Systematic review of surgical treatments for benign prostatic hyperplasia and presentation of an approach to investigate therapeutic equivalence (non-inferiority).
Identifieur interne : 000422 ( PubMed/Corpus ); précédent : 000421; suivant : 000423Systematic review of surgical treatments for benign prostatic hyperplasia and presentation of an approach to investigate therapeutic equivalence (non-inferiority).
Auteurs : Katharina Biester ; Guido Skipka ; Rebecca Jahn ; Barbara Buchberger ; Volker Rohde ; Stefan LangeSource :
- BJU international [ 1464-410X ] ; 2012.
English descriptors
- KwdEn :
- MESH :
- methods : Urologic Surgical Procedures, Male.
- surgery : Prostatic Hyperplasia.
- Humans, Male, Randomized Controlled Trials as Topic.
Abstract
• To assess the potential additional benefit of non-standard vs standard surgical treatments for benign prostatic hyperplasia (BPH) and to present a new methodological approach to investigate therapeutic equivalence (non-inferiority) regarding symptom reduction.
DOI: 10.1111/j.1464-410X.2011.10512.x
PubMed: 21883855
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pubmed:21883855Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Systematic review of surgical treatments for benign prostatic hyperplasia and presentation of an approach to investigate therapeutic equivalence (non-inferiority).</title><author><name sortKey="Biester, Katharina" sort="Biester, Katharina" uniqKey="Biester K" first="Katharina" last="Biester">Katharina Biester</name><affiliation><nlm:affiliation>Institute for Quality and Efficiency in Health Care, Cologne, Germany. katharina.biester@iqwig.de</nlm:affiliation></affiliation></author><author><name sortKey="Skipka, Guido" sort="Skipka, Guido" uniqKey="Skipka G" first="Guido" last="Skipka">Guido Skipka</name></author><author><name sortKey="Jahn, Rebecca" sort="Jahn, Rebecca" uniqKey="Jahn R" first="Rebecca" last="Jahn">Rebecca Jahn</name></author><author><name sortKey="Buchberger, Barbara" sort="Buchberger, Barbara" uniqKey="Buchberger B" first="Barbara" last="Buchberger">Barbara Buchberger</name></author><author><name sortKey="Rohde, Volker" sort="Rohde, Volker" uniqKey="Rohde V" first="Volker" last="Rohde">Volker Rohde</name></author><author><name sortKey="Lange, Stefan" sort="Lange, Stefan" uniqKey="Lange S" first="Stefan" last="Lange">Stefan Lange</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2012">2012</date><idno type="doi">10.1111/j.1464-410X.2011.10512.x</idno><idno type="RBID">pubmed:21883855</idno><idno type="pmid">21883855</idno><idno type="wicri:Area/PubMed/Corpus">000422</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000422</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Systematic review of surgical treatments for benign prostatic hyperplasia and presentation of an approach to investigate therapeutic equivalence (non-inferiority).</title><author><name sortKey="Biester, Katharina" sort="Biester, Katharina" uniqKey="Biester K" first="Katharina" last="Biester">Katharina Biester</name><affiliation><nlm:affiliation>Institute for Quality and Efficiency in Health Care, Cologne, Germany. katharina.biester@iqwig.de</nlm:affiliation></affiliation></author><author><name sortKey="Skipka, Guido" sort="Skipka, Guido" uniqKey="Skipka G" first="Guido" last="Skipka">Guido Skipka</name></author><author><name sortKey="Jahn, Rebecca" sort="Jahn, Rebecca" uniqKey="Jahn R" first="Rebecca" last="Jahn">Rebecca Jahn</name></author><author><name sortKey="Buchberger, Barbara" sort="Buchberger, Barbara" uniqKey="Buchberger B" first="Barbara" last="Buchberger">Barbara Buchberger</name></author><author><name sortKey="Rohde, Volker" sort="Rohde, Volker" uniqKey="Rohde V" first="Volker" last="Rohde">Volker Rohde</name></author><author><name sortKey="Lange, Stefan" sort="Lange, Stefan" uniqKey="Lange S" first="Stefan" last="Lange">Stefan Lange</name></author></analytic><series><title level="j">BJU international</title><idno type="eISSN">1464-410X</idno><imprint><date when="2012" type="published">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Humans</term><term>Male</term><term>Prostatic Hyperplasia (surgery)</term><term>Randomized Controlled Trials as Topic</term><term>Urologic Surgical Procedures, Male (methods)</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Urologic Surgical Procedures, Male</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Prostatic Hyperplasia</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Humans</term><term>Male</term><term>Randomized Controlled Trials as Topic</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">• To assess the potential additional benefit of non-standard vs standard surgical treatments for benign prostatic hyperplasia (BPH) and to present a new methodological approach to investigate therapeutic equivalence (non-inferiority) regarding symptom reduction.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">21883855</PMID><DateCreated><Year>2012</Year><Month>02</Month><Day>20</Day></DateCreated><DateCompleted><Year>2012</Year><Month>04</Month><Day>23</Day></DateCompleted><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1464-410X</ISSN><JournalIssue CitedMedium="Internet"><Volume>109</Volume><Issue>5</Issue><PubDate><Year>2012</Year><Month>Mar</Month></PubDate></JournalIssue><Title>BJU international</Title><ISOAbbreviation>BJU Int.