip codes to the treatment center remained statistically unchanged (pre-HoLEP: 32.52 ± 152.42 miles, post-HoLEP: 29.65 ± 141.79 miles, Conclusion: There was an increase in clinical and surgical volume to an established general urologist's practice after HoLEP was offered. Most patients continued to be drawn from the initial catchment area, potentially reflecting previously unmet treatment needs for patients with large prostate glands.

Indexed as

AmbulatoryBenign prostatic hyperplasiaHolmium laser enucleation of the prostateProstate surgery

Identifiers

PMID40937374
PMCPMC12422107

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.