Evidence map›Paper›PMID 25681832›Full record

ArticleUrology2015

Endoscopic and histologic findings in a cohort of uric acid and calcium oxalate stone formers.

Boyd R Viers, John C Lieske, Terri J Vrtiska, Loren P Herrera Hernandez, Lisa E Vaughan, Ramilia A Mehta, Eric J Bergstralh, Andrew D Rule, David R Holmes, Amy E Krambeck

Open access · greenAbstract read
In one paragraph

Article in Urology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.1field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
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  4. Review
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  6. Patients treated for uric acid stones reoccur more often and within a shorter interval compared to patients treated for calcium stones.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2020
    Article
  7. Article
  8. Article
  9. Article
  10. Mechanisms for falling urine pH with age in stone formers.American journal of physiology. Renal physiology · 2019
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Review
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  18. Review
  19. Review
  20. Nephrolithiasis as a Risk Factor for CKD: The Atherosclerosis Risk in Communities Study.Clinical journal of the American Society of Nephrology : CJASN · 2015
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Boyd R ViersDepartment of Urology, Mayo Clinic, Rochester, MN.
John C LieskeDivision of Nephrology and Hypertension, Mayo Clinic, Rochester, MN; Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN.
Terri J VrtiskaDepartment of Radiology, Mayo Clinic, Rochester, MN.
Loren P Herrera HernandezDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN.
Lisa E VaughanDivision of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, MN.
Ramilia A MehtaDivision of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, MN.
Eric J BergstralhDivision of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, MN.
Andrew D RuleDivision of Nephrology and Hypertension, Mayo Clinic, Rochester, MN; Division of Epidemiology, Mayo Clinic, Rochester, MN.
David R HolmesDepartment of Physiology and Biomedical Engineering, Biomedical Imaging Resource Core, Mayo Clinic, Rochester, MN.
Amy E KrambeckDepartment of Urology, Mayo Clinic, Rochester, MN. Electronic address: Krambeck.amy@mayo.edu.
Mayo Clinic · USMayo Clinic in Arizona · US

Funding

Mayo Clinic Center for Translational Science ActivitiesUL1TR000135 · NCATS · MAYO CLINIC ROCHESTER · PI KHOSLA, SUNDEEP · 2012 to 2015
$41.2M
VISUALIZATION AND PATHOPHYSIOLOGY OF RENAL STONE PRECURSOR LESIONSU54DK100227 · NIDDK · MAYO CLINIC ROCHESTER · PI LIESKE, JOHN C · 2013 to 2017
$6.3M
NCATS NIH HHS UL1 TR000135NIDDK NIH HHS L30 DK084819NIDDK NIH HHS U54 DK100227
6 · The paper itself

Abstract

objectiveTo characterize the endoscopic and histologic renal papillary lesions in a cohort of uric acid (UA) stone formers (SF).

methodsData were prospectively obtained during percutaneous nephrolithotomy between 2009 and 2013. Renal papillae were endoscopically analyzed to quantitate surface area occupied by plaque or plug, and biopsies were obtained. UA SF were compared with non-SF controls and patients with >50% calcium oxalate (CaOx) in the absence of UA.

resultsThere were 23 UA SF; of which 19 stones (83%) were admixed with CaOx and 4 (17%) were pure. Compared with CaOx SF and controls, UA SF had a higher prevalence of diabetes and obesity, greater serum creatinine and UA levels, lower estimated glomerular filtration rate and urine pH, and elevated UA supersaturation. Characteristics of UA SF were compared with 95 CaOx SF and 19 controls. Overall, 23 (100%) UA SF had endoscopic plaque and 13 (57%) plugs. Endoscopically, UA SF displayed a greater incidence of plugging (57% vs 45% vs 11%; P = .006) relative to CaOx SF and controls. Likewise, UA SF had a greater percentage surface area of plugging (0.1 vs 0.0; P = .002) and plaque (2.0 vs 0.9; P = .006) than controls but similar amounts to CaOx SF. Histologic plugs were similar in UA and CaOx SF, although CaOx SF demonstrated greater interstitial inflammation on endoscopic biopsy.

conclusionUA and CaOx SF have similar amounts of plaque, whereas UA SF have more endoscopic but not histologic collecting duct plugs. These data suggest an overlap between the pathogenesis of UA and CaOx stones. The anchoring site for UA stones remains uncertain.

Indexed as

Calcium OxalateUric AcidAgedBiopsyCase-Control StudiesCreatinineDiabetes MellitusEndoscopyFemaleGlomerular Filtration RateHumansKidney CalculiKidney MedullaMaleMiddle AgedNephritisCalcium OxalateCreatinineUric Acid

Identifiers

PMID25681832
PMCPMC4380657
OpenAlexW2166902262

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.