SynthesisPloS one2016
Comparison of High, Intermediate, and Low Frequency Shock Wave Lithotripsy for Urinary Tract Stone Disease: Systematic Review and Network Meta-Analysis.
Synthesis in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled 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.
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
21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 47 citations in OpenAlex.
- The comparison of totally ultrasound-guided versus fluoroscopy-guided shockwave lithotripsy in renal stone treatment: a systematic review and meta-analysis.F1000Research · 2025Pooled it
- Pooled it
- Effectiveness and safety of ultra-slow full power shockwave lithotripsy compared to mini-percutaneous nephrolithotomy and retrograde intrarenal surgery for treatment of lower calyceal stone between 1 and 2 cm with high attenuation value.World journal of urology · 2025Trial
- Which frequency is better for pediatric shock wave lithotripsy? Intermediate or low: a prospective randomized study.World journal of urology · 2021Trial
- What is the optimal frequency in shock wave lithotripsy for pediatric renal stones? A prospective randomized study.Urolithiasis · 2021Trial
- Does ultrasound-guided ESWL improve stone-free rates for distal ureteral stones? A multicentric analysis.World journal of urology · 2026Article
- Optimizing targeting strategies for lithotripsy through in-vitro and in vivo studies with consideration of respiratory regularity.BMC urology · 2024Article
- Which frequency is better for pediatric shock wave lithotripsy? Low intermediate or high: A systematic review and meta-analysis.Frontiers in surgery · 2023Review
- The New Lithotripsy Index predicts success of shock wave lithotripsy.World journal of urology · 2022Article
- Article
- Canadian Urological Association guideline: Management of ureteral calculi - Abridged version.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2021Article
- The clinical and immunological features of the post-extracorporeal shock wave lithotripsy anti-glomerular basement membrane disease.Renal failure · 2021Article
- Canadian Urological Association guideline: Management of ureteral calculi - Full-text.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2021Article
- Factors influencing extracorporeal shock wave lithotripsy efficiency for optimal patient selection.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2021Article
- Automated Generation of Personalized Shock Wave Lithotripsy Protocols: Treatment Planning Using Deep Learning.JMIR medical informatics · 2021Article
- Can a Dinosaur Think? Implementation of Artificial Intelligence in Extracorporeal Shock Wave Lithotripsy.European urology open science · 2021Article
- How to maximize the efficacy of shockwave lithotripsy.Turkish journal of urology · 2020Review
- Optimisation of shock wave lithotripsy: a systematic review of technical aspects to improve outcomes.Translational andrology and urology · 2019Review
- Indications and contraindications for shock wave lithotripsy and how to improve outcomes.Asian journal of urology · 2018Review
- Comparison of intermediate- and low-frequency shock wave lithotripsy for pediatric kidney stones.Urolithiasis · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo perform a systematic review and network meta-analysis of randomized controlled trials (RCTs) to determine the optimal shock wave lithotripsy (SWL) frequency range for treating urinary stones, i.e., high-frequency (100-120 waves/minute), intermediate-frequency (80-90 waves/minute), and low-frequency (60-70 waves/minute) lithotripsy. MATERIALS AND
methodsRelevant RCTs were identified from electronic databases for meta-analysis of SWL success and complication rates. Using pairwise and network meta-analyses, comparisons were made by qualitative and quantitative syntheses. Outcome variables are provided as odds ratios (ORs) with 95% confidence intervals (CIs).
resultsThirteen articles were included in the qualitative and quantitative synthesis using pairwise and network meta-analyses. On pairwise meta-analyses, comparable inter-study heterogeneity was observed for the success rate. On network meta-analyses, the success rates of low- (OR 2.2; 95% CI 1.5-2.6) and intermediate-frequency SWL (OR 2.5; 95% CI 1.3-4.6) were higher than high-frequency SWL. Forest plots from the network meta-analysis showed no significant differences in the success rate between low-frequency SWL versus intermediate-frequency SWL (OR 0.87; 95% CI 0.51-1.7). There were no differences in complication rate across different SWL frequency ranges. By rank-probability testing, intermediate-frequency SWL was ranked highest for success rate, followed by low-frequency and high-frequency SWL. Low-frequency SWL was also ranked highest for low complication rate, with high- and intermediate-frequency SWL ranked lower.
conclusionsIntermediate- and low-frequency SWL have better treatment outcomes than high-frequency SWL when considering both efficacy and complication.
Indexed as
Identifiers
What OpenQuestion holds
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.