Evidence map›Paper›PMID 32757161›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2020

Long-term follow-up results and complications in cancer patients with persistent nephrostomy due to malignant ureteral obstruction.

Ergun Alma, Hakan Ercil, Ediz Vuruskan, Adem Altunkol, Umut Unal, Guclu Gurlen, Vinil Goren, Zafer Gokhan Gurbuz

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Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.0field-weighted citation impact, top 20% 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

13 citing papers in PubMed, 21 citations in OpenAlex.

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  13. Quality of life with tandem ureteral stents compared to percutaneous nephrostomy for malignant ureteral obstruction.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Review
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 1 institution in 1 country.

Ergun AlmaDepartment of Urology, Health Sciences University, Adana City Training and Research Hospital, Adana, Turkey. almaerim@yahoo.com.ORCID http://orcid.org/0000-0003-2633-5274
Hakan ErcilDepartment of Urology, Health Sciences University, Adana City Training and Research Hospital, Adana, Turkey.
Ediz VuruskanDepartment of Urology, Health Sciences University, Adana City Training and Research Hospital, Adana, Turkey.
Adem AltunkolDepartment of Urology, Health Sciences University, Adana City Training and Research Hospital, Adana, Turkey.
Umut UnalDepartment of Urology, Health Sciences University, Adana City Training and Research Hospital, Adana, Turkey.
Guclu GurlenDepartment of Urology, Health Sciences University, Adana City Training and Research Hospital, Adana, Turkey.
Vinil GorenDepartment of Radiology, Health Sciences University, Adana City Training and Research Hospital, Adana, Turkey.
Zafer Gokhan GurbuzDepartment of Urology, Health Sciences University, Adana City Training and Research Hospital, Adana, Turkey.
Sağlık Bilimleri Üniversitesi · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe aimed to evaluate the long-term complications and predisposing factors for these complications in patients with malignant ureteral obstruction (MUO) treated with percutaneous nephrostomy (PN).

methodsThe records of patients with MUO treated with PN between January 2015 and 2018 were retrospectively reviewed for PN dislodgement, PN obstruction, PN replacement, pyelonephritis, hospitalizations due to PN complications, and other complications due to PN such as macroscopic hematuria, skin infections, or renal/perirenal abscess.

resultsData for a total of 147 patients (229 renal units [RU], 107 males, 40 females) were evaluated. In 174 (76%) RU, PN was replaced due to PN dislodgement. The predisposing factors for PN dislodgement were follow-up time, body mass index (BMI), chemotherapy, diabetes mellitus (DM), low educational level (LEL), pyelonephritis, and catheter-related skin infections (CSRI). The PN was replaced in 40 RU due to obstruction. The predisposing factors for obstruction were follow-up time and BMI. Pyelonephritis developed at least once in 61 (41.5%) patients. Follow-up time, BMI, previous surgery, DM, and LEL were the predisposing factors for pyelonephritis. CSRI developed in 16 RU. Follow-up time, BMI, DM, and LEL were the predisposing factors for CSRI. Macroscopic hematuria developed in 11 patients. Follow-up time, previous surgery, DM, chemotherapy, and LEL were predisposing factors for macroscopic hematuria.

conclusionThe most common complication in patients with MUO treated with PN was PN dislodgement. However, life-threatening complications such as macroscopic hematuria and severe infections can also occur. Patients with DM, LEL, and chemotherapy are at high risk of PN-related complications.

Indexed as

AdultAgedFemaleFollow-Up StudiesHematuriaHumansMaleMiddle AgedNeoplasmsNephrostomy, PercutaneousRetrospective StudiesStentsUreteral ObstructionUrinary Tract InfectionsDislodgementMalignant ureteral obstructionPercutaneous nephrostomyPyelonephritis

Identifiers

PMID32757161
OpenAlexW3047601942

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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.