Evidence map›Paper›PMID 32993406›Full record

ArticleThe Journal of international medical research2020

Risk factors of infectious complications after retrograde intrarenal surgery: a retrospective clinical analysis.

Hua Zhang, Tao Jiang, Rui Gao, Qin Chen, Weiwen Chen, Changyi Liu, Houping Mao

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in The Journal of international medical research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07535281 (Effect of Complete Suction-Induced Collapse of the Renal Collecting System at the End of Retrograde Intrarenal Surgery on Early Postoperative Outcomes), which is not on this map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 15% 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.

NCT07535281 narecruitingnot on this mapstarted 2026, after this paper: background citation

Effect of Complete Suction-Induced Collapse of the Renal Collecting System at the End of Retrograde Intrarenal Surgery on Early Postoperative Outcomes: A Prospective Randomized Study

TypeinterventionalSponsorKangdong Sacred Heart HospitalRan2026 to 2027Enrolled90ConditionsKidney Stones, Nephrolithiasis, Renal CalculiArmsComplete suction-induced collapse, Standard RIRS with natural drainage
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 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

7 authors at 1 institution in 1 country.

Hua ZhangDepartment of Urology, The First Affiliated Hospital of Fujian Medical University, Fuzhou, P. R. China.
Tao JiangDepartment of Urology, The First Affiliated Hospital of Fujian Medical University, Fuzhou, P. R. China.
Rui GaoDepartment of Urology, The First Affiliated Hospital of Fujian Medical University, Fuzhou, P. R. China.
Qin ChenDepartment of Urology, The First Affiliated Hospital of Fujian Medical University, Fuzhou, P. R. China.
Weiwen ChenDepartment of Urology, The First Affiliated Hospital of Fujian Medical University, Fuzhou, P. R. China.
Changyi LiuDepartment of Urology, The First Affiliated Hospital of Fujian Medical University, Fuzhou, P. R. China.
Houping MaoDepartment of Urology, The First Affiliated Hospital of Fujian Medical University, Fuzhou, P. R. China.ORCID https://orcid.org/0000-0002-7889-7773
Fujian Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveStone disease is one of the most common afflictions in modern society. Complications following retrograde intrarenal surgery (RIRS) vary considerably, and small-diameter ureteral access sheaths are reportedly significantly associated with rates of infectious complications following RIRS. This study aimed to explore additional risk factors for infectious complications after RIRS.

methodsThis study retrospectively analyzed 602 patients who underwent RIRS between December 2016 and October 2019 at the First Affiliated Hospital of Fujian Medical University. All flexible ureteroscopic lithotripsy processes were conducted with patients under general anesthesia in the low lithotomy position. Postoperative systemic inflammatory response syndrome (SIRS) was diagnosed; statistical analyses comprised two-way analysis of variance (ANOVA) and one-way multivariate ANOVA.

resultsThe incidence of infectious complications after RIRS was 7.14%. Operative time was an independent risk factor that increased the risk of infection. Stone size >2 cm was observed in 153 (27.37%) patients in the SIRS group and 29 patients (67.44%) in the non-SIRS group.

conclusionsFindings in the literature suggest that early antibiotic treatment and active fluid therapy might lower the rate of infectious complications after RIRS. Our results indicate that extended operative time and increased stone size may be risk factors for infectious complications after RIRS.

Indexed as

Kidney CalculiLithotripsyUreterHumansRetrospective StudiesRisk FactorsTreatment Outcomeantibioticsflexible ureteroscopic lithotripsyfluid therapyinfectious complicationoperative timeretrograde intrarenal surgeryretrospective studyStone diseasesystemic inflammatory response syndrome

Identifiers

PMID32993406
PMCPMC7536499
OpenAlexW3089443289

What OpenQuestion holds

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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.