Meta-analysis2021Open access

Bladder volume reproducibility after water consumption in patients with prostate cancer undergoing radiotherapy: A systematic review and meta-analysis

Chen HH, Lin PT, Kuo LT, Lin KS, Fang CC, Chi CC

Biomedical journal · 13 citations

How it was studied

Design
Meta-analysis (indexed by PubMed)
Studied in
People
Main outcome
Health markers and function

Who paid for it

Funding
Independent funding

Based on full-text disclosure statement.

Publication

Published
2020-11-05 · Biomed J · vol. 44 · issue 6 · pp. S226–S234
Publisher
Elsevier BV
Cited
19 citations · more than 70% of similar papers · 0.6× the field average
References
35 works
Access
Open access (journal) · CC-BY-NC-ND
Research areas
Advanced Radiotherapy Techniques · Prostate Cancer Diagnosis and Treatment · Radiation Therapy and Dosimetry
Keywords
Medicine, Reproducibility, Meta-analysis, Randomized controlled trial, Radiation therapy, Bladder cancer, Prostate cancer, Prostate, Confidence interval, Cancer, Internal medicine
MeSH
humans, prostatic neoplasms, water, reproducibility of results, drinking, male, urinary bladder, randomized controlled trials as topic

6 authors

From TW

  • Hsiao-Hsuan ChenChiayi Chang Gung Memorial Hospital
  • Pei-Tzu LinChiayi Chang Gung Memorial Hospital
  • Liang‐Tseng KuoChiayi Chang Gung Memorial Hospital
  • Kun-Sheng LinChiayi Chang Gung Memorial Hospital
  • Chiung-Chen FangChiayi Chang Gung Memorial Hospital
  • Ching‐Chi Chi · correspondingChang Gung University; Chang Gung Memorial Hospital; Linkou Chang Gung Memorial Hospital

Abstract

Background

To minimize toxicity due to radiotherapy in patients with prostate cancer, high bladder volume reproducibility is essential. Water consumption is often used to increase bladder volume reproducibility, but the optimal amount of water required to be consumed remains unclear. We aimed to analyzed the relationship between water consumption and bladder volume reproducibility in patients undergoing radiotherapy for prostate cancer.

Methods

We conducted a systematic review and meta-analysis of randomized controlled trials and cohort studies that assessed bladder volume change after water consumption in patients with prostate cancer undergoing radiotherapy. MEDLINE, Embase, and Cochrane Central Register of Controlled Trials were searched for relevant studies published from database inception up until July 4, 2020. The Newcastle-Ottawa Scale was used to evaluate the risk of bias in the included studies. The outcome was the mean difference (MD) of bladder volume after water consumption, evaluated through meta-analysis using a random-effects model.

Results

Ten cohort studies and one randomized controlled trial with a total of 417 patients were included. For 300-400 ml water consumption, the bladder volume MD between during treatment and at computer tomography-simulation (95% confidence interval [CI]) was -11.97 (-51.68 to 27.74), was -45.99 (-82.85 to -9.13) for 500-540 ml water consumption and -45.92 (-78.86 to -12.98) for water consumption until full-bladder sensation was reached.

Conclusion

Consuming 300-400 ml of water potentially leads to the best bladder volume reproducibility; moreover, the higher the water consumption volume, the lower the bladder volume reproducibility.

Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY-NC-ND).

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