Evidence map›Paper›PMID 27890522›Full record

Trial reportContemporary clinical trials2017

Design and challenges of a randomized clinical trial of medical expulsive therapy (tamsulosin) for urolithiasis in the emergency department.

Pamela K Burrows, Judd E Hollander, Allan B Wolfson, Michael C Kurz, Lorna Richards, Sara DiFiore, Phillip Watts, Nivedita Patkar, Jeremy Brown, Stephen Jackman and 5 more

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Contemporary clinical trials, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 7% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
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

15 authors at 6 institutions in 1 country.

Pamela K BurrowsThe George Washington University Biostatistics Center, George Washington University Milken Institute School of Public Health, 6110 Executive Boulevard, Rockville, MD 20852, United States. Electronic address: pam_b@bsc.gwu.edu.
Judd E HollanderDepartment of Emergency Medicine, Thomas Jefferson University Hospital, 1020 Sansom Street, Philadelphia, PA 19107, United States.
Allan B WolfsonDepartment of Emergency Medicine, University of Pittsburgh, Suite 400A Iroquois Building, 3600 Forbes Avenue, Pittsburgh, PA, 15261, United States.
Michael C KurzDepartment of Emergency Medicine, University of Alabama at Birmingham, 619 19th Street South, Birmingham, AL 35249, United States.
Lorna RichardsDepartment of Emergency Medicine, George Washington University Medical Faculty Associates, 2120 L Street NW, Washington, DC 20037, United States.
Sara DiFioreDepartment of Emergency Medicine, University of Pittsburgh, Suite 400A Iroquois Building, 3600 Forbes Avenue, Pittsburgh, PA, 15261, United States.
Phillip WattsDepartment of Emergency Medicine, Thomas Jefferson University Hospital, 1020 Sansom Street, Philadelphia, PA 19107, United States.
Nivedita PatkarDepartment of Emergency Medicine, University of Alabama at Birmingham, 619 19th Street South, Birmingham, AL 35249, United States.
Jeremy BrownDepartment of Emergency Medicine, George Washington University Medical Faculty Associates, 2120 L Street NW, Washington, DC 20037, United States.
Stephen JackmanDepartment of Emergency Medicine, University of Pittsburgh, Suite 400A Iroquois Building, 3600 Forbes Avenue, Pittsburgh, PA, 15261, United States.
Ziya KirkaliNational Institute of Diabetes and Digestive and Kidney Diseases, Division of Kidney, Urologic and Hematologic Diseases, 6707 Democracy Boulevard, Bethesda, MD 20892, United States.
John W KusekNational Institute of Diabetes and Digestive and Kidney Diseases, Division of Kidney, Urologic and Hematologic Diseases, 6707 Democracy Boulevard, Bethesda, MD 20892, United States.
Chloe MichelDepartment of Emergency Medicine, George Washington University Medical Faculty Associates, 2120 L Street NW, Washington, DC 20037, United States.
Andrew C MeltzerDepartment of Emergency Medicine, George Washington University Medical Faculty Associates, 2120 L Street NW, Washington, DC 20037, United States.
STONE Study Investigators
George Washington University · USUniversity of Pittsburgh · USNational Institute of Diabetes and Digestive and Kidney Diseases · USThomas Jefferson University Hospital · USUniversity of Alabama at Birmingham · USMilken Institute · US

Funding

Multi-Center Study of Tamsulosin for Ureteral Stones in the Emergency DepartmentU01DK096037 · NIDDK · GEORGE WASHINGTON UNIVERSITY · PI MACPHERSON, CORA ANN BUCKLEY, MELTZER, ANDREW C · 2012 to 2016
$4.4M
Tamsulosin and steroids for urolithiasisU01DK071603 · NIDDK · GEORGE WASHINGTON UNIVERSITY · PI BROWN, JEREMY · 2006 to 2008
$823k
Planning a multi-center trial of tamsulosin for urolithiasisU34DK090957 · NIDDK · GEORGE WASHINGTON UNIVERSITY · PI BROWN, JEREMY · 2010 to 2010
$382k
NIDDK NIH HHS U01 DK071603NIDDK NIH HHS U01 DK096037NIDDK NIH HHS U34 DK090957
6 · The paper itself

Abstract

Urolithiasis or urinary stone disease has been estimated to affect about 1 in 11 Americans. Patients with urinary stone disease commonly present to the emergency department for management of their acute pain. In addition to providing analgesia, administration of drug (medical expulsive therapy) is often prescribed to assist passage of the urinary stone. In this methodology paper, we describe the design of a prospective, multi-center, randomized, double-blind placebo controlled clinical trial of the alpha-adrenergic blocker, tamsulosin, to evaluate its effectiveness as medical expulsive therapy. In addition, we describe the unique challenges of conducting a trial of this type within the setting of the emergency department.

Indexed as

Emergency Service, HospitalAnalgesicsDouble-Blind MethodHumansPain ManagementSulfonamidesTamsulosinTreatment OutcomeUrolithiasisUrological AgentsAnalgesicsSulfonamidesTamsulosinUrological AgentsAlpha-blockerEmergency departmentKidney stonesMedical expulsive therapyUrinary stone diseaseUrolithiasis

Identifiers

PMID27890522
PMCPMC5167651
OpenAlexW2550502989

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.