Evidence map›Paper›PMID 31177306›Full record

Trial reportWorld journal of urology2020

EMS Lithoclast Trilogy™: an effective single-probe dual-energy lithotripter for mini and standard PCNL.

Ravindra B Sabnis, Sudharsan S Balaji, Parag L Sonawane, Rohan Sharma, Mohankumar Vijayakumar, Abhishek G Singh, Arvind P Ganpule, Mahesh R Desai

Registry-linked trialAbstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in World journal of urology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04559321 (Comparison of the 100 W Holmium Laser Lithotripsy Rate Versus LithoClast Trilogy EMS in Percutaneous Mini-nephrolithotomy for Patients With Kidney Stones GUY's 1 and 2), which is not on this map. Cited by 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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.

NCT04559321 phase3unknown statusnot on this map

Comparison of the 100 W Holmium Laser Lithotripsy Rate Versus LithoClast Trilogy EMS in Percutaneous Mini-nephrolithotomy for Patients With Kidney Stones GUY's 1 and 2: Randomized Clinical Trial

TypeinterventionalSponsorHospital Regional de Alta Especialidad del BajioRan2020 to 2022Enrolled116ConditionsKidney Stone, Kidney Calculi, Kidney DiseasesArmsFragmentation of calculi with 100 W Holmium laser or LithoClast Trilogy EMS and 1.5 mm x 440 mm probe, according to randomization.
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Article
  7. A 1.9 mm Trilogy lithotripter in mini percutaneous nephrolithotomy Description of technique and case outcomes.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2024
    Article
  8. Article
  9. Article
  10. Single-Center Experience with Swiss LithoClastDiagnostics (Basel, Switzerland) · 2023
    Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Stone clearance times with mini-percutaneous nephrolithotomy: Comparison of a 1.5 mm ballistic/ultrasonic mini-probe vs. laser.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2021
    Article
  20. 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

8 authors.

Ravindra B SabnisDepartment of Urology, Muljhibhai Patel Urological Hospital, 1, Dr Virendra Desai Road, Nadiad, Gujarat, 387991, India. rbsabnis@gmail.com.
Sudharsan S BalajiEndourology, Muljhibhai Patel Urological Hospital, Nadiad, India.
Parag L SonawaneDepartment of Urology, Muljhibhai Patel Urological Hospital, 1, Dr Virendra Desai Road, Nadiad, Gujarat, 387991, India.
Rohan SharmaDepartment of Urology, Muljhibhai Patel Urological Hospital, 1, Dr Virendra Desai Road, Nadiad, Gujarat, 387991, India.
Mohankumar VijayakumarDepartment of Urology, Muljhibhai Patel Urological Hospital, 1, Dr Virendra Desai Road, Nadiad, Gujarat, 387991, India.
Abhishek G SinghDepartment of Urology, Muljhibhai Patel Urological Hospital, 1, Dr Virendra Desai Road, Nadiad, Gujarat, 387991, India.
Arvind P GanpuleDepartment of Urology, Muljhibhai Patel Urological Hospital, 1, Dr Virendra Desai Road, Nadiad, Gujarat, 387991, India.
Mahesh R DesaiDepartment of Urology, Muljhibhai Patel Urological Hospital, 1, Dr Virendra Desai Road, Nadiad, Gujarat, 387991, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSeveral energy sources are available to clear stones during PCNL. Required improvements are faster stone clearance, optimized suction and ease of use while maintaining high patient safety standard. EMS LithoClast

methods31 patients with renal stones were included. Amplatz sheath sizes/Trilogy probe size was 22-28 Fr/10.2 Fr for standard PNL (n = 20) and 15 Fr./5.7 Fr for mini PNL access (n = 11). Analysis was done with respect to demography, stone characteristics, operation duration (total time and lithotripter activation time), post op Hb drop, clearance rate and adverse events. Stone area/volume was calculated based on CT using 3D doctor. Efficacy was determined by stone volume clearance rate (mm

resultsMale:female ratio was 6:5 and 16:4 for mini (MPNL)/standard PNL (SPNL). Stone densities were 1229 ± 206 vs. 1168 ± 344 HU (MPNL vs. SPNL). Mean stone volumes were 3776.1 ± 2132 mm

conclusionSwiss LithoClast

Indexed as

LithotripsyAdultEquipment DesignFemaleHumansKidney CalculiMaleMiddle AgedNephrolithotomy, PercutaneousProspective StudiesDual-energy lithotripterEndourologyLithoclastPercutaneous nephrolithotomyRenal stoneTrilogyUrolithiasis

Identifiers

What OpenQuestion holds

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Registered trials

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.