ArticleCardiovascular and interventional radiology2013
Quality-of-life assessment after palliative interventions to manage malignant ureteral obstruction.
Article in Cardiovascular and interventional radiology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.
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Who cites it
23 citing papers in PubMed, 3 syntheses or guidelines pooled it, 64 citations in OpenAlex.
- CIRSE Standards of Practice on Nephrostomy and Ureteric Stent Placement and Exchange.Cardiovascular and interventional radiology · 2026Guideline
- Percutaneous nephrostomy versus retrograde ureteral stenting for acute upper obstructive uropathy: a systematic review and meta-analysis.Scientific reports · 2021Pooled it
- Nephrostomy tube versus double J ureteral stent in patients with malignant ureteric obstruction. A systematic review and meta-analysis of comparative studies.International braz j urol : official journal of the Brazilian Society of UrologyPooled it
- Article
- Ureteral stricture: current treatment algorithm and key surgical principles in the robotic upper urinary tract reconstruction era.World journal of urology · 2026Review
- A Customized Reinforced 8-French Ureteral Stent with End-Piece to Decrease Ureteral Obstruction and Alleviate Stent-Related Symptoms: Evaluation of 92 Patients with 319 Ureteral Stent Procedures.Research and reports in urology · 2026Article
- Impact of Percutaneous Nephrostomy on Pain, Quality of Life, Family Burden, and Depressive Symptoms: A Prospective Observational Study.Sisli Etfal Hastanesi tip bulteni · 2026Article
- Muscle-Invasive Bladder Cancer in Non-Curative Patients: A Study on Survival and Palliative Care Needs.Cancers · 2024Article
- The challenging management of malignant ureteral obstruction: Analysis of a series of 188 cases.Current urology · 2024Article
- Malignant ureteral obstruction: comparison of metallic, 8 French and 6 French ureteric stents after failure of initial ureteric stent.World journal of urology · 2024Article
- Prediction of Stent Failure for Malignant Ureteral Obstruction in Non-Urological Cancer.Yonsei medical journal · 2023Article
- Long-term Outcomes of Minimally Invasive Rendezvous Procedures to Treat Complex Ureteric Strictures and Injuries.European urology open science · 2023Article
- Quality of life with tandem ureteral stents compared to percutaneous nephrostomy for malignant ureteral obstruction.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Review
- Can preoperative ureteral stents reduce the incidence of ureteral stricture after radiotherapy in patients with cervical cancer?BMC urology · 2022Article
- [Comparison of catheter-associated quality of life in external urinary diversion: nephrostomy vs. suprapubic catheter].Der Urologe. Ausg. A · 2022Article
- 10-Year Experience with Reinforced Ureteral Stents for Malignant Ureteral Obstruction.Research and reports in urology · 2021Article
- Percutaneous nephrostomy in obstructing pelvic malignancy does not facilitate further oncological treatment.International urology and nephrology · 2020Article
- Ureteric stent versus percutaneous nephrostomy for acute ureteral obstruction - clinical outcome and quality of life: a bi-center prospective study.BMC urology · 2019Article
- Squamous cell carcinoma of skin due to prolonged indwelling percutaneous nephrostomy catheter.BMJ case reports · 2019Article
- Comparison of single and tandem ureteral stenting for malignant ureteral obstruction: a prospective study of 104 patients.European radiology · 2019Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
Abstract
purposeMalignancies may cause urinary tract obstruction, which is often relieved with placement of a percutaneous nephrostomy tube, an internal double J nephro-ureteric stent (double J), or an internal external nephroureteral stent (NUS). We evaluated the affect of these palliative interventions on quality of life (QoL) using previously validated surveys.
methodsForty-six patients with malignancy related ureteral obstruction received nephrostomy tubes (n = 16), double J stents (n = 15), or NUS (n = 15) as determined by a multidisciplinary team. QoL surveys were administered at 7, 30, and 90 days after the palliative procedure to evaluate symptoms and physical, social, functional, and emotional well-being. Number of related procedures, fluoroscopy time, and complications were documented. Kruskal-Wallis and Friedman's test were used to compare patients at 7, 30, and 90 days. Spearman's rank correlation coefficient was used to assess correlations between clinical outcomes/symptoms and QoL.
resultsResponses to QoL surveys were not significantly different for patients receiving nephrostomies, double J stents, or NUS at 7, 30, or 90 days. At 30 and 90 days there were significantly higher reported urinary symptoms and pain in those receiving double J stents compared with nephrostomies (P = 0.0035 and P = 0.0189, respectively). Significantly greater fluoroscopy time was needed for double J stent-related procedures (P = 0.0054). Nephrostomy tubes were associated with more frequent minor complications requiring additional changes.
conclusionQoL was not significantly different. However, a greater incidence of pain in those receiving double J stents and more frequent tube changes in those with nephrostomy tubes should be considered when choosing palliative approaches.
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