systematic_review
    2014
    High Quality

    Comparative Effectiveness of Oral Drug Therapies for Lower Urinary Tract Symptoms due to Benign Prostatic Hyperplasia: A Systematic Review and Network Meta-Analysis

    Yuan J., Liu Y., Yang Z., Qin X., Yang K., Mao C., Wang X.

    Published in PLoS ONE

    Abstract

    This systematic review and network meta-analysis compared the comparative effectiveness of oral drug therapies for lower urinary tract symptoms due to benign prostatic hyperplasia.

    Methodology

    Systematic search for RCTs of oral pharmacotherapies for BPH-related LUTS; network meta-analysis comparing drug classes and combinations.

    Key Findings

    Combination therapy generally provided greater symptom improvement than monotherapy; alpha-blockers provided rapid relief while 5-alpha reductase inhibitors reduced long-term progression.

    Conclusions

    Combination pharmacotherapy offers superior symptom control for moderate-to-severe BPH-related LUTS compared with monotherapy.

    Limitations

    Network meta-analysis relies on indirect comparisons; inconsistency in outcome reporting; possible publication bias among industry-sponsored trials.

    Related Health Concerns

    Study Details

    Year:2014
    Quality Score:8/10

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