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MP45-16 PHOTOSELECTIVE VAPORIZATION OF THE PROSTATE: FAVOURABILITY OF STUDY RESULTS AS A FUNCTION OF CONFLICTS OF INTEREST AND INDUSTRIAL SPONSORSHIP

2019· article· en· W2942223943 on OpenAlexaboutno aff
Marian S. Wettstein, Clinsy Pazhepurackel, Aline S. Neumann, Dixon Woon, Jaime O. Herrera‐Cáceres, Cédric Poyet, Tullio Sulser, Girish S. Kulkarni, Thomas Hermanns

Bibliographic record

VenueThe Journal of Urology · 2019
Typearticle
Languageen
FieldBiochemistry, Genetics and Molecular Biology
TopicSexual Differentiation and Disorders
Canadian institutionsnot available
Fundersnot available
KeywordsMedicineProstateUrologyGynecologyPsychoanalysisInternal medicinePsychologyCancer

Abstract

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You have accessJournal of UrologyBenign Prostatic Hyperplasia: Surgical Therapy & New Technology III (MP45)1 Apr 2019MP45-16 PHOTOSELECTIVE VAPORIZATION OF THE PROSTATE: FAVOURABILITY OF STUDY RESULTS AS A FUNCTION OF CONFLICTS OF INTEREST AND INDUSTRIAL SPONSORSHIP Marian S. Wettstein*, Clinsy Pazhepurackel, Aline S. Neumann, Dixon T.S. Woon, Jaime O. Herrera-Caceres, Cédric Poyet, Tullio Sulser, Girish S. Kulkarni, and Thomas Hermanns Marian S. Wettstein*Marian S. Wettstein* More articles by this author , Clinsy PazhepurackelClinsy Pazhepurackel More articles by this author , Aline S. NeumannAline S. Neumann More articles by this author , Dixon T.S. WoonDixon T.S. Woon More articles by this author , Jaime O. Herrera-CaceresJaime O. Herrera-Caceres More articles by this author , Cédric PoyetCédric Poyet More articles by this author , Tullio SulserTullio Sulser More articles by this author , Girish S. KulkarniGirish S. Kulkarni More articles by this author , and Thomas HermannsThomas Hermanns More articles by this author View All Author Informationhttps://doi.org/10.1097/01.JU.0000556279.11152.58AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVES: Photoselective vaporization of the prostate (PVP) with the so-called 532nm greenlight laser is an accepted treatment modality for non-neurogenic lower urinary tract symptoms secondary to prostate enlargement. Conflicts of interest (COIs) and industrial sponsorship (IS) have been shown to have a significant impact on the favourability of study results. The aim of the current study was to evaluate outcomes of comparative studies on PVP as a function of COIs and IS. METHODS: MEDLINE and EMBASE were systematically searched for records in English language. Comparative studies (randomized controlled trials [RCTs] and non-randomized comparative studies [NRCSs]), in which PVP was one treatment modality, were considered eligible. Sponsorship assessment distinguished between IS and non-industrial sponsoring. Two reviewers screened all abstracts and full-text articles independently. Disagreement was resolved either by discussion or by reference to a third independent reviewer. Favorability of outcome was evaluated on a binary scale (PVP-favourable versus PVP-unfavourable) by two independent board-certified urologists external to the remaining study team. Descriptive statistics were used for data analysis. RESULTS: In total, 749 records were screened after manual deduplication. Of these, 286 articles were eligible for full-text screening. Full-text analysis identified 65 studies (25 RCTs [38%], 40 NRCSs [62%]). The majority of the studies mentioned the absence/presence of potential COIs (78%). In contrast, a sponsorship statement was only found in 29% of the investigations. Our analysis identified 56 conflicted authors. In 24 (37%) studies at least one COI was declared (range 1 to 18). Interestingly, searching the author lists of all included studies a second time for more occurrences of the 56 conflicted authors led to the identification 36 initially undeclared COIs in a total of 6 studies. Fifty-six (86%) and 9 (14%) of all included studies were rated as PVP-favourable and PVP-unfavourable, respectively. Among PVP-favourable studies, we could identify both a higher proportion of COI (39% vs. 32%) and IS (7% vs. 0%). CONCLUSIONS: Within the field of comparative PVP literature, COIs are not only highly prevalent but also more frequent in studies reporting PVP-favourable outcomes. IS was exclusively found in PVP-favourable studies. A majority of all RCTs and NRCSs on PVP mention the absence/presence of potential COIs. However, a sponsorship statement was identifiable in only about one third of all studies. Source of Funding: none Zurich, Switzerland; Toronto, Canada; Zurich, Switzerland; Toronto, Canada; Zurich, Switzerland© 2019 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 201Issue Supplement 4April 2019Page: e643-e643 Advertisement Copyright & Permissions© 2019 by American Urological Association Education and Research, Inc.MetricsAuthor Information Marian S. Wettstein* More articles by this author Clinsy Pazhepurackel More articles by this author Aline S. Neumann More articles by this author Dixon T.S. Woon More articles by this author Jaime O. Herrera-Caceres More articles by this author Cédric Poyet More articles by this author Tullio Sulser More articles by this author Girish S. Kulkarni More articles by this author Thomas Hermanns More articles by this author Expand All Advertisement PDF downloadLoading ...

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Bench or experimental · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.502
Threshold uncertainty score0.155

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.037
GPT teacher head0.268
Teacher spread0.231 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designBench or experimental
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

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Published2019
Admission routes1
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