Evidence map›Paper›PMID 28461996›Full record

ReviewCentral European journal of urology2017

Renal colic during pregnancy: Diagnostic and therapeutic aspects. Literature review.

Leonardo Tortolero Blanco, Moises Rodriguez Socarras, Rubén Fabuena Montero, Elena López Diez, Antonio Ojea Calvo, Sergio Alonso Y Gregorio, José Ramón Cansino, Juan Antonio Galan, Juan Gómez Rivas

Abstract readReview
In one paragraph

Review in Central European journal of urology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 12% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
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  14. 2018 CUA Abstracts.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2018
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Leonardo Tortolero BlancoVinalopó University Hospital, Department of Urology, Alicante, Spain.
Moises Rodriguez SocarrasA.C. University Hospital Vigo, Department of Urology, Vigo, Spain.
Rubén Fabuena MonteroA.C. University Hospital Vigo, Department of Urology, Vigo, Spain.
Elena López DiezA.C. University Hospital Vigo, Department of Urology, Vigo, Spain.
Antonio Ojea CalvoA.C. University Hospital Vigo, Department of Urology, Vigo, Spain.
Sergio Alonso Y GregorioLa Paz University Hospital, Department of Urology, Madrid, Spain.
José Ramón CansinoLa Paz University Hospital, Department of Urology, Madrid, Spain.
Juan Antonio GalanVinalopó University Hospital, Department of Urology, Alicante, Spain.
Juan Gómez RivasLa Paz University Hospital, Department of Urology, Madrid, Spain.
Hospital Universitario La Paz · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRenal colic during pregnancy is a rare urgency but is one of the most common non-obstetric reasons for hospital admission. The management often means a challenge for the urologist and gynecologist due to the complexity involved in preserving the maternal and fetal well-being. MATERIAL AND

methodsWe performed a literature search within the PubMed database. We found 65 related articles in English. We selected 36 for this review prioritizing publications in the last two decades.

resultsThe anatomical and functional changes of the genitourinary system during pregnancy are well documented; also during pregnancy, there are several metabolic pro-lithogenic factors. The most common clinical presentation is flank pain accompanied by micro or macro hematuria. US provides data identifying renal obstruction shown by an increased renal resistance index. MRI allows differentiating the physiological dilatation from the pathological caused by an obstructive stone showing peripheral renal edema and renal enlargement. Low dose CT has been determined to be a safe and highly accurate imaging technique. Once the diagnosis is confirmed, the initial management of patients should be conservative. When conservative management fails the interventional treatment is mandatory, a urinary diversion of the obstructed renal unit either by a JJ stent or through a PCN catheter has to be done. The definitive management of the stone can be done in the postpartum or deferred ureteroscopy can be considered during pregnancy.

conclusionsRenal colic during pregnancy is an uncommon urgency, so it is important for the urologist to know the management of this condition.

Indexed as

JJ stentlithotripsypercutaneous nephorstomypregnancyrenal colicureteroscopy

Identifiers

PMID28461996
PMCPMC5407324
OpenAlexW2989737578

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.