Evidence map›Paper›PMID 41176524›Full record

ArticleWorld journal of urology2025

Management and recurrence patterns of radiation-induced cystitis with hematuria: a persistent clinical challenge.

Mario de Angelis, Leonardo Quarta, Mattia Longoni, Pietro Scilipoti, Francesco Pellegrino, Alfonso Santangelo, Paolo Zaurito, Giovanni Tremolada, Andrea Folcia, Angelo Occhi and 9 more

Abstract read
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In one paragraph

Article 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 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. Diabetes Is an Independent Risk Factor for Radiation-Induced Hematuria After Robotic Stereotactic Body Radiotherapy for Prostate Cancer.International journal of urology : official journal of the Japanese Urological Association · 2026
    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

19 authors.

Mario de AngelisDivision of Experimental Oncology/ Unit of Urology, Urological Research Institute (URI), IRCCS Ospedale San Raffaele, Vita-Salute San Raffaele University, Milan, Italy. deangelis.mario@hsr.it.
Leonardo QuartaDivision of Experimental Oncology/ Unit of Urology, Urological Research Institute (URI), IRCCS Ospedale San Raffaele, Vita-Salute San Raffaele University, Milan, Italy.
Mattia LongoniDivision of Experimental Oncology/ Unit of Urology, Urological Research Institute (URI), IRCCS Ospedale San Raffaele, Vita-Salute San Raffaele University, Milan, Italy.
Pietro ScilipotiDivision of Experimental Oncology/ Unit of Urology, Urological Research Institute (URI), IRCCS Ospedale San Raffaele, Vita-Salute San Raffaele University, Milan, Italy.
Francesco PellegrinoDivision of Experimental Oncology/ Unit of Urology, Urological Research Institute (URI), IRCCS Ospedale San Raffaele, Vita-Salute San Raffaele University, Milan, Italy.
Alfonso SantangeloDivision of Experimental Oncology/ Unit of Urology, Urological Research Institute (URI), IRCCS Ospedale San Raffaele, Vita-Salute San Raffaele University, Milan, Italy.
Paolo ZauritoDivision of Experimental Oncology/ Unit of Urology, Urological Research Institute (URI), IRCCS Ospedale San Raffaele, Vita-Salute San Raffaele University, Milan, Italy.
Giovanni TremoladaDivision of Experimental Oncology/ Unit of Urology, Urological Research Institute (URI), IRCCS Ospedale San Raffaele, Vita-Salute San Raffaele University, Milan, Italy.
Andrea FolciaDivision of Experimental Oncology/ Unit of Urology, Urological Research Institute (URI), IRCCS Ospedale San Raffaele, Vita-Salute San Raffaele University, Milan, Italy.
Angelo OcchiDivision of Experimental Oncology/ Unit of Urology, Urological Research Institute (URI), IRCCS Ospedale San Raffaele, Vita-Salute San Raffaele University, Milan, Italy.
Michele BrancaccioDivision of Experimental Oncology/ Unit of Urology, Urological Research Institute (URI), IRCCS Ospedale San Raffaele, Vita-Salute San Raffaele University, Milan, Italy.
Alessandro VitiDivision of Experimental Oncology/ Unit of Urology, Urological Research Institute (URI), IRCCS Ospedale San Raffaele, Vita-Salute San Raffaele University, Milan, Italy.
Armando GaldieriDivision of Experimental Oncology/ Unit of Urology, Urological Research Institute (URI), IRCCS Ospedale San Raffaele, Vita-Salute San Raffaele University, Milan, Italy.
Giusy BurgioDivision of Experimental Oncology/ Unit of Urology, Urological Research Institute (URI), IRCCS Ospedale San Raffaele, Vita-Salute San Raffaele University, Milan, Italy.
Andrea SaloniaDivision of Experimental Oncology/ Unit of Urology, Urological Research Institute (URI), IRCCS Ospedale San Raffaele, Vita-Salute San Raffaele University, Milan, Italy.
Giorgio GandagliaDivision of Experimental Oncology/ Unit of Urology, Urological Research Institute (URI), IRCCS Ospedale San Raffaele, Vita-Salute San Raffaele University, Milan, Italy.
Francesco MontorsiDivision of Experimental Oncology/ Unit of Urology, Urological Research Institute (URI), IRCCS Ospedale San Raffaele, Vita-Salute San Raffaele University, Milan, Italy.
Alberto BrigantiDivision of Experimental Oncology/ Unit of Urology, Urological Research Institute (URI), IRCCS Ospedale San Raffaele, Vita-Salute San Raffaele University, Milan, Italy.
Marco MoschiniDivision of Experimental Oncology/ Unit of Urology, Urological Research Institute (URI), IRCCS Ospedale San Raffaele, Vita-Salute San Raffaele University, Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRadiation-induced cystitis (RIC) with gross hematuria is a challenging complication in patients undergoing pelvic radiotherapy (RT), often resulting in emergency department (ED) visits and hospital admissions. MATERIALS AND

methodsWe retrospectively reviewed records of patients who received pelvic RT and accessed our ED for RIC between 2019 and 2024. Demographic and clinical data were collected. The primary aim was to evaluate ED management, hospitalization rates, in-hospital care and discharge treatments. Moreover, multivariable Cox-regression (MCR) and Poisson regression analyses were used to identify predictors of recurrent ED visits and number of total hospitalizations.

resultsOverall, 61 patients were identified. Median age at first RIC was 75 years, with a median interval of 7 years (IQR: 2-9) from RT to RIC onset. Among these, 54 (89%) received RT for prostate cancer. At first ED presentation, 25 (41%) had a prior history of RIC. Overall, 32 (52%) required hospitalization. At MCR, age (HR: 1.01, p = 0.03) and anticoagulant/antiplatelet use (HR: 1.8, p = 0.01) were significantly associated with recurrence. Similarly, Poisson regression showed that higher age (RR:1.1, p = 0.02), anticoagulant/antiplatelet therapy (RR:1.6, p = 0.008), prior RIC (RR:2.2, p < 0.001) and longer latency from RT to RIC (RR: 1.3, p = 0.04) were significantly associated to increased risk of multiple hospitalizations.

conclusionOlder age, anticoagulant or antiplatelet use, previous RIC, and delayed RIC onset are independent predictors of multiple hospitalizations. These results highlight the long-term impact of RT-related complications in these patients and the need for improved preventive strategies.

Indexed as

CystitisHematuriaProstatic NeoplasmsRadiation InjuriesAgedAged, 80 and overFemaleHospitalizationHumansMaleMiddle AgedRecurrenceRetrospective StudiesHematuriaProstate cancerRadiation cystitisRadiation-induced cystitisRadiotherapy

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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.