Evidence map›Paper›PMID 27210573›Full record

ArticleUrology2016

Characterization of Inner Medullary Collecting Duct Plug Formation Among Idiopathic Calcium Oxalate Stone Formers.

Marcelino Rivera, Patrick A Cockerill, Felicity Enders, Ramila A Mehta, Lisa Vaughan, Terri J Vrtiska, Loren P Herrera Hernandez, David R Holmes, Andrew D Rule, John C Lieske and 1 more

Open access · greenAbstract read
In one paragraph

Article in Urology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.5field-weighted citation impact, top 29% 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

6 citing papers in PubMed, 9 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

11 authors at 2 institutions in 1 country.

Marcelino RiveraDepartment of Urology, Mayo Clinic, Rochester, MN.
Patrick A CockerillDepartment of Urology, Mayo Clinic, Rochester, MN.
Felicity EndersDivision of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, MN.
Ramila A MehtaDivision of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, MN.
Lisa VaughanDivision of Biomedical Statistics and Informatics, 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.
David R HolmesDepartment of Physiology and Biomedical Engineering, Biomedical Imaging Resource Core, Mayo Clinic, Rochester, MN.
Andrew D RuleDivision of Nephrology and Hypertension, Mayo Clinic, Rochester, MN.
John C LieskeDivision of Nephrology and Hypertension, 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

Rochester Epidemiology ProjectR01AG034676 · NIA · MAYO CLINIC ROCHESTER · PI ROCCA, WALTER A, ST SAUVER, JENNIFER LYNN · 2010 to 2019
$9.5M
VISUALIZATION AND PATHOPHYSIOLOGY OF RENAL STONE PRECURSOR LESIONSU54DK100227 · NIDDK · MAYO CLINIC ROCHESTER · PI LIESKE, JOHN C · 2013 to 2017
$6.3M
Mayo Clinic Urology O'Brien Research CenterP50DK083007 · NIDDK · MAYO CLINIC ROCHESTER · PI LIESKE, JOHN C · 2008 to 2012
$5.3M
NIA NIH HHS R01 AG034676NIDDK NIH HHS P50 DK083007NIDDK NIH HHS U54 DK100227
6 · The paper itself

Abstract

objectiveTo study the prevalence of, risk factors for, and renal functional consequences of ductal plug formation in idiopathic calcium oxalate (iCaOx) stone formers (SF). PATIENTS AND

methodsAccessible renal papillae were videotaped to determine the percent surface area (SA) occupied by plaque and ductal plug in a consecutive cohort of iCaOx SF undergoing percutaneous nephrolithotomy for stone removal.

resultsBetween 2009 and 2014, iCaOx SF comprised 96 of 240 enrolled patients. Of these, 41 (43%) had ductal plugs. Mean plaque SA did not differ between the low and high % plug groups (2.1% vs 3.4%, respectively). The amounts of mean % SA plaque and ductal plug were not strongly correlated (Spearman's ρ = 0.12, P = .3). Patients with >1% mean SA plug had a higher urinary pH (median 6.5 vs 6.0, P = .02) and elevated urinary hydroxyapatite supersaturation (median 5.4 vs 3.7 delta G; P = .04). Those with >1% plugging had more extensive ductal dilation (P = .002) compared to those with ≤1%. However, estimated glomerular filtration rate was the same (median 75.4 mL/min/1.73 m(2) vs 74.7 mL/min/1.73 m(2)). Number of prior stone events was associated with mean and maximum papillary SA occupied by plug (P < .05 for both), but not plaque (P = .3 and p = .5, respectively).

conclusionWithin a cohort of iCaOx SF, macroscopic plaque and ductal plugs often coexist. Intraluminal features known to favor calcium phosphate crystallization appear to play a role in plug formation. The pathogenic significance of these plugs remains to be established, although their extent appears to correlate with stone burden.

Indexed as

AgedCalcium OxalateFemaleHumansKidneyKidney CalculiKidney MedullaKidney TubulesMaleMiddle AgedRisk FactorsCalcium Oxalate

Identifiers

PMID27210573
PMCPMC5492383
OpenAlexW2404172634

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.