Evidence map›Paper›PMID 31808403›Full record

ArticleInternational braz j urol : official journal of the Brazilian Society of Urology

Factors affecting fluoroscopy time during percutaneous nephrolithotomy: Impact of stone volume distribution in renal collecting system.

Sait Ozbir, Hasan Anıl Atalay, Halil Lutfi Canat, Mehmet Gokhan Culha, Suleyman Sami Cakır, Osman Can, Alper Otunctemur

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In one paragraph

Article in International braz j urol : official journal of the Brazilian Society of Urology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.0field-weighted citation impact, top 20% 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

5 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Treatment of renal lower pole stones: an update.International braz j urol : official journal of the Brazilian Society of Urology
    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

7 authors at 1 institution in 1 country.

Sait OzbirDepartment of Urology, Okmeydani Training and Research Hospital, Şişli, Istanbul, Turkey.
Hasan Anıl AtalayDepartment of Urology, Okmeydani Training and Research Hospital, Şişli, Istanbul, Turkey.
Halil Lutfi CanatDepartment of Urology, Okmeydani Training and Research Hospital, Şişli, Istanbul, Turkey.
Mehmet Gokhan CulhaDepartment of Urology, Okmeydani Training and Research Hospital, Şişli, Istanbul, Turkey.
Suleyman Sami CakırDepartment of Urology, Okmeydani Training and Research Hospital, Şişli, Istanbul, Turkey.
Osman CanDepartment of Urology, Okmeydani Training and Research Hospital, Şişli, Istanbul, Turkey.
Alper OtunctemurDepartment of Urology, Okmeydani Training and Research Hospital, Şişli, Istanbul, Turkey.
Okmeydanı Eğitim ve Araştırma Hastanesi · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo identify the factors increased fluoroscopy time during percutaneous nephrolithotomy and investigate the relationship between the 3D segmentation volume ratio of stone to renal collecting system and fluoroscopy time. MATERIALS AND

methodsData from 102 patients who underwent percutaneous nephrolithotomy were analyzed retrospectively. Volume segmentation of both the renal collecting system and stones were obtained from 3D segmentation software with the images on CT data. Analyzed stone volume (ASV), renal collecting system volume (RCSV) measured and the ASV-to-RCSV ratio was calculated. Several parameters were evaluated for their predictive ability with regard to fl uoroscopy time.

resultsThe stone-free rate was 55.9% after the percutaneous nephrolithotomy. Complications occurred in 31(30.4%) patients. The mean fluoroscopy time was 199.4±151.1 seconds. The fl uoroscopy time was significantly associated with the ASV-to-RCSV ratio (p<0.001, r=0.614). The single tract was used in 77 ( 75.5%) cases while multiple tracts were used in 25 (24.5%) cases. Fluoroscopy time was significantly associated with multiple access (p<0.001, r=0.689). On univariate linear regression analysis, longer fluoroscopy time was related with increased stone size, increased stone volume, increased number of access, increased calyx number with stone, increased ASV-to-RCSV, increased operative time and decreased stone essence. On multivariate linear regression analysis, the number of access and the ASV-to-RCSV were independent predictors of fluoroscopy time during percutaneous nephrolithotomy.

conclusionsThe distribution of the stone burden volume in the pelvicalyceal system is a significant predictor for prolonged fluoroscopy time during percutaneous nephrolithotomy. Measures to decrease FT could be benefi cial in patients with a high ASV-to-RCSV ratio for precise preoperative planning.

Indexed as

AdultBody Mass IndexDisease-Free SurvivalFemaleFluoroscopyHumansKidney CalculiLinear ModelsMaleMiddle AgedNephrolithotomy, PercutaneousRadiation ExposureRetrospective StudiesRisk FactorsStatistics, NonparametricTime FactorsCakut [Supplementary Concept]FluoroscopyNephrolithotomy, Percutaneous

Identifiers

PMID31808403
PMCPMC6909854
OpenAlexW2996617327

What OpenQuestion holds

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LicenceCC BY
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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.