Evidence map›Paper›PMID 32745000›Full record

ArticleCanadian Urological Association journal = Journal de l'Association des urologues du Canada2021

Comparison of a magnetic retrieval device vs. flexible cystoscopy for removal of ureteral stents in renal transplant patients: A randomized controlled trial.

Anil Kapoor, Jason Akerman, Emily C L Wong, Gaurav Vasisth, Fadil Hassan, Camilla Tajzler, Kevin Piercey, Jen Hoogenes, Shahid Lambe

Open access · diamondAbstract read
In one paragraph

Article in Canadian Urological Association journal = Journal de l'Association des urologues du Canada, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 24% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Review
  5. Article
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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

9 authors at 2 institutions in 2 countries.

Anil KapoorDepartment of Surgery, Division of Urology, McMaster University, Hamilton, ON, Canada.
Jason AkermanDepartment of Surgery, Division of Urology, McMaster University, Hamilton, ON, Canada.
Emily C L WongDepartment of Surgery, Division of Urology, McMaster University, Hamilton, ON, Canada.
Gaurav VasisthDepartment of Surgery, Division of Urology, McMaster University, Hamilton, ON, Canada.
Fadil HassanDepartment of Surgery, Division of Urology, McMaster University, Hamilton, ON, Canada.
Camilla TajzlerDepartment of Surgery, Division of Urology, McMaster University, Hamilton, ON, Canada.
Kevin PierceyDepartment of Surgery, Division of Urology, McMaster University, Hamilton, ON, Canada.
Jen HoogenesDepartment of Surgery, Division of Urology, McMaster University, Hamilton, ON, Canada.
Shahid LambeDepartment of Surgery, Division of Urology, McMaster University, Hamilton, ON, Canada.
McMaster University · CAJuravinski Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPlacement of a ureteral stent at the time of renal transplantation can reduce complications when compared to non-stented anastomoses. Removal by flexible cystoscopy can be associated with discomfort, risk for infection, and high costs. New magnetic stents offer a means of bypassing cystoscopy by use of a magnetic retrieval device. Our objective was to compare clinical and cost-related outcomes of conventional and magnetic stents in patients undergoing deceased donor renal transplantation.

methodsPatients were randomized to receive either a conventional or a Black-Star

resultsForty-one patients were randomized to conventional (n=19) or Black-Star (n=22) stent. The total time for stent removal under cystoscopy was significantly longer compared to Black-Star removal (6.67±2.47 and 4.80±2.21 minutes, respectively, p=0.019). No differences were found in the USSQ domains between groups. Rates of urinary tract infections and surgical complications between groups were similar. Stent removal was well-tolerated in both groups. Black-Star stent use resulted in a cost savings of $304.02 Canadian dollars (CAD) per case.

conclusionsUSSQ scores suggest that stent removal with the Black-Star magnetic stent is as equally well-tolerated as flexible cystoscopy by renal transplant patients. Black-Star stent removal was significantly faster than conventional stents. No differences in discomfort, infection rate, or complication rate were found. Use of the Black-Star stent resulted in an estimated annual savings of $27 360 CAD at our centre.

Identifiers

PMID32745000
PMCPMC7864704
OpenAlexW3046051282

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.