Evidence map›Paper›PMID 29761226›Full record

ArticleWorld journal of urology2018

Renal stone composition does not affect the outcome of percutaneous nephrolithotomy in children.

Onur Kaygısız, Fethi Ahmet Türegün, Nihat Satar, Ender Özen, Serdar Toksöz, Hasan Serkan Doğan, Mehmet Mesut Pişkin, Volkan İzol, Şaban Sarıkaya, Hakan Kılıçarslan and 4 more

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Article in World journal of urology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 44% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
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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

14 authors at 7 institutions in 1 country.

Onur KaygısızDepartment of Urology, Uludag University Faculty of Medicine, Görükle, Bursa, 16059, Turkey. onurkygsz@yahoo.com.ORCID http://orcid.org/0000-0002-9790-7295
Fethi Ahmet TüregünDepartment of Urology, Istanbul University, Cerrahpasa Faculty of Medicine, Istanbul, Turkey.
Nihat SatarDepartment of Urology, Cukurova University Faculty of Medicine, Adana, Turkey.
Ender ÖzenDepartment of Urology, Ondokuz Mayıs University Faculty of Medicine, Samsun, Turkey.
Serdar ToksözDepartment of Urology, Baskent University Faculty of Medicine, Ankara, Turkey.
Hasan Serkan DoğanDepartment of Urology, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Mehmet Mesut PişkinDepartment of Urology, Necmetin Erbakan University, Meram Faculty of Medicine, Konya, Turkey.
Volkan İzolDepartment of Urology, Cukurova University Faculty of Medicine, Adana, Turkey.
Şaban SarıkayaDepartment of Urology, Ondokuz Mayıs University Faculty of Medicine, Samsun, Turkey.
Hakan KılıçarslanDepartment of Urology, Uludag University Faculty of Medicine, Görükle, Bursa, 16059, Turkey.
Tufan ÇiçekDepartment of Urology, Baskent University Faculty of Medicine, Konya, Turkey.
Ahmet ÖztürkDepartment of Urology, Necmetin Erbakan University, Meram Faculty of Medicine, Konya, Turkey.
Serdar TekgülDepartment of Urology, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Bülent ÖnalDepartment of Urology, Istanbul University, Cerrahpasa Faculty of Medicine, Istanbul, Turkey.
Başkent University · TRBursa Uludağ Üni̇versi̇tesi̇ · TRCukurova University · TRHacettepe University · TRIstanbul University-Cerrahpaşa · TRNecmettin Erbakan University · TROndokuz Mayıs University · TR

Funding

Scientific Research Projects Coordination Unit of Istanbul University 1030-24135
6 · The paper itself

Abstract

purposeWe sought to investigate the association between renal stone composition and percutaneous nephrolithotomy outcomes in pediatric patients and define the characterization of the stone composition.

methodsThe data of 1157 children who underwent percutaneous nephrolithotomy between 1991 and 2012 were retrieved from the multicenter database of the Turkish Pediatric Urology Society. The study population comprised 359 children (160 girls, 199 boys) with stone analyses. Patients were divided into five groups according to the stone composition [group 1: calcium oxalate; group 2: calcium phosphate; group 3: infection stones (magnesium ammonium phosphate, ammonium urate); group 4: cystine; group 5: uric acid, xanthine stones].

resultsPatient characteristics, perioperative, postoperative, and stone characteristics were compared considering the stone composition. There were no significant differences between the groups concerning age, sex, side involved, preoperative hematocrit levels, and solitary renal unit. Patients with cystine stones were more likely to have a history of stone treatment. Groups 2 and 5 had mostly solitary stones. However, group 3 had staghorn stone more often, and group 4 frequently had multiple stones. Overall stone-free rate (79.4%) was similar among the groups. Although stone composition was related to blood transfusion and prolonged operative and fluoroscopy screening times on univariate analysis, it was not a significant predictor of them on multivariate analysis.

conclusionsStone composition was not a predictor of outcomes of pediatric percutaneous nephrolithotomy. However, cystine and infection stones, which are larger and filled multiple calyxes due to the nature of stone forming, were more challenging cases that need multiple tracts.

Indexed as

Nephrolithotomy, PercutaneousAdolescentBlood TransfusionCalcium OxalateCalcium PhosphatesChildChild, PreschoolCystineDatabases, FactualFemaleFluoroscopyHumansInfantKidney CalculiKidney CalicesMaleCalcium Oxalatecalcium phosphateCalcium PhosphatesCystineStruviteUric AcidXanthineChildComplicationsEfficacyKidney calculiNephrostomyPediatricsPercutaneousTreatment

Identifiers

PMID29761226
OpenAlexW2804817166

What OpenQuestion holds

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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.