Evidence map›Paper›PMID 32894854›Full record

ArticleUrologia internationalis2021

Comparison of Primary and Delayed Ureteroscopy for Ureteric Stones: A Prospective Non-Randomized Comparative Study.

Alastair Mckay, Bhaskar K Somani, Amelia Pietropaolo, Robert Geraghty, Lily Whitehurst, Rena Kyriakides, Omar M Aboumarzouk

Open access · hybridAbstract readComparative Study
PubMed Publisher
In one paragraph

Article in Urologia internationalis, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
2.2field-weighted citation impact, top 10% 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, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Alastair MckayDepartment of Urology, Queen Elizabeth University Hospital, Glasgow, United Kingdom, acmckay1@doctors.org.uk.
Bhaskar K SomaniDepartment of Urology, University of Hospital Southampton NHS Trust, Southampton, United Kingdom.
Amelia PietropaoloDepartment of Urology, University of Hospital Southampton NHS Trust, Southampton, United Kingdom.
Robert GeraghtyDepartment of Urology, University of Hospital Southampton NHS Trust, Southampton, United Kingdom.
Lily WhitehurstDepartment of Urology, University of Hospital Southampton NHS Trust, Southampton, United Kingdom.
Rena KyriakidesDepartment of Urology, University of Hospital Southampton NHS Trust, Southampton, United Kingdom.
Omar M AboumarzoukDepartment of Urology, Queen Elizabeth University Hospital, Glasgow, United Kingdom.
University Hospital Southampton NHS Foundation Trust · GBQueen Elizabeth University Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrimary ureteroscopy (P-URS) has been shown to be as safe and as efficacious as preoperative stent insertion followed by a delayed ureteroscopy (D-URS). However, studies are of limited patient cohort.

methodsA prospective study comparing P-URS and laser fragmentation for ureteric stones to those who received a stent insertion followed by D-URS and stone fragmentation.

resultsA total of 367 consecutive patients were included. P-URS was conducted on 235 patients and D-URS on 132 patients. There was no overall difference between patient or stone demographics between the 2 groups, although there were more proximal ureteric and pelvi-ureteric junction stones in the preoperative stent group. The mean operative times were comparable with a stone free rate of 97 and 94% in the preoperative stent and no-stent groups, respectively. The overall complication rates were comparable.

conclusionThe current study provides evidence for the feasibility, safety, and efficacy of P-URS for ureteric calculi in a publicly funded healthcare setting with results comparable to those patients with a preoperative stent and delayed procedure. Therefore, cumulatively, P-URS could lead to less hospitalization, length of stay, stent-related morbidity, and ultimately will be more cost-effective.

Indexed as

Time-to-TreatmentUreteroscopyAdultAgedFemaleHumansLaser TherapyMaleMiddle AgedProspective StudiesStentsUreteral CalculiDelayed ureteroscopyEmergency ureteroscopyImmediate ureteroscopyPrimary ureteroscopyUreteric stones

Identifiers

PMID32894854
OpenAlexW3084310882

What OpenQuestion holds

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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.