SynthesisUrolithiasis2015
The clinical efficacy of extracorporeal shock wave lithotripsy in pediatric urolithiasis: a systematic review and meta-analysis.
Synthesis in Urolithiasis, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 60 citations in OpenAlex.
- Outcomes of Paediatric Cystine Stone Management: Results of a Systematic Review.Current urology reports · 2023Pooled it
- Pooled it
- Trial
- What is the optimal frequency in shock wave lithotripsy for pediatric renal stones? A prospective randomized study.Urolithiasis · 2021Trial
- Potassium Citrate is Better in Reducing Salt and Increasing Urine pH than Oral Intake of Lemonade: A Cross-Over Study.Medical science monitor : international medical journal of experimental and clinical research · 2018Trial
- Which surgical method should be used in pediatric patients with a solitary kidney and 1-2 cm kidney stones?World journal of urology · 2025Article
- Evaluating shear wave elastography as a predictor of extracorporeal shock wave lithotripsy outcomes in children.Urolithiasis · 2025Article
- Quadruple-D score in the success rate of extracorporeal shock wave lithotripsy of renal stones in pediatric population.Urolithiasis · 2024Article
- Comparison of two methods for treatment of 1-2 cm kidney stones in pediatric patients: mini PCNL and RIRS.Langenbeck's archives of surgery · 2024Article
- Urinary stone disease in Syrian children.Pediatric nephrology (Berlin, Germany) · 2023Article
- Pediatric Nephrolithiasis.Healthcare (Basel, Switzerland) · 2023Review
- Shockwaves and the Rolling Stones: An Overview of Pediatric Stone Disease.Kidney international reports · 2023Review
- Which frequency is better for pediatric shock wave lithotripsy? Low intermediate or high: A systematic review and meta-analysis.Frontiers in surgery · 2023Review
- Endourological treatment of upper tract urinary disease in children.Frontiers in urology · 2023Review
- Scoping review of recent evidence on the management of pediatric urolithiasis: summary of meta-analyses, systematic reviews and relevant randomized controlled trials.Pediatric surgery international · 2022Article
- Shock Wave Lithotripsy in Pediatric Stone Disease: A 15-Year Single-Center Experience with 2 Types of Lithotripters.Urologia internationalis · 2022Article
- Minimally invasive surgery for pediatric renal and ureteric stones: A therapeutic update.Frontiers in pediatrics · 2022Review
- Tubeless PNL can safely be applied to selected patients in pediatric stone disease.Turkish journal of urology · 2021Article
- Comparison of super-mini-PCNL and flexible ureteroscopy for the management of upper urinary tract calculus (1-2 cm) in children.World journal of urology · 2021Article
- Effectiveness and complications of mini-percutaneous nephrolithotomy in children: one center experience with 232 kidney units.Turkish journal of urology · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The aim was to investigate the clinical efficacy and safety of extracorporeal shock wave lithotripsy (ESWL) in pediatric urolithiasis. A comprehensive systematic review and meta-analysis were performed. PubMed, Embase, and the Cochrane central register of controlled trials (CENTRAL) were searched, and the stone-free rates (SFRs) of various stone sizes and stone positions were extracted from the eligible articles. The quality of the original articles was assessed according to the McHarm Scale. The risk ratios (RRs) and 95% confidential intervals (CIs) were pooled, and the sensitive analysis was performed to evaluate the heterogeneity among all eligible studies. In total, 14 studies with 1842 patients were identified. The pooled RR for the SFR of stones less than 10 mm and greater than 10 mm was 1.14 (95% CI: 1.07, 1.21, P < 0.001); the RR for the SFR of stones in the renal pole calix (PC) and the renal pelvis was 0.95 (95% CI: 0.893, 1.009, P < 0.01); the RR for the SFR of stones in the upper/middle PC and the lower PC was 1.07 (95% CI: 0.997, 1.156, P < 0.061); and the RR for the SFR of stones in the proximal ureter and middle/distal ureter was 1.077 (95% CI: 1.005, 1.154, P = 0.036). Heterogeneity was low in all the analyses. Major complications in ESWL of pediatric urolithiasis were steinstrasse and abdominal colic, the incidences of which were 6.00 and 6.29 %, respectively. The SFR of stones <10 mm was significantly higher than stones >10 mm, and the SFR of stones located in proximal ureter was statistically greater than stones in middle or distal ureter in pediatric urolithiasis, leaving no significant between stones in renal PC and renal pelvis, or between upper/middle PC and lower PC. The use of ESWL in children is highly efficient, with negligible complications; ESWL therapy could be considered the first-line treatment for pediatric urolithiasis.
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Registered trials
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.