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具有近期见解的人工智能驱动的科学计量分析:老年和体弱人群的下尿路症状

AI-driven scientometric analysis with recency insights: lower urinary tract symptoms in older and frail populations.

作者信息

Van Huele Andries, Demeulemeester Jelle, Everaert Karel, Petrovic Mirko, Calders Patrick, Hervé François, Wagg Adrian, Bou Kheir George

机构信息

Department of Urology, AZ Alma, Eeklo, Belgium.

Department of Urology, Ghent University Hospital, Ghent, Belgium.

出版信息

World J Urol. 2025 Jul 16;43(1):438. doi: 10.1007/s00345-025-05805-z.

DOI:10.1007/s00345-025-05805-z
PMID:40668382
Abstract

PURPOSE

This artificial intelligence (AI)-driven scientometric analysis, conducted using the Mynd discovery platform, explores research trends in lower urinary tract symptoms (LUTS) among older patients. By applying its novel recency metric, the study identified emerging areas, longstanding research themes, and critical gaps in literature.

METHODS

Mynd applies AI-driven scientometric analysis to map research trends in LUTS and frailty using PubMed abstracts. A total of 13,737 PubMed-indexed publications were analyzed. Through unsupervised topic modeling, Mynd extracts key terminology and builds hierarchical topic structures to enhance contextual understanding. Quantitative metrics-such as the novel recency metric-measure publication trends, categorizing topics as emerging, mainstream, declining, or hot. This approach enables data-driven insights into LUTS research in older persons.

RESULTS

While research on LUTS has grown steadily since the 1980s, a decline in publication output has been observed since 2020. Geographical analysis reflects a shift in scientific prominence towards Asia. More in-depth analysis reveals a shift towards minimally invasive diagnostic methods, with a decline in research interest in invasive urodynamics. A similar pattern is observed in therapeutics. Frailty remains significantly underrepresented in literature, accounting for only 2.5% of the related studies, yet its high recency score indicates a rising focus.

CONCLUSION

These insights underscore the evolving landscape of LUTS research, with growing attention to patient-centered, less invasive management strategies. However, major research gaps persist, particularly in the study of frail patients, necessitating further investigations to ensure evidence-based approaches tailored to aging populations.

摘要

目的

这项使用Mynd发现平台进行的人工智能驱动的科学计量分析,探索了老年患者下尿路症状(LUTS)的研究趋势。通过应用其新颖的时效性指标,该研究确定了新兴领域、长期存在的研究主题以及文献中的关键空白。

方法

Mynd应用人工智能驱动的科学计量分析,利用PubMed摘要来描绘LUTS和虚弱症的研究趋势。总共分析了13737篇被PubMed索引的出版物。通过无监督主题建模,Mynd提取关键术语并构建层次化主题结构,以增强背景理解。诸如新颖的时效性指标等定量指标衡量出版物趋势,将主题分为新兴、主流、衰退或热门。这种方法能够对老年人LUTS研究进行数据驱动的洞察。

结果

虽然自20世纪80年代以来,关于LUTS的研究稳步增长,但自2020年以来已观察到出版物产出下降。地理分析反映出科学影响力向亚洲转移。更深入的分析显示向微创诊断方法转变,对侵入性尿动力学的研究兴趣下降。在治疗方面也观察到类似模式。虚弱症在文献中的代表性仍然显著不足,仅占相关研究的2.5%,但其高时效性得分表明关注度在上升。

结论

这些见解强调了LUTS研究的不断演变态势,对以患者为中心、侵入性较小的管理策略的关注度不断提高。然而,主要研究空白仍然存在,特别是在虚弱患者的研究方面,需要进一步调查以确保为老年人群量身定制基于证据的方法。

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本文引用的文献

1
Identification of Correlation Between Frailty and Lower Urinary Tract Symptoms in Elderly Male Using Korean-FRAIL Scale.使用韩国衰弱量表识别老年男性衰弱与下尿路症状之间的相关性。
World J Mens Health. 2024 Oct 30. doi: 10.5534/wjmh.240122.
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LUTS in Older Adults: Definitions, Comorbidity Impact, Patient Priorities, and Treatment Strategies for Managing Daytime and/or Nighttime Symptoms - ICI-RS 2024.老年男性下尿路症状:定义、合并症影响、患者优先事项以及日间和/或夜间症状管理的治疗策略——2024年国际尿控学会研究学会会议
Neurourol Urodyn. 2025 Mar;44(3):592-600. doi: 10.1002/nau.25624. Epub 2024 Nov 11.
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Research Trends and Hot Spots in Telemedicine for the Elderly: A Scientometric Analysis.
老年人远程医疗的研究趋势与热点:一项科学计量分析
Healthcare (Basel). 2024 Sep 14;12(18):1853. doi: 10.3390/healthcare12181853.
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Association of lower urinary tract symptoms and geriatric nutritional risk index in men: a cross-sectional study based on NHANES.男性下尿路症状与老年营养风险指数的关联:一项基于美国国家健康与营养检查调查(NHANES)的横断面研究
Front Med (Lausanne). 2024 Jun 21;11:1356921. doi: 10.3389/fmed.2024.1356921. eCollection 2024.
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Association between oral frailty and lower urinary tract symptoms among middle-aged and older adults in community-dwelling individuals: a cross-sectional study.社区居住的中老年人口腔脆弱与下尿路症状之间的关联:一项横断面研究。
Int Urol Nephrol. 2024 Jun;56(6):1803-1810. doi: 10.1007/s11255-023-03878-6. Epub 2024 Jan 12.
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Ageing Res Rev. 2023 Dec;92:102129. doi: 10.1016/j.arr.2023.102129. Epub 2023 Nov 21.
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Could a better understanding of the underlying pathophysiologies lead to more informed treatment choices in patients with lower urinary tract dysfunction due to an acontractile or underactive detrusor? ICI-RS 2023.对于因逼尿肌无收缩或收缩无力导致下尿路功能障碍的患者,更好地了解潜在病理生理学是否能导致更明智的治疗选择?ICI-RS 2023 年会议。
Neurourol Urodyn. 2024 Aug;43(6):1381-1390. doi: 10.1002/nau.25329. Epub 2023 Nov 13.
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High prevalence of frailty in patients with lower urinary tract symptoms.下尿路症状患者衰弱的高患病率。
Geriatr Gerontol Int. 2023 Aug;23(8):609-615. doi: 10.1111/ggi.14633. Epub 2023 Jul 11.
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Relationship between lower urinary tract symptoms and frailty.下尿路症状与虚弱的关系。
Int J Urol. 2023 Jul;30(7):606-613. doi: 10.1111/iju.15187. Epub 2023 Apr 23.
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Longitudinal Associations between Concurrent Changes in Phenotypic Frailty and Lower Urinary Tract Symptoms among Older Men.老年男性表型虚弱和下尿路症状同时变化的纵向关联。
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