Evidence map›Paper›PMID 30430253›Full record

SynthesisWorld journal of urology2019

Systematic review and cumulative analysis of the managements for proximal impacted ureteral stones.

Tuo Deng, Yiwen Chen, Bing Liu, M Pilar Laguna, Jean J M C H de la Rosette, Xiaolu Duan, Wenqi Wu, Guohua Zeng

Open access · greenAbstract readComparative StudySystematic Review
PubMed Publisher
In one paragraph

Synthesis in World journal of urology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
2.6field-weighted citation impact, top 10% 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

26 citing papers in PubMed, 42 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 2 countries.

Tuo Deng *Department of Urology, Minimally Invasive Surgery Center, The First Affiliated Hospital of Guangzhou Medical University, Kangda Road 1#, Haizhu District, Guangzhou, 510230, China.
Yiwen Chen *Department of Urology, Longgang District Central Hospital, Shenzhen, China.
Bing Liu *Department of Ophthalmology, The First Affiliated Hospital of Jinan University, Guangzhou, China.
M Pilar LagunaDepartment of Urology, Istanbul Medipol University, Istanbul, Turkey.
Jean J M C H de la RosetteDepartment of Urology, Istanbul Medipol University, Istanbul, Turkey.
Xiaolu DuanDepartment of Urology, Minimally Invasive Surgery Center, The First Affiliated Hospital of Guangzhou Medical University, Kangda Road 1#, Haizhu District, Guangzhou, 510230, China.
Wenqi WuDepartment of Urology, Minimally Invasive Surgery Center, The First Affiliated Hospital of Guangzhou Medical University, Kangda Road 1#, Haizhu District, Guangzhou, 510230, China.
Guohua ZengDepartment of Urology, Minimally Invasive Surgery Center, The First Affiliated Hospital of Guangzhou Medical University, Kangda Road 1#, Haizhu District, Guangzhou, 510230, China. gzgyzgh@vip.tom.com.ORCID http://orcid.org/0000-0002-3110-8933
Key Laboratory of Guangdong Province · CNIstanbul Medipol University · TRFirst Affiliated Hospital of Jinan University · CNLonggang Central Hospital · CN

Funding

China Postdoctoral Science Foundation 2017M612636China Postdoctoral Science Foundation 2017M622912China Postdoctoral Science Foundation 2018T110859National Natural Science Foundation of China 81670643National Natural Science Foundation of China 81802821Natural Science Foundation of Guangdong Province 2017A030310547the Collaborative Innovation Project of Guangzhou Education Bureau 1201620011the Guangzhou Science Technology and Innovation Commission 201604020001the Guangzhou Science Technology and Innovation Commission 201704020193the Science and Technology Planning Project of Guangdong Province 2017B030314108
6 · The paper itself

Abstract

purposeTo compare the efficacy and safety of different treatment options for the management of proximal impacted ureteral stones (PIUS).

methodsA systematic literature search using Pubmed, Medline, Embase and Cochrane Library was conducted to obtain studies concerning different managements for PIUS up to Jan 2018. Summary odds ratios (ORs), standard mean differences (SMDs) or weighted mean differences with their 95% confidence intervals (CIs) were calculated to compare the efficacy and safety of all included treatment methods, registered in PROSPERO under number CRD42018092745.

resultsA total of 15 comparative studies with 1780 patients were included. Meta-analyses of final stone-free rate (SFR) favored percutaneous nephrolithotomy (PCNL) over ureteroscopic lithotripsy (URL) (OR 10.35; 95% CI 5.26-20.35; P < 0.00001), laparoscopic ureterolithotomy over URL (OR 0.11; 95% CI 0.05-0.25; P < 0.00001) and URL over extracorporeal shockwave lithotripsy (OR 0.47; 95% CI 0.28-0.77; P = 0.003). As to complications, PCNL had a significantly higher blood transfusion rate (OR 7.47; 95% CI 1.3-42.85; P = 0.02) and a lower ureteral injury rate (OR 0.15; 95% CI 0.04-0.52; P = 0.003) compared with URL. It also shared a significantly lower stone-retropulsion rate (OR 0.03; 95% CI 0.01-0.15; P < 0.0001) and higher treatment costs (SMD = 2.71; 95% CI 0.71-4.70; P = 0.008) than URL.

conclusionsOur meta-analysis suggested that PCNL might be the best option for PIUS owing to its higher successful rate. Complications such as hemorrhage could be decreased by the application on mini-PCNL.

Indexed as

HumansTreatment OutcomeUreteral CalculiManagementsMeta-analysisProximal impacted ureteral stonesSystematic review

Identifiers

PMID30430253
OpenAlexW2900647439

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.