Evidence map›Paper›PMID 38714512›Full record

SynthesisInvestigative and clinical urology2024

Safety and efficacy of beta-3 adrenergic agonists in treating neurogenic lower urinary tract dysfunction: A systematic review and meta-analysis.

Mohamed Medhat Elkhashab, Abdullah Mari Alqahtani, Myung Ha Kim, Jinu Kim, Jang Hwan Kim, Jae Hung Jung

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Investigative and clinical urology, 2024. 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. Review
  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

6 authors.

Mohamed Medhat ElkhashabDepartment of Urology & Urological Science Institute, Yonsei University College of Medicine, Seoul, Korea.ORCID 0000-0003-4828-4447
Abdullah Mari AlqahtaniDepartment of Urology & Urological Science Institute, Yonsei University College of Medicine, Seoul, Korea.ORCID 0009-0003-2488-4496
Myung Ha KimYonsei Wonju Medical Library, Yonsei University Wonju College of Medicine, Wonju, Korea.ORCID 0000-0002-7899-3407
Jinu KimDepartment of Urology & Urological Science Institute, Yonsei University College of Medicine, Seoul, Korea.ORCID 0000-0001-7468-364X
Jang Hwan KimDepartment of Urology & Urological Science Institute, Yonsei University College of Medicine, Seoul, Korea.ORCID 0000-0002-9056-7072
Jae Hung JungDepartment of Precision Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea.ORCID 0000-0002-4990-7098

Funding

Korean Urological Association 2022-KUA-008
6 · The paper itself

Abstract

purposeTo evaluate efficacy and safety of beta-3 adrenergic agonists in adults with neurogenic lower urinary tract dysfunction. MATERIALS AND

methodsAccording to a protocol (CRD42022350079), we searched multiple data sources for published and unpublished randomized controlled trials (RCTs) up to 2nd August 2022. Two review authors independently screened studies and abstracted data from the included studies. We performed statistical analyses by using a random-effects model and interpreted them according to the Cochrane Handbook for Systematic Reviews of Interventions. We used GRADE guidance to rate the certainty of evidence (CoE).

resultsWe found data to inform two comparisons: beta-3 adrenergic agonists versus placebo (4 RCTs) and anticholinergics (2 RCTs). Only mirabegron was used for intervention in all included studies. Compared to placebo, beta-3 adrenergic agonists may have a clinically unimportant effect on urinary symptoms score (mean difference [MD] -2.50, 95% confidence interval [CI] -4.78 to -0.22;

conclusionsCompared to placebo, beta-3 adrenergic agonists may have similar effects on urinary symptom scores and major adverse events. There were uncertainties about their effects on quality of life. Compared to anticholinergics, we are either very uncertain or have no evidence about urinary symptom scores, quality of life, and major adverse events.

Indexed as

Adrenergic beta-3 Receptor AgonistsUrinary Bladder, NeurogenicHumansLower Urinary Tract SymptomsRandomized Controlled Trials as TopicTreatment OutcomeAdrenergic beta-3 Receptor AgonistsAdrenergic beta-3 receptor agonistsNeurogenic bladderSystematic review

Identifiers

PMID38714512
PMCPMC11076796

What Socratic holds

Textmetadata
LicenceCC BY-NC
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 Socratic graph.