Evidence map›Paper›PMID 31813026›Full record

SynthesisWorld journal of urology2020

Mini-percutaneous nephrolithotomy versus retrograde intrarenal surgery for the treatment of 10-20 mm lower pole renal stones: a systematic review and meta-analysis.

José D Cabrera, Braulio O Manzo, José E Torres, Fabio C Vicentini, Héctor M Sánchez, Ernesto A Rojas, Edgard Lozada

Abstract readComparative StudyMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in World journal of urology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 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.

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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  19. Will the advances in retrograde intrarenal surgery extinguish percutaneous nephrolithotomy for stones larger than 2 cm?International braz j urol : official journal of the Brazilian Society of Urology
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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

7 authors.

José D CabreraDepartment of Nephrology-Urology, Hospital Regional de Alta Especialidad Del Bajío, San Carlos La Roncha, 37660, León, Guanajuato, Mexico.ORCID http://orcid.org/0000-0002-1275-8340
Braulio O ManzoDepartment of Nephrology-Urology, Hospital Regional de Alta Especialidad Del Bajío, San Carlos La Roncha, 37660, León, Guanajuato, Mexico. braom85@yahoo.com.mx.ORCID http://orcid.org/0000-0002-1730-054X
José E TorresDepartment of Nephrology-Urology, Hospital Regional de Alta Especialidad Del Bajío, San Carlos La Roncha, 37660, León, Guanajuato, Mexico.ORCID http://orcid.org/0000-0002-7755-9959
Fabio C VicentiniFaculdade de Medicina, Universidade de Sao Paulo, Hospital das Clinicas and Brigadeiro Hospital, São Paulo, Brasil.
Héctor M SánchezDepartment of Nephrology-Urology, Hospital Regional de Alta Especialidad Del Bajío, San Carlos La Roncha, 37660, León, Guanajuato, Mexico.
Ernesto A RojasFacultad de Estudios Superiores, Universidad Nacional Autónoma de Mexico, Mexico City, Mexico.
Edgard LozadaDepartment of Nephrology-Urology, Hospital Regional de Alta Especialidad Del Bajío, San Carlos La Roncha, 37660, León, Guanajuato, Mexico.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo compare the efficacy and safety of mini-percutaneous nephrolithotomy (mini-PCNL) versus retrograde intrarenal surgery (RIRS) for treatment of 10-20 mm lower pole renal stones.

methodsA comprehensive literature search of PubMed, Scopus, the Cochrane Library, and Web of Science was conducted to identify all studies comparing mini-PCNL and RIRS for 10-20 mm lower pole renal stones before March 2019. Article selection proceeded according to the search strategy based on the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. The meta-analysis was performed with the R program version 3.5.1.

resultsA total of five studies were included (two randomized controlled trials and three case-controlled trials) with a total of 587 patients included. The success rate was significantly higher in the mini-PCNL group (OR 1.67; 95% CI p = 0.05). Operative and fluoroscopy times were similar for both groups (MD 2.45; 95% CI p = 0.87 and MD 2.11; 95% CI p = 0.09, respectively). Concerning the hospital stay and overall complication rates, there were no differences between the two procedures (MD 41.94; 95% CI p = 0.18 and OR 1.76; 95% CI p = 0.11).

conclusionOur analysis showed that both procedures are safe for treatment of 10-20 mm lower pole renal stones with similar complication rates, operative times, fluoroscopy times and length of hospital stay, but mini-PCNL was significantly superior in effectiveness with a higher success rate. Based on these results, mini-PCNL may be included in the guidelines as a safe and effective alternative treatment for 10-20 mm lower pole stones.

Indexed as

Case-Control StudiesHumansKidney CalculiNephrolithotomy, PercutaneousRandomized Controlled Trials as TopicTreatment OutcomeFlexible ureteroscopyMinimally invasiveNephrostomyPercutaneous nephrolithotomyRetrograde intrarenal surgeryStone disease

Identifiers

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.