Evidence map›Paper›PMID 32522171›Full record

Trial reportBMC urology2020

A comparison among PCNL, Miniperc and Ultraminiperc for lower calyceal stones between 1 and 2 cm: a prospective, comparative, multicenter and randomised study.

Giorgio Bozzini, Tahsin Batuhan Aydogan, Alexander Müller, Maria Chiara Sighinolfi, Umberto Besana, Alberto Calori, Berti Lorenzo, Alexander Govorov, Dmitry Y Pushkar, Giovannalberto Pini and 4 more

Open access · goldAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC urology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 3 pooled it
2.5field-weighted citation impact, top 8% 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

12 citing papers in PubMed, 3 syntheses or guidelines pooled it, 35 citations in OpenAlex.

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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

14 authors at 6 institutions in 4 countries.

Giorgio BozziniDepartment of Urology, ASST Valle Olona Busto Arsizio, Varese, Italy.
Tahsin Batuhan AydoganDepartment of Urology, University of Modena and Reggio Emilia, Modena, Italy. drbatu@hotmail.com.ORCID https://orcid.org/0000-0002-2000-7790
Alexander MüllerDepartment of Urology, Spital Limmattal, Schlieren, Switzerland.
Maria Chiara SighinolfiDepartment of Urology, University of Modena and Reggio Emilia, Modena, Italy.
Umberto BesanaDepartment of Urology, ASST Valle Olona Busto Arsizio, Varese, Italy.
Alberto CaloriDepartment of Urology, ASST Valle Olona Busto Arsizio, Varese, Italy.
Berti LorenzoDepartment of Urology, ASST Valle Olona Busto Arsizio, Varese, Italy.
Alexander GovorovDepartment of Urology, A.I. Evdokimov Moscow State University of Medicine and Dentistry, Moscow, Russia.
Dmitry Y PushkarDepartment of Urology, A.I. Evdokimov Moscow State University of Medicine and Dentistry, Moscow, Russia.
Giovannalberto PiniDepartment of Urology, San Raffaele Turro Hospital, Milan, Italy.
Antonio Luigi PastoreDepartment of Urology, ICOT Latina, Latina, Italy.
Javier Romero-OteroDepartment of Urology, Hospital Universitario 12 de Octobre, Madrid, Spain.
Bernardo RoccoDepartment of Urology, University of Modena and Reggio Emilia, Modena, Italy.
Carlo BuizzaDepartment of Urology, ASST Valle Olona Busto Arsizio, Varese, Italy.
Ospedale di Circolo di Busto Arsizio · ITUniversity of Modena and Reggio Emilia · ITMoscow State University of Medicine and Dentistry · RUHospital Universitario 12 De Octubre · ESSan Raffaele University of Rome · ITSpital Limmattal · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundConventional Percutaneous Lithotripsy (PCNL) has been an effective, successful and easy approach for especially > 1 cm sized calyceal stones however risks of complications and nephron loss are inevitable. Our aim is to compare the efficacy and safety of PCNL, MiniPerc (MP) and UltraMiniPerc (UMP) for lower calyceal stones between 1 and 2 cm with a multicenter prospective randomized study.

methodsBetween January 2015 and June 2018, 132 consecutive patients with single lower calyceal stone were enrolled. Patients were randomized in three groups; A: PCNL; B: MP; C: UMP. 44 patients for the Group A, 47 for Group B and 41 for Group C. Exclusion criterias were the presence of coagulation impairments, age of < 18 or > 75, presence of infection or serious comorbidities. Patients were controlled with computerized tomography scan after 3 months. A negative CT or an asymptomatic patient with stone fragments < 3 mm size were the criteria to assess the stone-free status. Patient characteristics, stone free rates (SFR) s, complications and re-treatment rates were analyzed.

resultsThe mean stone size were 16.38, 16.82 and 15.23 mm respectively in Group A, B and C(p = 0.34). The overall SFR was significantly higher in Group A (86.3%) and B (82.9%) as compared to Group C (78%)(p < 0.05). The re-treatment rate was significantly higher in Group C (12.1%) and complication rates was higher in Group A (13.6%) as compared to others(p < 0.05). The hospitalization was significantly shorter in Group C compared to Group A (p = 0.04).

conclusionsPCNL and MP showed higher efficacy than UMP to obtain a better SFR. Auxiliary and re-treatment rates were higher in UMP. On the other hand for such this kind of stones PCNL had more complications. Overall evaluation favors MP as a better indication in stones 1-2 cm size.

Indexed as

Kidney CalicesLithotripsyAdultAgedFemaleHumansKidney CalculiMaleMiddle AgedNephrolithotomy, PercutaneousProspective StudiesTreatment OutcomeLower calyces stonesMinipercPCNLPercutaneousStone-free rateUltraminiperc

Identifiers

PMID32522171
PMCPMC7288549
OpenAlexW3033634996

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.