Evidence map›Paper›PMID 31455309›Full record

ArticleBMC urology2019

Ureteric stent versus percutaneous nephrostomy for acute ureteral obstruction - clinical outcome and quality of life: a bi-center prospective study.

O Shoshany, T Erlich, S Golan, N Kleinmann, J Baniel, B Rosenzweig, A Eisner, Y Mor, J Ramon, H Winkler and 1 more

Open access · goldAbstract readComparative StudyMulticenter Study
In one paragraph

Article in BMC urology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
4.5field-weighted citation impact, top 5% 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  7. Review
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  9. Article
  10. Summary of the clinical practice guideline for the management of urinary stones, third edition.International journal of urology : official journal of the Japanese Urological Association · 2025
    Article
  11. Observational
  12. Article
  13. Nephrostomy Tube Versus Ureteral Stent for Obstructing Septic Calculi: A Nationwide Propensity Score-matched Analysis.Journal of the Association of Medical Microbiology and Infectious Disease Canada = Journal officiel de l'Association pour la microbiologie medicale et l'infectiologie Canada · 2024
    Article
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  17. Article
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  20. Quality of life with tandem ureteral stents compared to percutaneous nephrostomy for malignant ureteral obstruction.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Review
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

11 authors at 1 institution in 1 country.

O ShoshanyUrology Department, Rabin Medical Center, Hasharon Hospital, 7 Keren Kayemet St, 49372, Petah Tikva, Israel. ohadsh10@gmail.com.ORCID http://orcid.org/0000-0002-4211-6277
T ErlichSackler School of medicine, Tel Aviv University, Tel Aviv, Israel.
S GolanUrology Department, Rabin Medical Center, Hasharon Hospital, 7 Keren Kayemet St, 49372, Petah Tikva, Israel.
N KleinmannSackler School of medicine, Tel Aviv University, Tel Aviv, Israel.
J BanielUrology Department, Rabin Medical Center, Hasharon Hospital, 7 Keren Kayemet St, 49372, Petah Tikva, Israel.
B RosenzweigSackler School of medicine, Tel Aviv University, Tel Aviv, Israel.
A EisnerSackler School of medicine, Tel Aviv University, Tel Aviv, Israel.
Y MorSackler School of medicine, Tel Aviv University, Tel Aviv, Israel.
J RamonSackler School of medicine, Tel Aviv University, Tel Aviv, Israel.
H WinklerSackler School of medicine, Tel Aviv University, Tel Aviv, Israel.
D LifshitzUrology Department, Rabin Medical Center, Hasharon Hospital, 7 Keren Kayemet St, 49372, Petah Tikva, Israel.
Tel Aviv University · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo compare quality of life (QoL) indices between ureteral stent (DJS) and nephrostomy tube (PCN) inserted in the setting of acute ureteral obstruction.

methodsProspective bi-centered study. Over the span of 2 years, 45 DJS and 30 PCN patients were recruited. Quality of life was assessed by 2 questionnaires, EuroQol EQ-5D and 'Tube symptoms' questionnaire, at 2 time points (at discharge after drainage and before definitive treatment).

resultsPatients' demographics and pre-drainage data were similar. There were no clinically significant differences in patient's recovery between the groups, including post procedural pain, defeverence, returning to baseline renal function, and septic shock complications. More DJS patients presented to the emergency room with complaints related to their procedure compared to PCN patients. At first, DJS patients complained more of urinary discomfort while PCN patients had worse symptoms relating to mobility and personal hygiene, with both groups achieving similar overall QoL score. At second time point, PCN patients' symptoms ameliorated while symptoms in the DJS group remained similar, translating to higher overall QoL score in the PCN group.

conclusionsThe two techniques had a distinct and significantly different impact on quality of life. Over time, PCN patients' symptoms relieve and their QoL improve, while DJS patients' symptoms persist. Specific tube related symptoms, and their dynamics over time, should be a major determinant in choosing the appropriate drainage method, especially when definitive treatment is not imminent.

Indexed as

Nephrostomy, PercutaneousQuality of LifeStentsAcute DiseaseAdultAgedFemaleHumansMaleMiddle AgedProspective StudiesTreatment OutcomeUreterUreteral ObstructionAcute ureteral obstructionDouble J stentNephrostomy tubeQuality of life

Identifiers

PMID31455309
PMCPMC6712738
OpenAlexW2970552676

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.