Evidence map›Paper›PMID 27038771›Full record

ArticleThe Journal of urology2016

Preoperative Bladder Urine Culture as a Predictor of Intraoperative Stone Culture Results: Clinical Implications and Relationship to Stone Composition.

Jessica E Paonessa, Ehud Gnessin, Naeem Bhojani, James C Williams, James E Lingeman

Open access · greenAbstract read
In one paragraph

Article in The Journal of urology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
5.9field-weighted citation impact, top 3% 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

37 citing papers in PubMed, 1 synthesis or guideline pooled it, 124 citations in OpenAlex.

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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

5 authors at 4 institutions in 3 countries.

Jessica E PaonessaSyracuse University School of Medicine, Syracuse, New York.
Ehud GnessinHebrew University of Jerusalem, Hadassa Medical School, Jerusalem, Israel.
Naeem BhojaniUniversity of Montreal, Montreal, Quebec, Canada.
James C WilliamsDepartment of Anatomy and Cell Biology, Indiana University School of Medicine, Indianapolis, Indiana.
James E LingemanDepartment of Urology, Indiana University School of Medicine, Indianapolis, Indiana. Electronic address: jlingeman@iuhealth.org.
Indiana University School of MedicineHebrew University of Jerusalem · ILSyracuse University · USUniversité de Montréal · CA

Funding

SWL AND RENAL INJURY AND STONE COMMINUTIONP01DK043881 · NIDDK · UNIVERSITY OF WASHINGTON · PI WILLIAMS, JAMES C · 1994 to 2023
$33.5M
STONE FORMATION IN GENETIC HYPERCALCIURIAP01DK056788 · NIDDK · UNIVERSITY OF CHICAGO · PI WILLIAMS, JAMES C · 2000 to 2021
$22.5M
NIDDK NIH HHS P01 DK043881NIDDK NIH HHS P01 DK056788
6 · The paper itself

Abstract

purposeWe examine the relationship between urine and stone cultures in a large cohort of patients undergoing percutaneous stone removal and compare the findings in infectious vs metabolic calculi. MATERIALS AND

methodsA total of 776 patients treated with percutaneous nephrolithotomy who had preoperative urine cultures and intraoperative stone cultures were included in the study. Statistical analysis used chi-square or logistic fit analysis as appropriate.

resultsPreoperative urine culture was positive in 352 patients (45.4%) and stone cultures were positive in 300 patients (38.7%). There were 75 patients (9.7%) with negative preoperative cultures who had positive stone cultures, and in patients with both cultures positive the organisms differed in 103 (13.3%). Gram-positive organisms predominated in preoperative urine and stone cultures.

conclusionsPreoperative urine cultures in patients undergoing percutaneous nephrolithotomy are unreliable as there is a discordance with intraoperative stone cultures in almost a quarter of cases. There has been a notable shift toward gram-positive organisms in this cohort of patients.

Indexed as

AdolescentAdultAgedAged, 80 and overBacteriaChildChild, PreschoolFemaleHumansIntraoperative PeriodKidney CalculiMaleMiddle AgedPreoperative PeriodRetrospective StudiesTomography, X-Ray Computedkidney calculinephrolithiasisnephrostomy, percutaneousurinary tract infections

Identifiers

PMID27038771
PMCPMC5867897
OpenAlexW2324946077

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.