Evidence map›Paper›PMID 33235822›Full record

ArticleCureus2020

Laparoscopic Versus Open Pyeloplasty for Primary Pelvic Ureteric Junction Obstruction: A Prospective Single Centre Study.

Omer Farooq Rehman, Musab Umair, Amer K Hussain, Ahmad Faraz, Mohammad Iqbal, Muhammad Waqar, Muhammad Tahir, Attaur Rahman Khan

Open access · diamondAbstract read
In one paragraph

Article in Cureus, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 35% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
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 4 institutions in 4 countries.

Omer Farooq RehmanUrology, Armed Forces Institute of Urology, Rawalpindi, PAK.
Musab UmairUrology, Armed Forces Institute of Urology, Rawalpindi, PAK.
Amer K HussainSurgery, Cavan & Monaghan Hospital, Cavan, IRL.
Ahmad FarazTrauma and Orthopaedics, Leeds Teaching Hospitals NHS Trust, Leeds, GBR.
Mohammad IqbalOrthopaedics and Trauma, Royal Shrewsbury and Telford Hospital National Health Service Trust, Shrewsbury, GBR.
Muhammad WaqarUrology, Maqsood Medical Complex and General Hospital, Peshawar, PAK.
Muhammad TahirOrthopaedics, Jinnah Postgraduate Medical Centre, Karachi, PAK.
Attaur Rahman KhanUrology, Maqsood Medical Complex and General Hospital, Peshawar, PAK.
Royal Shrewsbury Hospital · GBCalifornia Institute of Behavioral Neurosciences and Psychology (United States) · USCavan General Hospital · IEJinnah Postgraduate Medical Center · PK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction The aim of the study was to compare the clinical and patient-reported outcomes among open pyeloplasty (OP) and laparoscopic pyeloplasty (LP) patients. Materials and methods This was a prospective single centre, case-cohort study conducted in a tertiary care hospital with 62 patients. In both techniques, dismembered Anderson-Hynes pyeloplasty were undertaken. Post-operatively patients underwent visual analogue scale (VAS) assessment for pain, days to ambulation and comparison of the short- and long-term outcomes of the two procedures. Results There was no difference in the physical and functional outcomes between the two surgical approaches at 12 months period after surgery. However, patients in the laparoscopic group did report a higher rate of satisfaction at six weeks and six months' postoperatively. Likewise, patients in LP experienced less pain during the postoperative period (p-value <0.001), with decreased analgesic requirements. This translated into an early patient ambulation in the laparoscopic group (p-value <0.001), and a shorter hospital stay for the LP group (p-value <0.001). Moreover, follow-up ultrasound showed equal improvement of hydronephrosis among the two groups. Conclusion Laparoscopic and open pyeloplasty are equally effective in treating pelvic ureteric junction obstruction (PUJO), with comparable patient-reported outcomes at 12-month follow-up. However, the laparoscopic technique merits over open surgery with faster rehabilitation, a decreased postoperative pain experience and shorter hospital stay.

Indexed as

laparoscopic pyeloplastyopen pyeloplastypatient reported outcomesprospectiveureteropelvic junction

Identifiers

PMID33235822
PMCPMC7679050
OpenAlexW3093807681

What OpenQuestion holds

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LicenceCC BY
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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.