</ISOAbbreviation></Journal><ArticleTitle>Systematic review of surgical treatments for benign prostatic hyperplasia and presentation of an approach to investigate therapeutic equivalence (non-inferiority).</ArticleTitle><Pagination><MedlinePgn>722-30</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1111/j.1464-410X.2011.10512.x</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">• To assess the potential additional benefit of non-standard vs standard surgical treatments for benign prostatic hyperplasia (BPH) and to present a new methodological approach to investigate therapeutic equivalence (non-inferiority) regarding symptom reduction.</AbstractText><AbstractText Label="PATIENTS AND METHODS" NlmCategory="METHODS">• We conducted a systematic review and searched MEDLINE, Embase and the Cochrane Library (last search: 10/2009) for randomized controlled trials (RCTs) and non-randomized controlled clinical trials (CCTs). • Eligible studies were those that included patients with symptomatic BPH requiring surgical treatment and which compared non-standard procedures (e.g. minimally invasive technologies) with standard ones (e.g. transurethral resection of the prostate, TURP). In addition, only studies analysing patient-relevant outcomes were considered (e.g. irritative and obstructive symptoms, length of hospital stay, quality of life and adverse events). • The main outcome of interest for the present analysis was superiority or non-inferiority for symptom reduction. • As no trial investigated non-inferiority, we defined a non-inferiority threshold (0.25 standard deviation) on the basis of published literature. If a non-standard procedure showed non-inferiority for symptom reduction, additional outcomes were assessed. Meta-analyses were conducted if feasible and meaningful.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">• In all, 43 mainly low-quality trials (RCTs only) compared nine non-standard surgical treatments with standard ones. • Mean follow-up ranged from 6 to 84 months. • No non-standard procedure was superior for symptom reduction. Non-inferiority for symptom reduction was shown in patients who had undergone holmium laser resection of the prostate (HoLRP) or thulium laser resection of the prostate (TmLRP). • As procedural advantages (e.g. no occurrence of transurethral resection syndrome) and other advantages (e.g. shortened hospital stay) were found, an indication of an additional benefit of HoLRP and TmLRP was determined.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">• No proof of superiority for symptom reduction has been shown for non-standard surgical treatments in patients with BPH. • There is a lack of high-quality RCTs and trials designed to investigate non-inferiority. • Future studies should define a non-inferiority threshold (ideally, uniform) a priori, so that results of individual studies are interpretable and comparable, and future systematic reviews should consider this issue.</AbstractText><CopyrightInformation>© 2011 THE AUTHORS. BJU INTERNATIONAL © 2011 BJU INTERNATIONAL.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Biester</LastName><ForeName>Katharina</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Institute for Quality and Efficiency in Health Care, Cologne, Germany. katharina.biester@iqwig.de</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Skipka</LastName><ForeName>Guido</ForeName><Initials>G</Initials></Author><Author ValidYN="Y"><LastName>Jahn</LastName><ForeName>Rebecca</ForeName><Initials>R</Initials></Author><Author ValidYN="Y"><LastName>Buchberger</LastName><ForeName>Barbara</ForeName><Initials>B</Initials></Author><Author ValidYN="Y"><LastName>Rohde</LastName><ForeName>Volker</ForeName><Initials>V</Initials></Author><Author ValidYN="Y"><LastName>Lange</LastName><ForeName>Stefan</ForeName><Initials>S</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType><PublicationType UI="D016454">Review</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2011</Year><Month>08</Month><Day>22</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>BJU Int</MedlineTA><NlmUniqueID>100886721</NlmUniqueID><ISSNLinking>1464-4096</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008297">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D011470">Prostatic Hyperplasia</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000601">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D016032">Randomized Controlled Trials as Topic</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D013521">Urologic Surgical Procedures, Male</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000379">methods</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="aheadofprint"><Year>2011</Year><Month>8</Month><Day>22</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2011</Year><Month>9</Month><Day>3</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2011</Year><Month>9</Month><Day>3</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2012</Year><Month>4</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="doi">10.1111/j.1464-410X.2011.10512.x</ArticleId><ArticleId IdType="pubmed">21883855</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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