Evidence map›Paper›PMID 27936909›Full record

ArticleJournal of endourology2017

Variation in the Use of Open Pyeloplasty, Minimally Invasive Pyeloplasty, and Endopyelotomy for the Treatment of Ureteropelvic Junction Obstruction in Adults.

Bruce L Jacobs, Julie C Lai, Rachana Seelam, Janet M Hanley, J Stuart Wolf, Brent K Hollenbeck, John M Hollingsworth, Andrew W Dick, Claude M Setodji, Christopher S Saigal

Open access · greenAbstract read
In one paragraph

Article in Journal of endourology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.7field-weighted citation impact, top 16% 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

9 citing papers in PubMed, 11 citations in OpenAlex.

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  8. Clinical and radiographic outcomes following salvage intervention for ureteropelvic junction obstruction.International braz j urol : official journal of the Brazilian Society of Urology
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 1 country.

Bruce L Jacobs1 Department of Urology, University of Pittsburgh , Pittsburgh, Pennsylvania.
Julie C Lai2 RAND Corporation , Santa Monica, California.
Rachana Seelam2 RAND Corporation , Santa Monica, California.
Janet M Hanley2 RAND Corporation , Santa Monica, California.
J Stuart Wolf3 Dell Medical School of the University of Texas , Austin, Texas.
Brent K Hollenbeck4 Department of Urology, Division of Health Services Research, University of Michigan , Ann Arbor, Michigan.
John M Hollingsworth4 Department of Urology, Division of Health Services Research, University of Michigan , Ann Arbor, Michigan.
Andrew W Dick2 RAND Corporation , Santa Monica, California.
Claude M Setodji2 RAND Corporation , Santa Monica, California.
Christopher S Saigal2 RAND Corporation , Santa Monica, California.
RAND Corporation · USUniversity of Michigan–Ann Arbor · USUniversity of California, Los Angeles · USUniversity of Pittsburgh · US

Funding

Major surgery in patients with Alzheimer's disease and related dementias: effects of technology and policyR01AG048071 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI HOLLENBECK, BRENT K. · 2015 to 2019
$3.0M
Enriching Claims-Based Analysis of Prostate Cancer Treatment Decision MakingR03AG048091 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JACOBS, BRUCE L. · 2014 to 2015
$228k
NIA NIH HHS R01 AG048071NIA NIH HHS R03 AG048091
6 · The paper itself

Abstract

background and purposeUreteropelvic junction obstruction is a common condition that can be treated with open pyeloplasty, minimally invasive pyeloplasty, and endopyelotomy. While all these treatments are effective, the extent to which they are used is unclear. We sought to examine the dissemination of these treatments. PATIENTS AND

methodsUsing the MarketScan

resultsRates of minimally invasive pyeloplasty increased 10-fold, while rates of open pyeloplasty decreased by over 40%, and rates of endopyelotomy were relatively stable. Factors associated with receiving an open vs a minimally invasive pyeloplasty were largely similar. Compared with endopyelotomy, patients receiving minimally invasive pyeloplasty were less likely to be older (odds ratio [OR] 0.96; 95% confidence interval [CI], 0.95, 0.97) and live in the south (OR 0.52; 95% CI, 0.33, 0.81) and west regions (OR 0.57; 95% CI 0.33, 0.98) compared with the northeast and were more likely to live in metropolitan statistical areas (OR 1.52; 95% CI 1.08, 2.13).

conclusionsOver this 9-year period, the landscape of ureteropelvic junction obstruction treatment has changed dramatically. Further research is needed to understand why geographic factors were associated with receiving a minimally invasive pyeloplasty or an endopyelotomy.

Indexed as

Urologic Surgical ProceduresAdultAgedDatabases, FactualFemaleHumansKidney PelvisLogistic ModelsMaleMiddle AgedMinimally Invasive Surgical ProceduresOdds RatioUreterUreteral ObstructionendopyelotomyMarketScanminimally invasive pyeloplastyopen pyeloplastyureteropelvic junction obstruction

Identifiers

PMID27936909
PMCPMC5312623
OpenAlexW2559966218

What OpenQuestion holds

Textmetadata
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.