Evidence map›Paper›PMID 30823896›Full record

Observational studyBMC emergency medicine2019

CT imaging history for patients presenting to the ED with renal colic--evidence from a multi-hospital database.

Emily Schmid, Kimberly Leeson, K Tom Xu, Peter Richman, Crystal Nwosu, Lynn Carrasco

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in BMC emergency medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 36% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

6 authors at 2 institutions in 1 country.

Emily SchmidDepartment of Emergency Medicine, CHRISTUS Health/Texas A&M School of Medicine, Corpus Christi, TX, USA.
Kimberly LeesonDepartment of Emergency Medicine, CHRISTUS Health/Texas A&M School of Medicine, Corpus Christi, TX, USA.
K Tom XuTexas Tech University School of Medicine, Bullock, Lubbock, TX, USA.
Peter RichmanDepartment of Emergency Medicine, CHRISTUS Health/Texas A&M School of Medicine, Corpus Christi, TX, USA. PRichmanMDMBA@gmail.com.
Crystal NwosuDepartment of Emergency Medicine, CHRISTUS Health/Texas A&M School of Medicine, Corpus Christi, TX, USA.
Lynn CarrascoDepartment of Emergency Medicine, CHRISTUS Health/Texas A&M School of Medicine, Corpus Christi, TX, USA.
Christus Health · USTexas Tech University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with renal colic have a 7% chance of annual recurrence. Previous studies evaluating cumulative Abbreviations: computed tomography (CT) exposure for renal colic patients were typically from single centers.

methodsThis was an observational cohort study. Inner-city ED patients with a final diagnosis of renal colic were prospectively identified (1/10/16-10/16/16). Authors conducted structured electronic record reviews from a 6-hospital system encompassing over 192,000 annual ED visits. Categorical data analyzed by chi-square; continuous data by t-tests. Primary outcome measure was the proportion of study group patients with prior history CT abdomen/pelvis CT.

resultsTwo hundred thirteen patients in the study group; 59% male, age 38+/- 10 years, 67% Hispanic, 62% prior stone history, flank pain (78%), dysuria (22%), UA (+) blood (75%). 60% (95% CI = 53-66%) of patients received an EDCV CT; hydronephrosis seen in 55% (95% CI = 46-63%), stone in 90%(95% CI = 83-94%). No significant differences observed in the proportion of EDCV patients who received CT with respect to: female vs. male (62% vs. 56%; p = 0.4), mean age (37+/- 9 years vs. 39+/- 11 years; p = 0.2), and Hispanic vs. non-Hispanic white (63% vs.63%; p = 0.96). Patients with a prior stone history were more likely than those with no history to receive an EDCV CT (88% vs. 16%; p < 0.001). 118 (55%; 95% CI = 49-62%) of patients had at least one prior CT, 46 (22%; 95% CI = 16-28%) had ≥3 prior CTs; 29 (14%; 95% CI = 10-19%), ≥ 10 prior CTs. Patients who did not receive an EDCV CT had a significantly higher mean prior number of CTs than those who had EDCV CT (5.1+/- 7.7 vs 2.2+/- 4.9; p < 0.001). Patients with prior stone were more likely to receive only U/S during EDCV (33% vs. 15%; p = 0.003).

conclusionsWithin our EDCV cohort of renal colic patients, 55% had at least one prior CT. The mean number of prior CTs was lower for patients receiving CT on EDCV, and Ultrasound (US) alone was used more often in patients with prior stone history vs. those with no prior history.

Indexed as

AdultCitiesCohort StudiesDatabases, FactualEmergency Service, HospitalFemaleHispanic or LatinoHospitalsHumansKidney CalculiMaleMiddle AgedProspective StudiesRenal ColicTexasTomography, X-Ray ComputedCT scanRenal colicRepeat imaging

Identifiers

PMID30823896
PMCPMC6397471
OpenAlexW2920146831

What OpenQuestion holds

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Registered trials

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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.