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Updated: Mar 8, 2026

Ultrasonography of the Adult Male Urinary Tract for Urinary Functional Testing
Published on: August 14, 2019
Research prioritization of men's health and urologic diseases
Tyler Okland1, Chante Karimkhani2, Hannah Pederson1
1University of Colorado School of Medicine, Aurora, Colorado, USA.
Insights
Systematic reviews in the Cochrane Database of Systematic Reviews (CDSR) do not fully reflect disease burden for men's health and urologic diseases (MHUDs). Research prioritization needs to better consider global disease impact to reduce disparities.
Area of Science:
- Urology
- Public Health
- Evidence-Based Medicine
Background:
- The Cochrane Database of Systematic Reviews (CDSR) is a key resource for evidence-based medicine.
- Systematic reviews guide clinical practice and health policy.
- Understanding the alignment between research representation and disease burden is crucial for equitable resource allocation.
Purpose of the Study:
- To assess whether the representation of men's health and urologic diseases (MHUDs) in the CDSR reflects their global disease burden.
- To inform future research prioritization for MHUDs.
Main Methods:
- Ten MHUDs were evaluated for their representation in the CDSR.
- Disease burden was quantified using disability-adjusted life-years (DALYs) from the Global Burden of Disease (GBD) Study.
- Spearman rank analysis was used to correlate CDSR representation with DALYs.
Main Results:
- Nine out of ten MHUDs had at least one systematic review in the CDSR.
- A weak, statistically insignificant positive correlation (rho = 0.42, p = 0.23) was found between CDSR representation and disease burden.
- CDSR representation was misaligned with disease burden for the majority of conditions (6/10).
Conclusions:
- Current representation of MHUDs in the CDSR does not adequately reflect disease burden.
- Disease burden should be a stronger consideration in research prioritization processes.
- Addressing research disparities globally requires awareness and strategic prioritization of research efforts.
Objectives:
We sought to determine whether disease representation in the Cochrane Database of Systematic Reviews (CDSR) reflects disease burden, measured by the Global Burden of Disease (GBD) Study as disability-adjusted life-years (DALYs).
Materials And Methods:
Two investigators performed independent assessment of ten men's health and urologic diseases (MHUDs) in CDSR for systematic review and protocol representation, which were compared with percentage of total 2010 DALYs for the ten conditions. Data were analyzed for correlation using Spearman rank analysis.
Results:
Nine of ten MHUDs were represented by at least one CDSR review. There was a poor and statistically insignificant positive correlation between CDSR representation and disease burden (rho = 0.42, p = 0.23). CDSR representation was aligned with disease burden for three conditions, greater than disease burden for one condition, and less than disease burden for six conditions.
Conclusions:
These results yield high-quality estimates to inform future research prioritization for MHUDs. While prioritization processes are complex and multi-faceted, disease burden should be strongly considered. Awareness of research priority setting has the potential to minimize research disparities on a global scale.
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