Evidence map›Paper›PMID 30542945›Full record

ArticleInternational urology and nephrology2019

Mini-percutaneous nephrolithotomy for pediatric complex renal calculus disease: one-stage or two-stage?

Ben-Yi Fan, Lan Gu, Harripersaud Chand, Wen-Jun Liu, Jun-Bin Yuan

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in International urology and nephrology, 2019. 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
0.7field-weighted citation impact, top 25% 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, 10 citations in OpenAlex.

  1. Guideline
  2. Trial
  3. Article
  4. Observational
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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

5 authors at 3 institutions in 1 country.

Ben-Yi FanDepartment of Urology, Xiangya Hospital, Central South University, Changsha, 410008, Hunan, China.
Lan GuDepartment of Blood Transfusion, The Third Xiangya Hospital, Central South University, Changsha, Hunan, China.
Harripersaud ChandDepartment of Urology, Xiangya Hospital, Central South University, Changsha, 410008, Hunan, China.
Wen-Jun LiuDepartment of Urology, Xiangya Hospital, Central South University, Changsha, 410008, Hunan, China.
Jun-Bin YuanDepartment of Urology, Xiangya Hospital, Central South University, Changsha, 410008, Hunan, China. dabing7220@126.com.
Central South University · CNThird Xiangya Hospital · CNXiangya Hospital Central South University · CN

Funding

Natural Science Foundation of Hunan Province 2018JJ3808
6 · The paper itself

Abstract

objectivesTo compare two different treatment strategies, one-stage and two-stage multi-tract mini-percutaneous nephrolithotomy (mt-mPCNL), for pediatric complex renal calculus disease.

methodsBetween the period of July 2016 and July 2018, a total of 36 children aged 15 years and younger, with complex renal calculi disease, who underwent total ultrasound-guided mt-mPCNL by a single experienced urologist were enrolled in our study. All patients were assigned either to Group 1 (n = 18) who received one-stage mt-mPCNL or Group 2 (n = 18) who received planned two-stage mt-mPCNL.

resultsThe demographic data were comparable between the two groups. There were no serious complications (Modified Clavien Grade ≥ III) observed in either group. The stone -free rate (SFR), operation time, postoperative creatinine increase, and perioperative complication rates were similar in both groups (P = 0.603, 0.818, 0.161, and 0.402, respectively). The postoperative hospital stay (5.8 days vs. 7.4 days) and cost (17373.3 CNY vs. 23717.1 CNY) were statistically less in Group 1. Group 2 had significantly less total estimated blood loss (70.6 ml vs. 130.0 ml, P < 0.001). The operation time of two cases in Group 1 with perioperative sepsis or systemic inflammatory response syndrome (SIRS) was more than two hours.

conclusionsOur preliminary results indicated that both one-stage and two-stage mt-mPCNL were safe and effective for pediatric complex renal calculi. Two-stage mt-mPCNL could significantly reduce blood loss; while one-stage mt-mPCNL could significantly decrease the length and costs of hospitalization. We also suggest that the planned two-stage mt-mPCNL should be applied in children with estimated operation time more than two hours.

Indexed as

Blood Loss, SurgicalKidney CalculiNephrolithotomy, PercutaneousPostoperative ComplicationsSystemic Inflammatory Response SyndromeAdolescentChildChinaComparative Effectiveness ResearchFemaleHumansLength of StayMaleOperative TimeOutcome and Process Assessment, Health CareUltrasonography, InterventionalMulti-tractPediatric nephrolithiasisPercutaneous nephrolithotomyStaging operationUltrasound-guided

Identifiers

PMID30542945
OpenAlexW2905132584

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.