Evidence map›Paper›PMID 31870417›Full record

Trial reportBMC anesthesiology2019

Influence of anesthesia methods on surgical outcomes and renal function in retrograde intrarenal stone surgery: a prospective, randomized controlled study.

Ohseong Kwon, Jung-Man Lee, Juhyun Park, Min Chul Cho, Hwancheol Son, Hyeon Jeong, Seung Hoon Ryang, Sung Yong Cho

Registry-linked trialOpen access · goldAbstract readComparative StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC anesthesiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03957109 (Influence of Anesthesia Methods on Surgical Outcomes and Renal Function in Retrograde Intrarenal Stone Surgery), which is not on this map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
0.9field-weighted citation impact, top 22% 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.

NCT03957109 nacompletednot on this map

Influence of Anesthesia Methods on Surgical Outcomes and Renal Function in Retrograde Intrarenal Stone Surgery: a Prospective, Randomized Controlled Study

TypeinterventionalSponsorSeoul National University HospitalRan2015 to 2017Enrolled70ConditionsKidney CalculiArmsgeneral anesthesia
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Article
  7. 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 at 3 institutions in 1 country.

Ohseong KwonDepartment of Urology, Hallym University Kangnam Sacred Heart Hospital, Seoul, South Korea.
Jung-Man LeeDepartment of Anesthesiology and Pain Medicine, SMG-SNU Boramae Medical Center, Seoul, South Korea.
Juhyun ParkDepartment of Urology, SMG-SNU Boramae Medical Center, Seoul, South Korea.
Min Chul ChoDepartment of Urology, SMG-SNU Boramae Medical Center, Seoul, South Korea.
Hwancheol SonDepartment of Urology, SMG-SNU Boramae Medical Center, Seoul, South Korea.
Hyeon JeongDepartment of Urology, SMG-SNU Boramae Medical Center, Seoul, South Korea.
Seung Hoon RyangDepartment of Urology, Seoul National University Hospital, 101, Daehak-ro Jongno-gu, 03080, Seoul, Republic of Korea.
Sung Yong ChoDepartment of Urology, Seoul National University Hospital, 101, Daehak-ro Jongno-gu, 03080, Seoul, Republic of Korea. kmoretry@daum.net.ORCID 0000-0001-9271-6951
SNUH SMG-SNU Boramae Medical Center · KRSeoul National University Hospital · KRHallym University Kangnam Sacred Heart Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe analyzed the influence of anesthesia methods on surgical outcomes and renal function in retrograde intrarenal surgery (RIRS) in a prospective, randomized controlled study.

methodsSeventy patients who underwent RIRS from September 2015 to February 2017 were randomly allocated to general anesthesia (GA) or spinal anesthesia (SA) groups. Renal function was assessed using estimated glomerular filtration rate, and separate renal function was evaluated using nuclear medicine tests. Maneuverability and accessibility were evaluated after every surgery. All procedures were performed by a single experienced surgeon (SY Cho).

resultsStone-free rate was higher in the GA (92.3%, 36 of 39) than the SA (71.0%, 22 of 31) (P = 0.019) group. Pain score was higher in the GA than in the SA group on the first postoperative morning (P = 0.025), but pain scores of the two groups were similar before discharge (P = 0.560). There were no differences in the changes of serum creatinine level (P = 0.792) and changes of estimated glomerular filtration rate (P = 0.807). Differences of separate renal function between operative and contralateral site increased significantly in patients under GA than under SA at postoperative 3 months (P = 0.014). Maneuverability and accessibility were better in SA with sedation than GA (P < 0.001).

conclusionsRIRS under SA showed advantages in renal function change using renogram at postoperative 3 months and in lower pain score on the first postoperative morning. Performance of operator under SA was worse than that under GA and significantly improved with sedation. RIRS under SA showed advantages in lower pain score at postoperative first day.

trial registrationClinicaltrials.gov ID is NCT03957109, and registration date is 17th May 2019. This study was retrospectively registered.

Indexed as

AdultAgedAged, 80 and overAnesthesia, GeneralAnesthesia, SpinalFemaleGlomerular Filtration RateHumansKidney CalculiKidney Function TestsMaleMiddle AgedPostoperative PainProspective StudiesRenal stoneRetrograde intrarenal surgerySpinal anesthesia

Identifiers

PMID31870417
PMCPMC6927176
OpenAlexW2996064905

What OpenQuestion holds

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LicenceCC BY
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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.