Evidence map›Paper›PMID 33442769›Full record

Trial reportWorld journal of urology2021

The use of Lactobacillus casei DG® prevents symptomatic episodes and reduces the antibiotic use in patients affected by chronic bacterial prostatitis: results from a phase IV study.

Tommaso Cai, Luca Gallelli, Erika Cione, Gianpaolo Perletti, Francesco Ciarleglio, Gianni Malossini, Giovanni De Pretis, Alessandro Palmieri, Vincenzo Mirone, Riccardo Bartoletti and 1 more

Open access · hybridAbstract readClinical Trial, Phase IV
In one paragraph

Trial report in World journal of urology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.3field-weighted citation impact, top 8% of its field
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

11 citing papers in PubMed, 19 citations in OpenAlex.

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  9. Journal of clinical medicine · 2022
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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

11 authors at 8 institutions in 3 countries.

Tommaso CaiDepartment of Urology, Santa Chiara Regional Hospital, Trento, Italy. ktommy@libero.it.ORCID http://orcid.org/0000-0002-7234-3526
Luca GallelliDepartment of Health Sciences, University of Catanzaro, Catanzaro, Italy.
Erika CioneDepartment of Pharmacy, Health and Nutritional Sciences, Department of Excellence 2018-2022, University of Calabria, 87036, Rende, CS, Italy.
Gianpaolo PerlettiDepartment of Biotechnology and Life Sciences, Università degli Studi dell'Insubria, Varese, Italy.
Francesco CiarleglioDepartment of Surgery, Santa Chiara Regional Hospital, Trento, Italy.
Gianni MalossiniDepartment of Urology, Santa Chiara Regional Hospital, Trento, Italy.
Giovanni De PretisDepartment of Gastroenterology, Santa Chiara Regional Hospital, Trento, Italy.
Alessandro PalmieriAOU Federico II - Urology Unit, University Federico II, Naples, Italy.
Vincenzo MironeAOU Federico II - Urology Unit, University Federico II, Naples, Italy.
Riccardo BartolettiDepartment of Urology, University of Pisa, Pisa, Italy.
Truls E Bjerklund JohansenInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.
Ospedale Santa Chiara · ITFederico II University Hospital · ITAzienda Ospedaliero Universitario Mater Domini · ITOslo University Hospital · NOUniversity of Calabria · ITUniversity of Insubria · ITUniversity of Oslo · NOUniversity of Pisa · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the efficacy of Lactobacillus paracasei CNCM I-1572 (L. casei DG®) in both prevention of symptomatic recurrences and improvement of quality of life in patients with chronic bacterial prostatitis (CBP).

methodsPatients with CBP attending a single Urological Institution were enrolled in this phase IV study. At enrollment, all patients were treated with antibiotics in agreement with EAU guidelines and then were treated with L. casei DG® (2 capsules/day for 3 months). Clinical and microbiological analyses were carried out before (enrollment, T0) and 6 months (T2) after the treatment. Both safety and adherence to the treatment were evaluated 3 months (T1) after the enrollment. NIH Chronic Prostatitis Symptom Index (CPSI), International Prostate Symptom Score (IPSS) and Quality of Well-Being (QoL) questionnaires were used. The outcome measures were the rate of symptomatic recurrence, changes in questionnaire symptom scores and the reduction of antibiotic use.

resultsEighty-four patients were included. At T2, 61 patients (72.6%) reported a clinical improvement of symptoms with a return to their clinical status before symptoms. A time dependent improvement in clinical symptoms with significant changes in NIH-CPSI, IPSS and QoL (mean difference T2 vs T0: 16.5 ± 3.58; - 11.0 ± 4.32; + 0.3 ± 0.09; p < 0.001), was reported. We recorded that L. casei DG® treatment induced a statistically significant decrease in both (p < 0.001) symptomatic recurrence [1.9/3 months vs 0.5/3 months] and antibiotic use [- 7938 UDD]. No clinically relevant adverse effects were reported.

conclusionsL. casei DG® prevents symptomatic recurrences and improves the quality of life in patients with CBP, reducing the antibiotic use.

Indexed as

Lacticaseibacillus caseiQuality of LifeAdultAnti-Bacterial AgentsDrug UtilizationHumansMaleProspective StudiesProstatitisRecurrenceTreatment OutcomeAnti-Bacterial Agents

Identifiers

PMID33442769
PMCPMC8510959
OpenAlexW3121121914

What Socratic 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 Socratic graph.