Evidence map›Paper›PMID 31852477›Full record

ArticleBMC urology2019

Impact of case volume per year on flexible Ureteroscopy practice: an internet based survey.

Omar Alhunaidi, Abdulrahman A Ahmad, Ahmed R El-Nahas, Bader Akroof, Ali Alamiri, Feras Al-Ajrawi, Abdullatif Al-Terki, Mohamed El-Shazly

Abstract read
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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

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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

1 citing paper in PubMed.

  1. 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.

Omar AlhunaidiUrology Department, Al-Amiri hospital, Kuwait City, Kuwait.
Abdulrahman A AhmadUrology Department, Adan hospital, Hadiya, Kuwait.
Ahmed R El-NahasUrology Department, Al-Amiri hospital, Kuwait City, Kuwait. ar_el_nahas@yahoo.com.ORCID http://orcid.org/0000-0001-7366-7306
Bader AkroofUrology Department, Al-Amiri hospital, Kuwait City, Kuwait.
Ali AlamiriUrology Department, Al-Amiri hospital, Kuwait City, Kuwait.
Feras Al-AjrawiUrology Department, Al-Farwaniya hospital, Sabah Al Nasser, Kuwait.
Abdullatif Al-TerkiUrology Department, Al-Amiri hospital, Kuwait City, Kuwait.
Mohamed El-ShazlyUrology Department, Menoufia University, Al Minufya, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo report current worldwide variation in techniques and clinical practice of flexible ureteroscopy (FURS) among endourologists of different case volumes per year.

methodsTwo invitations to complete an internet survey were emailed to Endourological Society members. Some of survey questions asked about indications of using FURS for renal and upper ureteral stones. Others were concerned with clinical practice of FURS (such as preoperative stenting, use of ureteral access sheath (UAS) and safety guidewire, technique of Laser lithotripsy and fragment retrieval, and post-FURS stenting. Responders were distributed into two groups; high-volume (> 100 cases/year) and low-volume surgeons (< 100 cases/year) and data were compared between both groups.

resultsResponses were received from 146 endourologists all over the world (62 high-volume and 84 low-volume). FURS for intrarenal stone > 20 mm was used by 61% of high-volume surgeons compared with 28.6% for low-volume (P < 0.001). Semirigid URS was used for upper ureteric stones in 68% among high-volume group and 82% in low-volume group (P = 0.044). UAS was used by 62% in low-volume group and 69% in high volume group (P = 0.516). Laser stone dusting was preferred by 63% in low-volume group versus 45% by high-volume (P = 0.031). More responders in low-volume group preferred to leave the stent for 6 weeks (P = 0.042).

conclusionsThe use of FURS for treating upper tract calculi has expanded by high volume endourologists to include large renal stones > 20 mm. Low-volume surgeons prefer to use semi-rigid URS for treatment of upper ureteral stones, to apply Laser stone dusting and maintain ureteral stents for longer periods.

Indexed as

Internet-Based InterventionHumansSurveys and QuestionnairesTime FactorsUreteral CalculiUreteroscopesUreteroscopyUrologistsFlexible ureteroscopyFlexible URSStonesSurveyUreteral access sheath

Identifiers

PMID31852477
PMCPMC6921597

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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.