Evidence map›Paper›PMID 28321499›Full record

Observational studyWorld journal of urology2017

Characteristics and outcomes of ureteroscopic treatment in 2650 patients with impacted ureteral stones.

Jaap D Legemate, Nienke J Wijnstok, Tadashi Matsuda, Willem Strijbos, Tibet Erdogru, Beat Roth, Hidefumi Kinoshita, Judith Palacios-Ramos, Roberto M Scarpa, Jean J de la Rosette

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in World journal of urology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03567421 (Ureteral Stenting After Ureteroscopy for Stone Treatment, A Global Perspective on Indications and Outcomes), which is not on this map. Cited by 41 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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.

NCT03567421 completednot on this mapstarted 2018, after this paper: background citation

Ureteral Stenting After Ureteroscopy for Stone Treatment, A Global Perspective on Indications and Outcomes

Typeobservational_patient_registrySponsorSociété Internationale d'UrologieRan2018 to 2019Enrolled2,348ConditionsStone, Renal, Stone, Kidney, Stone Ureter
3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Risk factors and prediction model for stone mucosa adhesion before retrograde intrarenal surgery.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2025
    Article
  13. Article
  14. Article
  15. Review
  16. Predictive factors for prolonged operative time in ureteroscopic lithotripsy for ureteral stones A retrospective cohort study.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2024
    Article
  17. Article
  18. Article
  19. Article
  20. Article
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

10 authors.

Jaap D LegemateDepartment of Urology, AMC University Hospital, Meibergdreef 9, 1105 AZ, Amsterdam-Zuidoost, The Netherlands. j.d.legemate@amc.uva.nl.
Nienke J WijnstokDepartment of Urology, AMC University Hospital, Meibergdreef 9, 1105 AZ, Amsterdam-Zuidoost, The Netherlands.
Tadashi MatsudaDepartment of Urology and Andrology, Kansai Medical University, Osaka, Japan.
Willem StrijbosDepartment of Urology, Zuyderland Medisch Centrum Parkstad, Heerlen, The Netherlands.
Tibet ErdogruDepartment of Urology, Memorial Istanbul Atasehir Hospital, Istanbul, Turkey.
Beat RothDepartment of Urology, University Hospital Bern, Bern, Switzerland.
Hidefumi KinoshitaDepartment of Urology and Andrology, Kansai Medical University, Osaka, Japan.
Judith Palacios-RamosDepartment of Urology, Hospital Galdakao-Usansolo, Vizcaya, Spain.
Roberto M ScarpaDepartment of Urology, University of Turin, Turin, Italy.
Jean J de la RosetteDepartment of Urology, AMC University Hospital, Meibergdreef 9, 1105 AZ, Amsterdam-Zuidoost, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo describe stone-free rates and complications of ureteroscopic treatment for impacted compared with non-impacted ureteral stones and evaluate predictive variables for impaction.

methodsThe Clinical Research Office of the Endourological Society prospectively collected 1 consecutive year of data from 114 centers worldwide. Patients eligible for inclusion were patients treated with ureteroscopy for ureteral stones. Patient characteristics, treatment details, and outcomes were compared with regard to stone impaction. Logistic regression analyses were conducted to explore predictive variables for ureteral stone impaction and to analyse the effect of impaction on outcomes.

resultsOf the 8543 treated patients, 2650 (31%) had impacted and 5893 (69%) non-impacted stones. The stone-free rate was 87.1% for impacted stones, which is lower compared with 92.7% for non-impacted stones (p < 0.001). Intra-operative complication rates were higher for impacted stones (7.9 versus 3.0%, p < 0.001). Significantly higher ureteral perforation- and avulsion rates were reported in the impacted stone group compared with the non-impacted stone group. No association between stone impaction and post-operative complications could be shown. Female gender, ASA-score >1, prior stone treatment, positive pre-operative urine culture, and larger stones showed to be predictive variables for stone impaction.

conclusionsUreteroscopic treatment for impacted stones is associated with lower stone-free rates and higher intra-operative complication rates compared with treatment for non-impacted stones. The predictive variables for the presence of stone impaction may contribute to the identification of stone impaction during the diagnostic process. Moreover, identification of stone impaction may aid the selection of the optimal treatment modality.

Indexed as

Intraoperative ComplicationsPostoperative ComplicationsUreteral ObstructionUreteroscopyAdultFemaleHumansMaleMiddle AgedPatient SelectionProspective StudiesRisk AdjustmentRisk FactorsTreatment OutcomeUreterUreteral CalculiComplicationsImpacted stonesTreatment outcomesUreterUreteroscopyUrolithiasis

Identifiers

PMID28321499
PMCPMC5613106

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.